Competition, prices, and quality in the market for physician consultations

Research output: Working paperDiscussion paper

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Publication details

DatePublished - Jul 2013
PublisherCentre for Health Economics, University of York
Place of PublicationYork, UK
Number of pages34
Original languageEnglish

Publication series

NameCHE Research Paper
PublisherCentre for Health Economics, University of York
No.89

Abstract

Prices for consultations with General Practitioners (GPs) in Australia are unregulated, and patients
pay the difference between the price set by the GP and a fixed reimbursement from the national taxfunded
Medicare insurance scheme. We construct a Vickrey-Salop model of GP price and quality
competition and test its predictions using a dataset with individual GP-level data on prices, the
proportion of patients who are charged no out-of-pocket fee, average consultation length, and
characteristics of the GPs, their practices and their local areas. We measure the competition to
which the GP is exposed by the distance to other GPs and allow for the endogeneity of GP location
decisions with measures of area characteristics and area fixed-effects. Within areas, GPs with more
distant competitors charge higher prices and a smaller proportion of their patients make no out-ofpocket
payment. GPs with more distant competitors also have shorter consultations, though the
effect is small and statistically insignificant.

    Research areas

  • Competition, Prices, Quality of care, Primary care, Doctors

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