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Related Experiment Video

Updated: May 30, 2026

Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics

Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics

Published on: June 17, 2022

Patient switching in general practice.

Tor Iversen¹, Hilde Lurås

¹University of Oslo, Department of Health Management and Health Economics, P.O. Box 1089, Blindern, NO-0317 Oslo, Norway. tor.iversen@medisin.uio.no

Journal of Health Economics

|August 9, 2011

Summary

Patient physician switching incurs costs due to reduced continuity of care. A physician shortage, driven by perceived lower quality, significantly increases patient switching, highlighting the need for transparency in physician performance.

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Area of Science:

Health Services Research
General Practice
Patient Behavior

Background:

Patient switching physicians leads to reduced continuity of care and associated costs.
Theoretical models suggest perceived physician quality influences patient flow and switching behavior.

Purpose of the Study:

To investigate the relationship between patient shortage and physician switching rates.
To test the hypothesis that perceived physician quality impacts patient retention.

Main Methods:

Utilized a unique panel data set of the entire Norwegian general practitioner (GP) population.
Employed advanced estimation methods to adjust for potential endogeneities in the data.

Main Results:

A patient shortage was found to increase the proportion of patients switching physicians by 50%.
Data rejected the competing hypothesis that physician access mitigates patient switching.

Conclusions:

Physician patient shortage is a significant driver of patient switching.
Making the number of physician switches public could aid patients in making informed healthcare decisions.