“…The study finds small increases in patient satisfaction but no strong indications that competition improves objective quality measures (e.g., avoidable hospitalisation rates). A related literature, which examines measures of opportunistic behavior rather than quality, indicates that competition makes GPs issue more sick leave certificates (Brekke, Holmås, Monstad, & Straume, ; ISF, ; Markussen & Røed, ), provide more (intense) treatment (Iversen & Lurås, ; Iversen & Ma, ), prescribe more drugs (Fogelberg, ; Kann, Biørn, & Lurås, ; Schaumans, ), and try to affect the risk‐adjustment factor to increase their capitation (Dackehag & Ellegård, ).…”