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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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:	12 Dec 2024 01:53
URI:	http://eprints.lse.ac.uk/id/eprint/101744

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