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Choosing and booking – and attending? Impact of an electronic booking system on outpatient referrals and non-attendances

Author

Listed:
  • Mark Dusheiko

    (Centre for Health Economics, University of York, UK. Institut Univesitaire de Medicine Preventive et Social, Université de Lausanne, Lausanne, Switzerland.)

  • Hugh Gravelle

    (Centre for Health Economics, University of York, UK)

Abstract

An electronic booking system (Choose and Book – C&B) for general practices making hospital outpatient appointments was introduced in England in 2005 and by 2009 accounted for 50% of appointments. It was intended, inter alia, to reduce the rate of non-attendance at outpatient appointments (7.1% in 2004). We test whether it did so using a 2004-2009 panel with 7900 English general practices. We estimate that the use of C&B was associated with a reduction in nonattendances of 85,600 (15.8%) and a reduction in referrals of 358,000 (3%) in 2009.

Suggested Citation

  • Mark Dusheiko & Hugh Gravelle, 2015. "Choosing and booking – and attending? Impact of an electronic booking system on outpatient referrals and non-attendances," Working Papers 116cherp, Centre for Health Economics, University of York.
    • Handle: RePEc:chy:respap:116cherp
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    File URL: http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP116_electronic_booking_system_outpatient_referrals_attendances.pdf
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    References listed on IDEAS

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    Citations

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    Cited by:

    1. Moscelli, Giuseppe & Siciliani, Luigi & Gutacker, Nils & Gravelle, Hugh, 2016. "Location, quality and choice of hospital: Evidence from England 2002–2013," Regional Science and Urban Economics, Elsevier, vol. 60(C), pages 112-124.
    2. Giuseppe Moscelli & Hugh Gravelle & Luigi Siciliani, 2016. "Market structure, patient choice and hospital quality for elective patients," Working Papers 139cherp, Centre for Health Economics, University of York.
    3. Giuseppe Moscelli & Luigi Siciliani & Nils Gutacker & Hugh Gravelle, 2016. "Location, quality and choice of hospital: Evidence from England 2002/3 - 2012/13," Working Papers 123cherp, Centre for Health Economics, University of York.
    4. Giuseppe Moscelli & Hugh Gravelle & Luigi Siciliani, 2018. "Effects of Market Structure and Patient Choice on Hospital Quality for Planned Patients," School of Economics Discussion Papers 1118, School of Economics, University of Surrey.

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    More about this item

    Keywords

    referrals; non-attendance; outpatients; general practice; gatekeeping;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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