The effect of waiting time and distance on hospital choice for English cataract patients
Article first published online: 7 MAR 2011
Copyright © 2011 John Wiley & Sons, Ltd.
Volume 21, Issue 4, pages 444–456, April 2012
How to Cite
Sivey, P. (2012), The effect of waiting time and distance on hospital choice for English cataract patients. Health Econ., 21: 444–456. doi: 10.1002/hec.1720
- Issue published online: 1 MAR 2012
- Article first published online: 7 MAR 2011
- Manuscript Accepted: 11 JAN 2011
- Manuscript Revised: 23 DEC 2010
- Manuscript Received: 21 JUN 2010
- hospital choice;
- waiting time;
- latent class model
This paper applies latent-class multinomial logit models to the choice of hospital for cataract operations in the UK NHS. We concentrate on the effects of travel time and waiting time and especially on estimating the waiting time elasticity of demand. Models including hospital fixed effects rely on changes over time in waiting time to indentify coefficients. We show how using a latent-class multinomial logit model characterises the unobserved heterogeneity in GP practices' choice behaviour and affects the estimated elasticities of travel time and waiting time. The models estimate waiting time elasticities of demand of approximately −0.1, comparable with previous waiting time-demand models. For the average waiting time elasticity, the simple multinomial logit models are good approximations of the latent-class logit results. Copyright © 2011 John Wiley & Sons, Ltd.