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Convenient primary care and emergency hospital utilisation

Pinchbeck, E. ORCID: 0000-0002-5638-3923 (2019). Convenient primary care and emergency hospital utilisation. Journal of Health Economics, 68, p. 102242. doi: 10.1016/j.jhealeco.2019.102242

Abstract

Participation and utilisation decisions lie at the heart of many public policy questions. I contribute new evidence by using hospital records to examine how access to primary care services affects utilisation of hospital Emergency Departments in England. Using a natural experiment in the roll out of services, I first show that access to primary care reduces Emergency Department visits. Additional strategies then allow me to separate descriptively four aspects of primary care access: proximity, opening hours, need to make an appointment, and eligibility. Convenience-oriented services divert three times as many patients from emergency visits, largely because patients can attend without appointments.

Publication Type: Article
Publisher Keywords: Primary care, Emergency care, Access, Utilisation decisions
Subjects: H Social Sciences > HB Economic Theory
R Medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Departments: School of Arts & Social Sciences > Economics
URI: https://openaccess.city.ac.uk/id/eprint/22854
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