Scandinavian Working Papers in Economics
Working Papers,
Lund University, Department of Economics
No 2016:36: Patient Choice, Entry, and the Quality of Primary Care: Evidence from Swedish Reforms
Jens Dietrichson (), Lina Maria Ellegård () and Gustav Kjellsson ()
Additional contact information
Jens Dietrichson: The Danish National Centre for Social Research (SFI)
Lina Maria Ellegård: Department of Economics, Lund University, Postal: Department of Economics, School of Economics and Management, Lund University, Box 7082, S-220 07 Lund, Sweden
Gustav Kjellsson: Department of Economics, University of Gothenburg
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.
Keywords: Competition; Patient choice; Primary health care; Quality
73 pages, First version: December 14, 2016. Revised: June 27, 2018.
Full text files
WP16_36Full text
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