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

    Beckert, Walter (2018) Choice in the presence of experts: the role of general practitioners in patients' hospital choice. Journal of Health Economics 60 , pp. 98-117. ISSN 0167-6296.

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    Abstract

    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 identification. The empirical analysis demonstrates biases and inconsistencies that arise when strategic pre-selection is not properly taken into account. We find 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.

    Metadata

    Item Type: Article
    Keyword(s) / Subject(s): Discrete choice, patient, principal, GP, agent, expert, endogenous choice sets, competition, hospital choice, elective medical procedure
    School: School of Business, Economics & Informatics > Economics, Mathematics and Statistics
    Research Centres and Institutes: Commodities Finance Centre
    Depositing User: Walter Beckert
    Date Deposited: 13 Jan 2017 07:58
    Last Modified: 13 Feb 2021 17:37
    URI: https://eprints.bbk.ac.uk/id/eprint/16717

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