TY  - RPRT
        AU  - Brüll, Eduard
AU  - Rostam-Afschar, Davud
AU  - Schlenker, Oliver
        TI  - Cut Off from New Competition: Threat of Entry and Quality of Primary Care
        PY  - 2024/Dec/
        PB  - Institute of Labor Economics (IZA)
        CY  - Bonn
        T2  - IZA Discussion Paper
        IS  - 17504
        UR  - https://www.iza.org/publications/dp17504
        AB  - We study how the threat of entry affects service quantity and quality of general practitioners (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 competitors but not in areas with competitors. We find no effects on working hours or quality measures at the regional level including hospitalizations and mortality.
        KW  - regression discontinuity design
KW  - entry regulation
KW  - general practitioners
KW  - healthcare provision
KW  - threat of entry
        ER  -