2016
DOI: 10.1002/hec.3439
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The Ambiguous Effect of GP Competition: The Case of Hospital Admissions

Abstract: SummaryIn the theoretical literature on general practitioner (GP) behaviour, one prediction is that intensified competition induces GPs to provide more services resulting in fewer hospital admissions. This potential substitution effect has drawn political attention in countries looking for measures to reduce the growth in demand for hospital care. However, intensified competition may induce GPs to secure hospital admissions a signal to attract new patients and to keep the already enlisted ones satisfied, resul… Show more

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Cited by 5 publications
(4 citation statements)
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“…Since Norwegian municipalities are responsible for providing primary health care and social care, we control for municipality relevant attributes (time-varying). In particular, to control for the magnitude and quality of primary care services, we include the number of patients per GP and percentage of the GPs with open lists (as an indicator of effective supply of primary care in municipalities) [26]. Proxy variables for social care service capacity in municipalities are the number of home care receivers relative to the number of inhabitants aged 80 years and over ('home care') and the number of institutional care receivers relative to the number of citizens aged 80 years and over ('institution care').…”
Section: Data and Variablesmentioning
confidence: 99%
“…Since Norwegian municipalities are responsible for providing primary health care and social care, we control for municipality relevant attributes (time-varying). In particular, to control for the magnitude and quality of primary care services, we include the number of patients per GP and percentage of the GPs with open lists (as an indicator of effective supply of primary care in municipalities) [26]. Proxy variables for social care service capacity in municipalities are the number of home care receivers relative to the number of inhabitants aged 80 years and over ('home care') and the number of institutional care receivers relative to the number of citizens aged 80 years and over ('institution care').…”
Section: Data and Variablesmentioning
confidence: 99%
“…These attributes are obtained from Statistics Norway's KOSTRA dataset. In particular, to control for the magnitude and quality of primary care services, we include the number of patients per GP and percentage of the GPs with open lists (as an indicator of effective supply of primary care in municipalities) (Islam & Kjerstad, 2017). Proxy variables for social care service capacity in municipalities are the number of home care receivers relative to the number of inhabitants aged 80 years and over ('home care') and the number of institutional care receivers relative to the number of citizens aged 80 years and over ('institution care').…”
Section: Data and Variablesmentioning
confidence: 99%
“…Since Norwegian municipalities are responsible for providing primary health care and social care, we control for municipality relevant attributes (time-varying).. In particular, to control for the magnitude and quality of primary care services, we include the number of patients per GP and percentage of the GPs with open lists (as an indicator of effective supply of primary care in municipalities) [27]. Proxy variables for social care service capacity in municipalities are the number of home care receivers relative to the number of inhabitants aged 80 years and over ('home care') and the number of institutional care receivers relative to the number of citizens aged 80 years and over ('institution care').…”
Section: Data and Variablesmentioning
confidence: 99%