Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/312185 
Year of Publication: 
2024
Series/Report no.: 
ZEW Discussion Papers No. 24-066
Publisher: 
ZEW - Leibniz-Zentrum für Europäische Wirtschaftsforschung, Mannheim
Abstract: 
We study how the threat of entry affects service quantity and quality of general prac- titioners (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 com- petitors but not in areas with competitors. We find no effects on working hours or quality measures at the regional level including hospitalizations and mortality.
Subjects: 
Entry regulation
general practitioners
healthcare provision
threat of entry
regression discontinuity design
JEL: 
I11
I18
J44
J22
L10
L22
R23
Document Type: 
Working Paper

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