Follow us
Publications Commentary Research People Events News Resources and Videos About IFS
Home Publications Choice in the presence of experts: the role of general practitioners in patients' hospital choice

Choice in the presence of experts: the role of general practitioners in patients' hospital choice

IFS Working Paper W16/21

This paper considers the micro-econometric analysis of patients' hospital choice for elective medical procedures when their choice set is pre-selected by a general practitioner (GP). It proposes a two-stage choice model that encompasses both, patient and GP level optimization, and it discusses identifi cation. The empirical analysis demonstrates biases and inconsistencies that arise when strategic pre-selection is not properly taken into account. We fi nd that patients defer to GPs when assessing hospital quality and focus on tangible attributes, like hospital amenities; and that GPs, in turn, as patients'
agents present choice options based on quality, but as agents of health authorities also consider their financial implications.

More on this topic

IFS Working Paper WP20/12
Whether population health improves or worsens with changes in macroeconomic conditions is a long-standing question. Despite a substantial literature there is no clear consensus on the answer. Some studies find evidence that recessions are good for population health (i.e. poor health is ...
Journal article | Fiscal Studies - Special Issue: 50th Anniversary of IFS
Medical labour markets are important because of their size and the importance of medical labour in the production of healthcare and in subsequent patient outcomes.