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J Health Econ. 2016 Sep;49:193-208. doi: 10.1016/j.jhealeco.2016.05.002. Epub 2016 Jun 15.

Can increased primary care access reduce demand for emergency care? Evidence from England's 7-day GP opening.

Author information

1
Department of Economics, University of Sussex, United Kingdom; CEP, LSE, United Kingdom. Electronic address: p.dolton@sussex.ac.uk.
2
Department of Economics, University of Sussex, United Kingdom. Electronic address: v.pathania@sussex.ac.uk.

Abstract

Restricted access to primary care can lead to avoidable, excessive use of expensive emergency care. Since 2013, partly to alleviate overcrowding at the Accident & Emergency (A&E) units of hospitals, the UK has been piloting 7-day opening of General Practitioner (GP) practices to improve primary care access for patients. We evaluate the impact of these pilots on patient attendances at A&E. We estimate that 7-day GP opening has reduced A&E attendances by patients of pilot practices by 9.9% with most of the impact on weekends which see A&E attendances fall by 17.9%. The effect is non-monotonic in case severity with most of the fall occurring in cases of moderate severity. An additional finding is that there is also a 9.9% fall in weekend hospital admissions (from A&E) which is entirely driven by a fall in admissions of elderly patients. The impact on A&E attendances appears to be bigger among wealthier patients. We present evidence in support of a causal interpretation of our results and discuss policy implications.

KEYWORDS:

A&E; ER; GP; NHS; Physician incentives; Primary care

PMID:
27395472
DOI:
10.1016/j.jhealeco.2016.05.002
[Indexed for MEDLINE]

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