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Primary care supply and quality of care in England

Author

Listed:
  • Laura Vallejo-Torres

    (University College London)

  • Stephen Morris

    (University College London)

Abstract

We investigated the relationship between primary care supply and quality of care in England. We analysed 35 process measures of quality of care covering 13 medical conditions using English Longitudinal Study of Aging data linked to area of residence indicators. Greater GP density had a statistically significant and positive association with quality of care, and distance to GP practice had a statistically significant and negative association. The effects were concentrated in indicators of care related to cardiovascular diseases and arthritis, and on specific indicators for diabetes, incontinence and hearing problems. The results suggest that better primary care supply can improve quality of care.

Suggested Citation

  • Laura Vallejo-Torres & Stephen Morris, 2018. "Primary care supply and quality of care in England," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(4), pages 499-519, May.
    • Handle: RePEc:spr:eujhec:v:19:y:2018:i:4:d:10.1007_s10198-017-0898-2
    DOI: 10.1007/s10198-017-0898-2
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    References listed on IDEAS

    as
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    3. Shi, L. & Macinko, J. & Starfield, B. & Politzer, R. & Wulu, J. & Xu, J., 2005. "Primary care, social inequalities, and all-cause, heart disease, and cancer mortality in US counties, 1990," American Journal of Public Health, American Public Health Association, vol. 95(4), pages 674-680.
    4. Shi, L. & Starfield, B., 2001. "The effect of primary care physician supply and income inequality on mortality among Blacks and Whites in US metropolitan areas," American Journal of Public Health, American Public Health Association, vol. 91(8), pages 1246-1250.
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    6. Morris, Stephen & Gravelle, Hugh, 2008. "GP supply and obesity," Journal of Health Economics, Elsevier, vol. 27(5), pages 1357-1367, September.
    7. Laura Vallejo-Torres & Stephen Morris, 2011. "Factors associated with the use of primary care services: the role of practice nurses," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(4), pages 373-381, August.
    8. Hendrik Jürges & Vincent Pohl, 2012. "Medical guidelines, physician density, and quality of care: evidence from German SHARE data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(5), pages 635-649, October.
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    Cited by:

    1. Damien Bricard & Zeynep Or, 2019. "Impact of early primary care follow-up after discharge on hospital readmissions," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(4), pages 611-623, June.

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    More about this item

    Keywords

    General practitioner; Health care supply; Quality of care; Multilevel model; Primary care;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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