Choice in the presence of experts: The role of general practitioners in patients' hospital choice

Arbeitspapier

This paper considers the micro-econometric analysis of patients' hospital choice for elective medical procedures when their choice set is pre-selected by a general practitioner (GP). It proposes a two-stage choice model that encompasses both, patient and GP level optimization, and it discusses identifi cation. The empirical analysis demonstrates biases and inconsistencies that arise when strategic pre-selection is not properly taken into account. We fi nd that patients defer to GPs when assessing hospital quality and focus on tangible attributes, like hospital amenities; and that GPs, in turn, as patients' agents present choice options based on quality, but as agents of health authorities also consider their financial implications.

Angaben zum Objekt

• Sprache: Englisch

Verweise und Beziehungen

• Erschienen in: Series: IFS Working Papers ; No. W16/21

Klassifikation und Themen

• Klassifikation: Wirtschaft ; Consumer Economics: Empirical Analysis ; Model Construction and Estimation ; Analysis of Health Care Markets ; Portfolio Choice; Investment Decisions
• Thema: discrete choice ; patient ; principal ; agent ; expert ; endogenous choice sets ; competition ; hospital choice ; elective medical procedure

Beteiligte, Orts- und Zeitangaben

• Ereignis: Geistige Schöpfung
• (wer): Beckert, Walter ; Collyer, Kate
• Ereignis: Veröffentlichung
• (wer): Institute for Fiscal Studies (IFS)
• (wo): London
• (wann): 2016

Weitere Informationen

• DOI: doi:10.1920/wp.cem.2016.1621
• Handle: http://hdl.handle.net/10419/173955
• Letzte Aktualisierung: 12.07.2024, 13:22 MESZ