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The effect of waiting time and distance on hospital choice for English cataract patients

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  • Peter Sivey

Abstract

This paper applies latent-class and multinomial logit models to the choice of hospital for cataract operations in the UK NHS. We concentrate on the effects of travel time and waiting time and especially on the waiting time elasticity of demand. Models including hospital fixed effects rely on changes over time in waiting time to indentify coefficients. We show how using latent-class multinomial logit models characterises the unobserved heterogeneity in GP practices' choice behaviour and affects the estimated waiting time elasticities of demand. The models estimate waiting time elasticities of demand of approximately -0.1, comparable with previous waiting time-demand models. For the average waiting time elasticity, the simple multinomial logit models are good approximations of the latent-class logit results.

Suggested Citation

  • Peter Sivey, 2010. "The effect of waiting time and distance on hospital choice for English cataract patients," Health, Econometrics and Data Group (HEDG) Working Papers 10/09, HEDG, c/o Department of Economics, University of York.
    • Handle: RePEc:yor:hectdg:10/09
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    More about this item

    Keywords

    Hospital Choice; Waiting Time; Latent Class Model;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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