{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T03:18:34Z","timestamp":1771471114274,"version":"3.50.1"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T00:00:00Z","timestamp":1611014400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T00:00:00Z","timestamp":1611014400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002327","name":"Kela","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002327","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Social Insurance Institution of Finland"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Health Econ Manag."],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We study the relationship between patient choices and provider quality in a rehabilitation service for disabled patients who receive the service frequently but do not have access to quality information. Previous research has found a positive relationship between patient choices and provider quality in health services that patients typically do not have previous experience or use frequently. We contribute by examining choices of new patients and experienced patients who were either forced to switch or actively switched their provider. In the analysis, we combine register data on patients\u2019 choices and switches with provider quality data from a competitive bidding, and estimate conditional logit choice models. The results show that all patients prefer high-quality providers within short distances. We find that the willingness to travel for quality is highest among new patients and active switchers. These results suggest that new patients and active switchers compare different alternatives more thoroughly, whereas forced switchers choose their new provider in limited time leading into poorer choices.<\/jats:p>","DOI":"10.1007\/s10754-020-09293-z","type":"journal-article","created":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T17:03:23Z","timestamp":1611075803000},"page":"229-245","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Choice, quality and patients\u2019 experience: evidence from a Finnish physiotherapy service"],"prefix":"10.1007","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8727-3831","authenticated-orcid":false,"given":"Visa","family":"Pitk\u00e4nen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismo","family":"Linnosmaa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,1,19]]},"reference":[{"key":"9293_CR1","unstructured":"Anell, A., Dietrichson, J., Elleg\u00e5rd, L. M., & Kjelsson, G. (2017). Information, switching costs, and patient choice. Evidence from two randomized field experiments in Swedish primary health care. Lund University Working Paper 7\/2017. Available at: http:\/\/lup.lub.lu.se\/record\/2209ec95-daf5-48dd-9711-64e53648bc92"},{"issue":"5","key":"9293_CR2","first-page":"941","volume":"53","author":"K Arrow","year":"1963","unstructured":"Arrow, K. (1963). Uncertainty and the welfare economics of medical care. American Economic Review, 53(5), 941\u2013973.","journal-title":"American Economic Review"},{"issue":"3","key":"9293_CR3","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1007\/s10198-015-0736-3","volume":"17","author":"PP Barros","year":"2016","unstructured":"Barros, P. P., Brouwer, W. B. F., Thomson, S., & Varkevisser, M. (2016). Competition among health care providers: Helpful of harmful? European Journal of Health Economics, 17(3), 229\u2013233.","journal-title":"European Journal of Health Economics"},{"issue":"560","key":"9293_CR4","doi-asserted-by":"publisher","first-page":"400","DOI":"10.1111\/j.1468-0297.2012.02496.x","volume":"122","author":"W Beckert","year":"2012","unstructured":"Beckert, W., Christensen, M., & Collyer, K. (2012). Choice of NHS-funded hospital services in England. The Economic Journal, 122(560), 400\u2013417.","journal-title":"The Economic Journal"},{"issue":"9","key":"9293_CR5","doi-asserted-by":"publisher","first-page":"927","DOI":"10.1007\/s10198-013-0535-7","volume":"15","author":"PDC Beukers","year":"2014","unstructured":"Beukers, P. D. C., Kemp, R. G. M., & Varkevisser, M. (2014). Patient hospital choice for hip replacement: Empirical evidence from the Netherlands. European Journal of Health Economics, 15(9), 927\u2013936.","journal-title":"European Journal of Health Economics"},{"issue":"4","key":"9293_CR6","doi-asserted-by":"publisher","first-page":"842","DOI":"10.1016\/j.econmod.2009.10.016","volume":"27","author":"E Bi\u00f8rn","year":"2010","unstructured":"Bi\u00f8rn, E., & Godager, G. (2010). Does quality influence choice of general practitioner? An analysis of matched doctor-patient panel data. Economic Modelling, 27(4), 842\u2013853.","journal-title":"Economic Modelling"},{"key":"9293_CR7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/978-88-470-5480-6_1","volume-title":"Health care provision and patient mobility. Developments in Health Economics and Public Policy","author":"KR Brekke","year":"2014","unstructured":"Brekke, K. R., Gravelle, H., Siciliani, L., & Straume, O. R. (2014). Patient choice, mobility and competition among health care providers. In R. Levaggi & M. Montefiori (Eds.), Health care provision and patient mobility. Developments in Health Economics and Public Policy (Vol. 12, pp. 1\u201326). Milano: Springer."},{"key":"9293_CR8","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1016\/j.jhealeco.2013.11.010","volume":"34","author":"J Forder","year":"2014","unstructured":"Forder, J., & Allan, S. (2014). The impact of competition on quality and prices in the English care homes market. Journal of Health Economics, 34, 73\u201383.","journal-title":"Journal of Health Economics"},{"issue":"2","key":"9293_CR9","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1257\/000282805774670329","volume":"95","author":"M Gaynor","year":"2005","unstructured":"Gaynor, M., Seider, H., & Vogt, W. B. (2005). The volume-outcome effect, scale economies, and learning-by-doing. American Economic Review, 95(2), 243\u2013247.","journal-title":"American Economic Review"},{"issue":"11","key":"9293_CR10","doi-asserted-by":"publisher","first-page":"3521","DOI":"10.1257\/aer.20121532","volume":"106","author":"M Gaynor","year":"2016","unstructured":"Gaynor, M., Propper, C., & Seiler, S. (2016). Free to chooce? Reform, choice, and consideration sets in the English National Health Service. American Economic Review, 106(11), 3521\u20133557.","journal-title":"American Economic Review"},{"issue":"6","key":"9293_CR11","doi-asserted-by":"publisher","first-page":"1067","DOI":"10.1016\/S0167-6296(00)00060-6","volume":"19","author":"H Gravelle","year":"2000","unstructured":"Gravelle, H., & Masiero, G. (2000). Quality incentives in a regulated market with imperfect information and switching costs: Capitation in general practice. Journal of Health Economics, 19(6), 1067\u20131088.","journal-title":"Journal of Health Economics"},{"key":"9293_CR12","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1016\/j.jhealeco.2016.08.001","volume":"50","author":"N Gutacker","year":"2016","unstructured":"Gutacker, N., Siciliani, L., Moscelli, G., & Gravelle, H. (2016). Choice of hospital: Which type of quality matters? Journal of Health Economics, 50, 230\u2013246.","journal-title":"Journal of Health Economics"},{"issue":"8","key":"9293_CR13","doi-asserted-by":"publisher","first-page":"827","DOI":"10.1002\/hec.1197","volume":"16","author":"AR Hole","year":"2007","unstructured":"Hole, A. R. (2007). A comparison of approaches to estimating confidence intervals for willingness to pay measures. Health Economics, 16(8), 827\u2013840.","journal-title":"Health Economics"},{"key":"9293_CR14","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1111\/1468-0335.t01-1-00289","volume":"70","author":"RE Kranton","year":"2003","unstructured":"Kranton, R. E. (2003). Competition and the incentive to produce high quality. Economica, 70, 385\u2013404.","journal-title":"Economica"},{"key":"9293_CR15","first-page":"105","volume-title":"Frontiers in econometrics","author":"D McFadden","year":"1974","unstructured":"McFadden, D. (1974). Conditional logit analysis of qualitative choice behavior. In P. Zarembka (Ed.), Frontiers in econometrics (pp. 105\u2013142). New York: Academic Press."},{"key":"9293_CR16","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/j.regsciurbeco.2016.07.001","volume":"60","author":"G Moscelli","year":"2016","unstructured":"Moscelli, G., Siciliani, L., Gutacker, N., & Gravelle, H. (2016). Location, quality and choice of hospital: Evidence from England 2002\u20132013. Regional Science and Urban Economics, 60, 112\u2013124.","journal-title":"Regional Science and Urban Economics"},{"issue":"2","key":"9293_CR17","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1111\/j.1467-985X.2011.01008.x","volume":"175","author":"F Moscone","year":"2012","unstructured":"Moscone, F., Tosetti, E., & Vittadini, G. (2012). Social interaction in patients\u2019 hospital choice: Evidence from Italy. Journal of the Royal Statistical Society, 175(2), 453\u2013472.","journal-title":"Journal of the Royal Statistical Society"},{"key":"9293_CR18","unstructured":"Pitk\u00e4nen, V., & Pekola, P. (2016). Asiakkaiden n\u00e4kemykset valinnanvapaudesta. Tulokset fysioterapiaa saaville vaativan l\u00e4\u00e4kinn\u00e4llisen kuntoutuksen asiakkaille tehdyst\u00e4 kyselyst\u00e4. Kela ty\u00f6papereita 95. Available at: http:\/\/hdl.handle.net\/10138\/162168"},{"key":"9293_CR19","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1007\/s10198-019-01143-1","volume":"21","author":"V Pitk\u00e4nen","year":"2020","unstructured":"Pitk\u00e4nen, V., Jauhiainen, S., & Linnosmaa, I. (2020). Low risk, high reward? Repeated competitive biddings with multiple winners in health care. European Journal of Health Economics, 21, 483\u2013500.","journal-title":"European Journal of Health Economics"},{"issue":"6","key":"9293_CR20","doi-asserted-by":"publisher","first-page":"1154","DOI":"10.1016\/j.jhealeco.2009.08.006","volume":"28","author":"DG Pope","year":"2009","unstructured":"Pope, D. G. (2009). Reacting to rankings: Evidence from \u201cAmerica\u2019s best hospitals.\u201d Journal of Health Economics, 28(6), 1154\u20131165.","journal-title":"Journal of Health Economics"},{"issue":"4","key":"9293_CR21","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1017\/S0047279406000079","volume":"35","author":"C Propper","year":"2006","unstructured":"Propper, C., Wilson, D., & Burgess, S. (2006). Extending choice in English health care: The implications of the economic evidence. Journal of Social Policy, 35(4), 537\u2013557.","journal-title":"Journal of Social Policy"},{"key":"9293_CR22","unstructured":"Rehabilitation Act 566\/2005. Available at: http:\/\/www.finlex.fi\/fi\/laki\/alkup\/2005\/20050566. Accessed 22 Feb 2018."},{"issue":"600","key":"9293_CR23","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1111\/ecoj.12282","volume":"127","author":"R Santos","year":"2017","unstructured":"Santos, R., Gravelle, H., & Propper, C. (2017). Does quality affect patients\u2019 choice of doctor? Evidence from England. The Economic Journal, 127(600), 445\u2013494.","journal-title":"The Economic Journal"},{"issue":"2","key":"9293_CR24","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1007\/s10729-017-9399-1","volume":"21","author":"H Smith","year":"2018","unstructured":"Smith, H., Currie, C., Chaiwuttisak, P., & Kyprianou, A. (2018). Patient choice modelling: How do patients choose their hospitals? Health Care Management Science, 21(2), 259\u2013268.","journal-title":"Health Care Management Science"},{"key":"9293_CR25","unstructured":"Suomen Virallinen Tilasto, SVT. (2016). Kelan kuntoutustilasto 2015. Available at: http:\/\/hdl.handle.net\/10138\/161069. Accessed 22 February 2018"},{"issue":"4","key":"9293_CR26","doi-asserted-by":"publisher","first-page":"786","DOI":"10.2307\/1593788","volume":"34","author":"A Tay","year":"2003","unstructured":"Tay, A. (2003). Assessing competition in hospital care markets: The importance of accounting for quality differentiation. The RAND Journal of Economics, 34(4), 786\u2013814.","journal-title":"The RAND Journal of Economics"},{"issue":"3","key":"9293_CR27","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1007\/s10198-006-0035-0","volume":"8","author":"M Varkevisser","year":"2007","unstructured":"Varkevisser, M., & van der Geest, S. (2007). Why do patients bypass the nearest hospital? An empirical analysis for orthopaedic care and neurosurgery in the Netherlands. European Journal of Health Economics, 8(3), 287\u2013295.","journal-title":"European Journal of Health Economics"},{"issue":"2","key":"9293_CR28","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1016\/j.jhealeco.2012.02.001","volume":"31","author":"M Varkevisser","year":"2012","unstructured":"Varkevisser, M., van der Geest, S., & Schut, F. T. (2012). Do patients choose hospitals with high quality ratings? Empirical evidence from the market for angioplasty in the Netherlands. Journal of Health Economics, 31(2), 371\u2013378.","journal-title":"Journal of Health Economics"},{"key":"9293_CR29","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1186\/1472-6963-12-272","volume":"12","author":"A Victoor","year":"2012","unstructured":"Victoor, A., Delnoij, D., Friele, R., & Rademakers, J. (2012). Determinants of patient choice of healthcare providers: A scoping review. BMC Health Services Research, 12, 272.","journal-title":"BMC Health Services Research"}],"container-title":["International Journal of Health Economics and Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10754-020-09293-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10754-020-09293-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10754-020-09293-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,10]],"date-time":"2021-06-10T13:25:23Z","timestamp":1623331523000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10754-020-09293-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,19]]},"references-count":29,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["9293"],"URL":"https:\/\/doi.org\/10.1007\/s10754-020-09293-z","relation":{},"ISSN":["2199-9023","2199-9031"],"issn-type":[{"value":"2199-9023","type":"print"},{"value":"2199-9031","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,19]]},"assertion":[{"value":"16 November 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 December 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 January 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The corresponding author receives a salary from the Social Insurance Institution of Finland, which is one of the main financer of rehabilitation services in Finland.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}