@misc{0db6b70a8e50408089e5c951d2af67ba,
title = "The Effects of Budgets on Doctors Behaviour: Evidence from a Natural Experiment",
abstract = "In many health care systems primary care physicians act as 'gatekeepers' to secondary care. We investigates the impact of the UK fundholding scheme under which general practices could elect to hold a budget to meet the costs of elective surgery for their patients. We use a differences in differences methodology on a large four year panel of English general practices before and after the abolition of fundholding. Fundholding incentives reduced fundholder elective admission rates by 3.3% and accounted for 57% of the difference between fundholder and nonfundholder elective admissions, with 43% a selection effect due to unobservable differences in practice characteristics. Fundholding had no effect on emergency admissions.",
author = "Mark Dusheiko and Hugh Gravelle and Rowena Jacobs and P.C. Smith",
note = "DP No 03/04",
year = "2003",
language = "Undefined/Unknown",
series = "DERS Discussion Paper",
publisher = "DERS, University of York",
type = "Other",
}