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Patient Choice, Entry, and the Quality of Primary Care: Evidence from Swedish Reforms

Dietrichson, Jens ; Ellegård, Lina Maria LU and Kjellsson, Gustav (2016) In Working Papers
Abstract
Policies aimed to spur quality competition among health care providers are ubiquitous, but their impact on quality is ex ante ambiguous. This study contributes to the sparse empirical literature on primary care quality by examining the heterogeneous impact of recent competition enhancing reforms in Sweden. The reforms led to substantially more entry of new providers in more exposed markets, but the effects on primary care quality in these markets were modest: we find small improvements of patients' overall satisfaction with care, but no consistently significant effects on avoidable hospitalization rates or satisfaction with access to care.
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Working paper/Preprint
publication status
published
subject
keywords
competition, patient choice, primary health care, quality, D04, H75, I11, I18
in
Working Papers
issue
2016:36
pages
45 pages
language
English
LU publication?
yes
id
2f04dc51-a3ba-4774-a65d-392bc2f60e9c
date added to LUP
2016-12-28 11:24:22
date last changed
2025-04-04 15:17:42
@misc{2f04dc51-a3ba-4774-a65d-392bc2f60e9c,
  abstract     = {{Policies aimed to spur quality competition among health care providers are ubiquitous, but their impact on quality is ex ante ambiguous. This study contributes to the sparse empirical literature on primary care quality by examining the heterogeneous impact of recent competition enhancing reforms in Sweden. The reforms led to substantially more entry of new providers in more exposed markets, but the effects on primary care quality in these markets were modest: we find small improvements of patients' overall satisfaction with care, but no consistently significant effects on avoidable hospitalization rates or satisfaction with access to care.}},
  author       = {{Dietrichson, Jens and Ellegård, Lina Maria and Kjellsson, Gustav}},
  keywords     = {{competition; patient choice; primary health care; quality; D04; H75; I11; I18}},
  language     = {{eng}},
  month        = {{12}},
  note         = {{Working Paper}},
  number       = {{2016:36}},
  series       = {{Working Papers}},
  title        = {{Patient Choice, Entry, and the Quality of Primary Care: Evidence from Swedish Reforms}},
  url          = {{https://lup.lub.lu.se/search/files/194594744/WP16_36.pdf}},
  year         = {{2016}},
}