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

Kurzanzeige
dc.contributor.authorBrüll, Eduard
dc.contributor.authorRostam-Afschar, Davud
dc.contributor.authorSchlenker, Oliver
dc.date.accessioned2025-03-31T12:04:52Z
dc.date.available2025-03-31T12:04:52Z
dc.date.issued2025-01
dc.description.abstractWe 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.
dc.description.versionpublisheddeu
dc.identifier.doi10.1016/j.labeco.2024.102669
dc.identifier.ppn1921433086
dc.identifier.urihttps://kops.uni-konstanz.de/handle/123456789/72825
dc.language.isoeng
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectEntry regulation
dc.subjectGeneral practitioners
dc.subjectHealthcare provision
dc.subjectThreat of entry
dc.subjectRegression discontinuity design
dc.subject.ddc330
dc.titleCut off from new competition: Threat of entry and quality of primary careeng
dc.typeJOURNAL_ARTICLE
dspace.entity.typePublication
kops.citation.bibtex
@article{Brull2025-01compe-72825,
  title={Cut off from new competition: Threat of entry and quality of primary care},
  year={2025},
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  volume={92},
  issn={0927-5371},
  journal={Labour Economics},
  author={Brüll, Eduard and Rostam-Afschar, Davud and Schlenker, Oliver},
  note={Article Number: 102669}
}
kops.citation.iso690BRÜLL, 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.2024.102669deu
kops.citation.iso690BRÜLL, 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. Available under: doi: 10.1016/j.labeco.2024.102669eng
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