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Please use this identifier to cite or link to this item: http://hdl.handle.net/2262/60046

Title: GP utilisation in Northern Ireland: exploiting the gatekeeper function
Author: McGregor, Pat
McKee, Pat
O'Neill, Ciaran
Keywords: General practitioners
Health metrics
Northern Ireland
NHS
Issue Date: 2006
Publisher: Economic & Social Research Institute
Citation: McGregor, Pat; McKee, Pat; O'Neill, Ciaran. 'GP utilisation in Northern Ireland: exploiting the gatekeeper function'. - Economic & Social Review, Vol. 37, No. 1, Spring, 2006, pp. 71-90, Dublin: Economic & Social Research Institute
Abstract: Using data from the Northern Ireland Household Panel survey we demonstrate that attendance at outpatients is determined solely by respondent health. This is consistent with the GP acting as a gatekeeper to other services. Attendance thus provides valuable information on illness severity. Splitting the sample into two statistically distinct groups, we estimate ordered probit regressions of GP utilisation with and without sample selection. The results indicate that ignoring outpatient attendance may result in misspecification. Further, if health is more fully measured, age becomes redundant as a determinant of utilisation and service supply, particularly accident and emergency use, is seen as a significant determinant in explaining GP visits.
URI: http://hdl.handle.net/2262/60046
ISSN: 00129984
Appears in Collections:Economic and Social Review Archive: Complete Collection 1969-
The Economic and Social Review, Vol. 37, No. 1, Spring, 2006

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