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Spatial competition and quality: evidence from the English family doctor market

Hugh Gravelle (), D Liu, Carol Propper and Rita Santos ()

Working Papers from Imperial College, London, Imperial College Business School

Abstract: We examine whether family doctor firms in England respond to local competition by increasing their quality. We measure quality in terms of clinical performance and patient-reported satisfaction to capture its multi-dimensional nature. We use a panel covering 8 years for over 8000 English general practices, allowing us to control for unobserved local area effects. We measure competition by the number of rival doctors within a small distance. We find that increases in local competition are associated with increases in clinical quality and patient satisfaction, particularly for firms with lower quality. However, the magnitude of the effect is small.

New Economics Papers: this item is included in nep-com, nep-eur, nep-geo, nep-hea and nep-ure
Date: 2018-02-28
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http://spiral.imperial.ac.uk/bitstream/10044/1/60680/2/spatial.pdf

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Working Paper: Spatial competition and quality: evidence from the English family doctor market (2018) Downloads
Working Paper: Spatial competition and quality: Evidence from the English family doctor market (2018) Downloads
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Persistent link: https://EconPapers.repec.org/RePEc:imp:wpaper:60680

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