Publikation:

Cut off from new competition: Threat of entry and quality of primary care

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Bruell_2-cpvou6lirkh27.pdf
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Datum

2025

Autor:innen

Brüll, Eduard
Rostam-Afschar, Davud

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Angaben zur Forschungsförderung

Deutsche Forschungsgemeinschaft (DFG): EXC-2035/1-390681379
Deutsche Forschungsgemeinschaft (DFG): 403041268

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Open Access-Veröffentlichung
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Titel in einer weiteren Sprache

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Zeitschriftenartikel
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Published

Erschienen in

Labour Economics. Elsevier. 2025, 92, 102669. ISSN 0927-5371. Verfügbar unter: doi: 10.1016/j.labeco.2024.102669

Zusammenfassung

We study how the threat of entry affects service quantity and quality of general practitioners (GPs). We leverage Germany’s needs-based primary care planning system, in which the likelihood of new GPs reduces by 20 percentage points when primary care coverage exceeds a cut-off. We compile novel data covering all German primary care regions and up to 30,000 GP-level observations from 2014 to 2019. Reduced threat of entry lowers patient satisfaction for incumbent GPs without nearby competitors but not in areas with competitors. We find no effects on working hours or quality measures at the regional level including hospitalizations and mortality.

Zusammenfassung in einer weiteren Sprache

Fachgebiet (DDC)
330 Wirtschaft

Schlagwörter

Entry regulation, General practitioners, Healthcare provision, Threat of entry, Regression discontinuity design

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ISO 690BRÜLL, Eduard, Davud ROSTAM-AFSCHAR, Oliver SCHLENKER, 2025. Cut off from new competition: Threat of entry and quality of primary care. In: Labour Economics. Elsevier. 2025, 92, 102669. ISSN 0927-5371. Verfügbar unter: doi: 10.1016/j.labeco.2024.102669
BibTex
@article{Brull2025-01compe-72825,
  title={Cut off from new competition: Threat of entry and quality of primary care},
  year={2025},
  doi={10.1016/j.labeco.2024.102669},
  volume={92},
  issn={0927-5371},
  journal={Labour Economics},
  author={Brüll, Eduard and Rostam-Afschar, Davud and Schlenker, Oliver},
  note={Article Number: 102669}
}
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