@techreport{949d0b5e38e84843ad6d16d54029e8dc,
title = "An App Call a Day Keeps the Patient Away?: Substitution of Online and In-Person Doctor Consultations Among Young Adults",
abstract = "The emergence of markets for on-demand online physician consultations –direct-to-consumer telemedicine (DCT) – is currently transforming many healthcare settings. DCT may be a cost-effective substitute for ordinary consultations, but the convenience of seeking DCT may increase demand and costs for health insurers. To causally assess to which degree DCT consultations substitute for in-person consultations, we exploit exogenous changes in patient fees in a fuzzy difference-in-discontinuities analysis of young adults in Sweden. We estimate a degree of substitution of 45%, implying an increase in the consultation volume. Characteristics of the additional demand raise concerns related to healthcare equity, efficiency and costs.",
author = "Elleg{\aa}rd, {Lina Maria} and Gustav Kjellsson and Linn Mattisson",
year = "2022",
language = "English",
series = "Working Papers in Economics 808",
publisher = "University of Gothenburg",
type = "WorkingPaper",
institution = "University of Gothenburg",
}