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

Press release
New analysis by the Institute for Fiscal Studies, Harvard University and Imperial College London shows there were 2.9 million fewer planned admissions, 1.2 million fewer non-COVID-19 emergency inpatient admissions and 17.1 million fewer outpatient appointments between March and December 2020 ...
Press release
"The figures released today show that almost 5 million people are now waiting for routine hospital treatment, while a huge 436,000 have been waiting for longer than a year. Even as COVID cases decline, and more routine treatment comes back online, it is clear that patients will face long waits for ...
Report
This report examines the effect that variation in the cost of living has on the labour supply of existing nurses in NHS acute trusts. Retention of nursing staff within the NHS is a key policy issue. Pay policy – and the ability that trusts and nurses have to react to local working conditions and ...