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What Explains The Quality And Price Of Gp Services? An Investigation Using Linked Survey And Administrative Data

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  • Meliyanni Johar
  • Glenn Jones
  • Elizabeth Savage

Abstract

We examine patient socioeconomic status, the strength of the patient–doctor relationship and local area competition as determinants of the quality and price of GP services. We exploit a large‐sample patient data set in Australia and its linkage to administrative databases. The sample contains over 260 000 patients and over 12 600 GPs, observed between 2005 and 2010. Controlling for GP fixed effects and patient health, we find no strong evidence that quality differs by patient age, gender, country of origin, health concession card status and income, but quality is increased by stronger patient–doctor relationship. Using a competition measure that is defined at the individual GP level and not restricted to a local market, we find that competition lowers quality. Price is increasing in patient income, whereas competition has a small impact on price. Copyright © 2014 John Wiley & Sons, Ltd.

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  • Meliyanni Johar & Glenn Jones & Elizabeth Savage, 2014. "What Explains The Quality And Price Of Gp Services? An Investigation Using Linked Survey And Administrative Data," Health Economics, John Wiley & Sons, Ltd., vol. 23(9), pages 1115-1133, September.
    • Handle: RePEc:wly:hlthec:v:23:y:2014:i:9:p:1115-1133
    DOI: 10.1002/hec.3071
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    References listed on IDEAS

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    Cited by:

    1. Jeannette Brosig‐Koch & Burkhard Hehenkamp & Johanna Kokot, 2023. "Who benefits from quality competition in health care? A theory and a laboratory experiment on the relevance of patient characteristics," Health Economics, John Wiley & Sons, Ltd., vol. 32(8), pages 1785-1817, August.
    2. Craike, Melinda & Wiesner, Glen & Enticott, Joanne & Bennie, Jason A. & Biddle, Stuart J.H., 2018. "Equity of a government subsidised exercise referral scheme: A population study," Social Science & Medicine, Elsevier, vol. 216(C), pages 20-25.
    3. Susan J. Méndez & Jongsay Yong & Hugh Gravelle & Anthony Scott, 2024. "Medical pricing decisions: Evidence from Australian specialists," Melbourne Institute Working Paper Series wp2024n11, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
    4. Chauvin, Pauline & Fustinoni, Sarah & Seematter-Bagnoud, Laurence & Herr, Marie & Santos Eggimann, Brigitte, 2021. "Potentially inappropriate prescriptions: Associations with the health insurance contract and the quality of the patient–physician relationship?," Health Policy, Elsevier, vol. 125(9), pages 1146-1157.
    5. Anthony Scott & Peter Sivey, 2022. "Motivation and competition in health care," Health Economics, John Wiley & Sons, Ltd., vol. 31(8), pages 1695-1712, August.
    6. Jens Dietrichson & Lina Maria Ellegård & Gustav Kjellsson, 2020. "Patient choice, entry, and the quality of primary care: Evidence from Swedish reforms," Health Economics, John Wiley & Sons, Ltd., vol. 29(6), pages 716-730, June.
    7. Godager , Geir & Scott, Anthony, 2023. "Physician Behavior and Health Outcomes," HERO Online Working Paper Series 2023:3, University of Oslo, Health Economics Research Programme.
    8. Meliyanni Johar, 2017. "The Evolution of Out-of-Hospital Medical Costs to and through Retirement," Economic Papers, The Economic Society of Australia, vol. 36(1), pages 17-31, March.

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