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

Document type
Report
Author(s)
Beckert, Walter; Collyer, Kate
Publisher
Institute for Fiscal Studies
Date of publication
14 November 2016
Series
IFS Working Paper; W16/21
Subject(s)
Health Services
Collection
Social welfare
Material type
Reports

Download (274KB )

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. It also suggests that patients defer to GPs when assessing hospital quality and focus on tangible attributes, like hospital amenities. GPs, in turn present choice options based on quality, but as agents of health authorities also consider their financial implications.

Related to Institute for Fiscal Studies

Living through later life

Report on retirement and life expectancies

Generation veXed: solving the retirement puzzle

Report on income risks faced by Generation X

Supporting later life

Report on the practical decisions older people may face

More items related to this publisher