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Convenient primary care and emergency hospital utilisation

Pinchbeck, Ted (2019) Convenient primary care and emergency hospital utilisation. Journal of Health Economics, 68. ISSN 0167-6296

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Identification Number: 10.1016/j.jhealeco.2019.102242

Abstract

Participation and utilisation decisions lie at the heart of many public policy questions. I contribute new evidence by using hospital records to examine how access to primary care services affects utilisation of hospital Emergency Departments in England. Using a natural experiment in the roll out of services, I first show that access to primary care reduces Emergency Department visits. Additional strategies then allow me to separate descriptively four aspects of primary care access: proximity, opening hours, need to make an appointment, and eligibility. Convenience-oriented services divert three times as many patients from emergency visits, largely because patients can attend without appointments.

Item Type: Article
Official URL: https://www.journals.elsevier.com/journal-of-healt...
Additional Information: © 2019 The Author(s)
Divisions: Centre for Economic Performance
Subjects: H Social Sciences > HC Economic History and Conditions
R Medicine > RA Public aspects of medicine
JEL classification: I - Health, Education, and Welfare > I1 - Health > I11 - Analysis of Health Care Markets
I - Health, Education, and Welfare > I1 - Health > I12 - Health Production: Nutrition, Mortality, Morbidity, Suicide, Substance Abuse and Addiction, Disability, and Economic Behavior
I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy; Regulation; Public Health
D - Microeconomics > D1 - Household Behavior and Family Economics > D12 - Consumer Economics: Empirical Analysis
Date Deposited: 27 Sep 2019 08:30
Last Modified: 20 Oct 2020 05:51
URI: http://eprints.lse.ac.uk/id/eprint/101744

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