Dusheiko, Mark A and Gravelle, Hugh Stanley Emrys orcid.org/0000-0002-7753-4233 (2018) Choosing and Booking – and Attending? : Impact of an Electronic Booking System on Outpatient Referrals and Non-attendances. Health Economics. HEC3552. pp. 357-371. ISSN 1057-9230
Abstract
Patient non-attendance can lead to worse health outcomes and longer waiting times. In the English National Health Service, around 7% of patients who are referred by their general practice for a hospital outpatient appointment fail to attend. An electronic booking system (Choose and Book—C&B) for general practices making hospital outpatient appointments was introduced in England in 2005 and by 2009 accounted for 50% of appointments. It was intended, inter alia, to reduce the rate of non-attendance. Using a 2004–2009 panel with 7,900 English general practices, allowing for the relaxation of constraints on patient of hospital, and for the potential endogeneity of use of C&B, we estimate that the introduction of C&B reduced non-attendance by referred patients in 2009 by 72,160 (8.7%).
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Copyright, Publisher and Additional Information: | © 2017, John Wiley & Sons, Ltd. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details |
Keywords: | gatekeeping, general practice, non-attendance, outpatients, referrals |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) |
Depositing User: | Pure (York) |
Date Deposited: | 01 Sep 2017 08:30 |
Last Modified: | 06 Dec 2023 12:00 |
Published Version: | https://doi.org/10.1002/hec.3552 |
Status: | Published |
Refereed: | Yes |
Identification Number: | https://doi.org/10.1002/hec.3552 |
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