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Title: Waiting Times for Hospital Admissions: the Impact of GP Fundholding

Author(s): Bronwyn Croxson, Carol Propper and Arran Shearer

Publication Date: June 2000

Keyword(s): Hospital Care, Physicians And Financial Incentives and Waiting Times

Programme Area(s): Public Economics

Abstract: Waiting times for hospital care are a significant issue in the UK National Health Service. The reforms of the health service in 1990 gave a subset of family doctors (GP fundholders) both the ability to choose the hospital where their patients were treated and the means to pay for some services. One of the key factors influencing family doctors? choice of hospital was patient waiting time. However, without cash inducements, hospitals would get no direct reward from giving shorter waiting times to a subset of patients. Using a unique data set we investigate whether GP fundholders were able to secure shorter waiting times for their patients, whether they were able to do so in cases where they had no financial rewards to offer hospitals, and whether the impact of fundholding spilled over into shorter waiting times for all patients.

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Bibliographic Reference

Croxson, B, Propper, C and Shearer, A. 2000. 'Waiting Times for Hospital Admissions: the Impact of GP Fundholding'. London, Centre for Economic Policy Research. https://cepr.org/active/publications/discussion_papers/dp.php?dpno=2489