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Location, Quality and Choice of Hospital: Evidence from England 2002–2013

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Location, Quality and Choice of Hospital : Evidence from England 2002–2013. / Moscelli, Giuseppe; Siciliani, Luigi; Gutacker, Nils; Gravelle, Hugh Stanley Emrys.

In: Regional Science and Urban Economics, Vol. 60, 21.07.2016, p. 112-124.

Research output: Contribution to journalArticle

Harvard

Moscelli, G, Siciliani, L, Gutacker, N & Gravelle, HSE 2016, 'Location, Quality and Choice of Hospital: Evidence from England 2002–2013', Regional Science and Urban Economics, vol. 60, pp. 112-124. https://doi.org/10.1016/j.regsciurbeco.2016.07.001

APA

Moscelli, G., Siciliani, L., Gutacker, N., & Gravelle, H. S. E. (2016). Location, Quality and Choice of Hospital: Evidence from England 2002–2013. Regional Science and Urban Economics, 60, 112-124. https://doi.org/10.1016/j.regsciurbeco.2016.07.001

Vancouver

Moscelli G, Siciliani L, Gutacker N, Gravelle HSE. Location, Quality and Choice of Hospital: Evidence from England 2002–2013. Regional Science and Urban Economics. 2016 Jul 21;60:112-124. https://doi.org/10.1016/j.regsciurbeco.2016.07.001

Author

Moscelli, Giuseppe ; Siciliani, Luigi ; Gutacker, Nils ; Gravelle, Hugh Stanley Emrys. / Location, Quality and Choice of Hospital : Evidence from England 2002–2013. In: Regional Science and Urban Economics. 2016 ; Vol. 60. pp. 112-124.

Bibtex - Download

@article{f1822692c9e1468fab474fce4bca46c6,
title = "Location, Quality and Choice of Hospital: Evidence from England 2002–2013",
abstract = "We investigate (a) how patient choice of hospital for elective hip replacement is influenced by distance, quality and waiting times, (b) differences in choices between patients in urban and rural locations, (c) the relationship between hospitals' elasticities of demand to quality and the number of local rivals, and how these changed after relaxation of constraints on hospital choice in England in 2006. Using a data set on over 500,000 elective hip replacement patients over the period 2002 to 2013 we find that patients became more likely to travel to a provider with higher quality or lower waiting times, the proportion of patients bypassing their nearest provider increased from 25{\%} to almost 50{\%}, and hospital elasticity of demand with respect to own quality increased. By 2013 average hospital demand elasticity with respect to readmission rates and waiting times were −0.2 and −0.04. Providers facing more rivals had demand that was more elastic with respect to quality and waiting times. Patients from rural areas have smaller disutility from distance.",
author = "Giuseppe Moscelli and Luigi Siciliani and Nils Gutacker and Gravelle, {Hugh Stanley Emrys}",
note = "{\circledC} 2016 Elsevier B.V. All rights reserved. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details. Embargo period : 18 months",
year = "2016",
month = "7",
day = "21",
doi = "10.1016/j.regsciurbeco.2016.07.001",
language = "English",
volume = "60",
pages = "112--124",
journal = "Regional Science and Urban Economics",
issn = "0166-0462",
publisher = "Elsevier",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Location, Quality and Choice of Hospital

T2 - Regional Science and Urban Economics

AU - Moscelli, Giuseppe

AU - Siciliani, Luigi

AU - Gutacker, Nils

AU - Gravelle, Hugh Stanley Emrys

N1 - © 2016 Elsevier B.V. All rights reserved. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details. Embargo period : 18 months

PY - 2016/7/21

Y1 - 2016/7/21

N2 - We investigate (a) how patient choice of hospital for elective hip replacement is influenced by distance, quality and waiting times, (b) differences in choices between patients in urban and rural locations, (c) the relationship between hospitals' elasticities of demand to quality and the number of local rivals, and how these changed after relaxation of constraints on hospital choice in England in 2006. Using a data set on over 500,000 elective hip replacement patients over the period 2002 to 2013 we find that patients became more likely to travel to a provider with higher quality or lower waiting times, the proportion of patients bypassing their nearest provider increased from 25% to almost 50%, and hospital elasticity of demand with respect to own quality increased. By 2013 average hospital demand elasticity with respect to readmission rates and waiting times were −0.2 and −0.04. Providers facing more rivals had demand that was more elastic with respect to quality and waiting times. Patients from rural areas have smaller disutility from distance.

AB - We investigate (a) how patient choice of hospital for elective hip replacement is influenced by distance, quality and waiting times, (b) differences in choices between patients in urban and rural locations, (c) the relationship between hospitals' elasticities of demand to quality and the number of local rivals, and how these changed after relaxation of constraints on hospital choice in England in 2006. Using a data set on over 500,000 elective hip replacement patients over the period 2002 to 2013 we find that patients became more likely to travel to a provider with higher quality or lower waiting times, the proportion of patients bypassing their nearest provider increased from 25% to almost 50%, and hospital elasticity of demand with respect to own quality increased. By 2013 average hospital demand elasticity with respect to readmission rates and waiting times were −0.2 and −0.04. Providers facing more rivals had demand that was more elastic with respect to quality and waiting times. Patients from rural areas have smaller disutility from distance.

U2 - 10.1016/j.regsciurbeco.2016.07.001

DO - 10.1016/j.regsciurbeco.2016.07.001

M3 - Article

VL - 60

SP - 112

EP - 124

JO - Regional Science and Urban Economics

JF - Regional Science and Urban Economics

SN - 0166-0462

ER -