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The effects on waiting times of expanding provider choice:evidence from a policy experiment

Author

Listed:
  • Diane Dawson

    (Centre for Health Economics, University of York)

  • Hugh Gravelle

    (Centre for Health Economics, University of York)

  • Rowena Jacobs

    (Centre for Health Economics, University of York)

  • Stephen Martin

    (Department of Economics, University of York)

  • Peter C Smith

    (Centre for Health Economics, University of York)

Abstract

Long waiting times for inpatient treatment in the UK National Health Service have long been a source of great popular and political concern, and therefore a target for policy initiatives. One such is the London Patient Choice Project, under which patients at risk of breaching inpatient waiting time targets were offered the choice of an alternative hospital with a guaranteed shorter wait. This paper uses a difference in difference econometric methodology to infer the impact of the choice project on ophthalmology waiting times. In line with our theoretical predictions, it finds that the project led to lower average waiting times in the London region and a convergence in waiting times amongst London hospitals.

Suggested Citation

  • Diane Dawson & Hugh Gravelle & Rowena Jacobs & Stephen Martin & Peter C Smith, 2005. "The effects on waiting times of expanding provider choice:evidence from a policy experiment," Working Papers 001cherp, Centre for Health Economics, University of York.
    • Handle: RePEc:chy:respap:1cherp
    as

    Download full text from publisher

    File URL: http://www.york.ac.uk/media/che/documents/papers/researchpapers/rp1_Effects_on_waiting_times_of_expanding_provider_choice.pdf
    File Function: First version, 2005
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    References listed on IDEAS

    as
    1. Hugh Gravelle & Peter Smith & Ana Xavier, 2003. "Performance signals in the public sector: the case of health care," Oxford Economic Papers, Oxford University Press, vol. 55(1), pages 81-103, January.
    2. Richard Blundell & Monica Costa Dias, 2000. "Evaluation methods for non-experimental data," Fiscal Studies, Institute for Fiscal Studies, vol. 21(4), pages 427-468, January.
    3. repec:rus:hseeco:122140 is not listed on IDEAS
    4. Sascha O. Becker & Andrea Ichino, 2002. "Estimation of average treatment effects based on propensity scores," Stata Journal, StataCorp LP, vol. 2(4), pages 358-377, November.
    Full references (including those not matched with items on IDEAS)

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    Cited by:

    1. Merehau Cindy Mervin & Sukhan Jackson, 2009. "How can we improve waiting time for elective surgery in Australian public hospitals?," Discussion Papers Series 387, School of Economics, University of Queensland, Australia.

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