Spatial competition and quality: Evidence from the English family doctor market
Spatial competition and quality: Evidence from the English family doctor market
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DOI：
10.1016/j.jhealeco.2019.102249
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发表时间：
2019-12-01
影响因子：
3.5
通讯作者：
Santos, Rita
中科院分区：
文献类型：
--
作者：
Gravelle, Hugh;Liu, Dan;Santos, Rita
我们考察了英国的家庭医生公司是否通过提高质量来应对当地的竞争。我们根据临床表现和患者报告的满意度来衡量质量，以捕捉其多维性。我们使用了一个涵盖8年的超过8000名英国全科医生的专家小组。我们将竞争衡量为小距离内竞争医生的数量，并控制大量潜在的混杂因素。我们发现，当地竞争的增加与患者满意度的提高有关，在较小程度上与临床质量的提高有关。然而，这种影响的幅度很小。(C) 2019 Elsevier B.V.版权所有
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. We measure competition as the number of rival doctors within a small distance and control for a large number of potential confounders. We find that increases in local competition are associated with increases in patient satisfaction and to a lesser extent in clinical quality. However, the magnitude of the effect is small. (C) 2019 Elsevier B.V. All rights reserved.