@article{db566138329f485a895a6b640a6ecae3,
title = "Spatial competition and quality: evidence from the English family doctor market",
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. 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.",
keywords = "Choice, Competition, Family, Healthcare, Physicians, Quality",
author = "Hugh Gravelle and Dan Liu and Carol Propper and Rita Santos",
note = "Funding Information: The paper is based on independent research commissioned and partly funded by the NIHR Policy Research Programme Ref 103/0001). RS was part funded by an NIHR Doctoral Fellowship (DRF 2014-07-055). CP was funded by the Economic and Social Research Council under grant ES/J023108/1. We thank David Byrne, participants at seminars in York, Melbourne and the HESG conference, and three referees and the editor for their comments. The views expressed are those of the authors and not necessarily those of the NIHR, the Department of Health and Social Care, or the ESRC. Hospital Episode Statistics are Copyright ? 2004/05-2016/17 Health and Social Care Information Centre, DARS-NIC_84254-J2G1Q-V2.13, all rights reserved. Funding Information: The paper is based on independent research commissioned and partly funded by the NIHR Policy Research Programme Ref 103/0001 ). RS was part funded by an NIHR Doctoral Fellowship ( DRF 2014-07-055 ). CP was funded by the Economic and Social Research Council under grant ES/J023108/1 . We thank David Byrne, participants at seminars in York, Melbourne and the HESG conference, and three referees and the editor for their comments. The views expressed are those of the authors and not necessarily those of the NIHR, the Department of Health and Social Care, or the ESRC. Hospital Episode Statistics are Copyright {\textcopyright} 2004/05-2016/17 Health and Social Care Information Centre, DARS-NIC_84254-J2G1Q-V2.13, all rights reserved. Appendix A Publisher Copyright: {\textcopyright} 2019 Elsevier B.V.",
year = "2019",
month = dec,
doi = "10.1016/j.jhealeco.2019.102249",
language = "English",
volume = "68",
journal = "Journal of Health Economics",
issn = "0167-6296",
publisher = "Elsevier BV",
}
