Impacts of Norway's extended free choice reform on waiting times and hospital visits

B-Tier
Journal: Health Economics
Year: 2024
Volume: 33
Issue: 4
Pages: 779-803

Authors (4)

Ge Ge (not in RePEc) Tor Iversen (Universitetet i Oslo) Oddvar Kaarbøe (not in RePEc) Øyvind Snilsberg (not in RePEc)

Score contribution per author:

0.503 = (α=2.01 / 4 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

Norway's extended free choice (EFC) reform extends the patient's choice of publicly funded hospitals for treatment to authorized private institutions (EFC providers). We study the effects of the reform on waiting times, number of visits, and patients' Charlson Comorbidity Index scores in public hospitals. We use a difference‐in‐differences model to compare changes over time for public hospitals with and without EFC providers in the catchment area. Focusing on five prevalent somatic services, we find that the EFC reform did not exert pressure on public hospitals to stimulate shorter waiting times and more visits. Moreover, we do not find that the sum of public and private visits increased. When we compare patient comorbidity between public hospitals and EFC providers, we find that for non‐invasive diagnostic services, patient comorbidity is lower in EFC providers. For surgical services, we detect no difference in patient comorbidities between public and EFC providers.

Technical Details

RePEc Handle
repec:wly:hlthec:v:33:y:2024:i:4:p:779-803
Journal Field
Health
Author Count
4
Added to Database
2026-01-25