Health Economics
@hec-wiley.bsky.social
The official Bluesky account of Health Economics. Featuring theoretical contributions, empirical studies and analyses of health policy from the economic perspective.
5/
The catch: scale improves total appointment capacity, but not necessarily speed.
Larger practices generate more care, yet the share of “timely” appointments falls slightly as size increases.
Bottom line: scale expands access, but doesn’t solve waits.
The catch: scale improves total appointment capacity, but not necessarily speed.
Larger practices generate more care, yet the share of “timely” appointments falls slightly as size increases.
Bottom line: scale expands access, but doesn’t solve waits.
December 1, 2025 at 3:04 PM
5/
The catch: scale improves total appointment capacity, but not necessarily speed.
Larger practices generate more care, yet the share of “timely” appointments falls slightly as size increases.
Bottom line: scale expands access, but doesn’t solve waits.
The catch: scale improves total appointment capacity, but not necessarily speed.
Larger practices generate more care, yet the share of “timely” appointments falls slightly as size increases.
Bottom line: scale expands access, but doesn’t solve waits.
4/
Skill-mix matters too. Cost-optimal staffing ratios require more nurses and DPC staff than practices currently employ. Nurses in particular deliver high appointment volumes at relatively low cost.
Small practices simply can’t unlock this productivity.
Skill-mix matters too. Cost-optimal staffing ratios require more nurses and DPC staff than practices currently employ. Nurses in particular deliver high appointment volumes at relatively low cost.
Small practices simply can’t unlock this productivity.
December 1, 2025 at 3:04 PM
4/
Skill-mix matters too. Cost-optimal staffing ratios require more nurses and DPC staff than practices currently employ. Nurses in particular deliver high appointment volumes at relatively low cost.
Small practices simply can’t unlock this productivity.
Skill-mix matters too. Cost-optimal staffing ratios require more nurses and DPC staff than practices currently employ. Nurses in particular deliver high appointment volumes at relatively low cost.
Small practices simply can’t unlock this productivity.
3/
And the productivity advantage grows with size.
Across outputs (total appointments, GP slots, timely 2-day access), marginal returns rise sharply at the 75th percentile of practice size.
Scale isn’t just about volume; it amplifies each added worker’s impact.
And the productivity advantage grows with size.
Across outputs (total appointments, GP slots, timely 2-day access), marginal returns rise sharply at the 75th percentile of practice size.
Scale isn’t just about volume; it amplifies each added worker’s impact.
December 1, 2025 at 3:04 PM
3/
And the productivity advantage grows with size.
Across outputs (total appointments, GP slots, timely 2-day access), marginal returns rise sharply at the 75th percentile of practice size.
Scale isn’t just about volume; it amplifies each added worker’s impact.
And the productivity advantage grows with size.
Across outputs (total appointments, GP slots, timely 2-day access), marginal returns rise sharply at the 75th percentile of practice size.
Scale isn’t just about volume; it amplifies each added worker’s impact.
2/
The study models how practices convert staff into appointments. The punchline: bigger practices squeeze more appointments out of every additional clinician.
At median admin staffing, 1 extra GP → +223 appointments/month. 1 extra nurse/DPC → +152.
The study models how practices convert staff into appointments. The punchline: bigger practices squeeze more appointments out of every additional clinician.
At median admin staffing, 1 extra GP → +223 appointments/month. 1 extra nurse/DPC → +152.
December 1, 2025 at 3:04 PM
2/
The study models how practices convert staff into appointments. The punchline: bigger practices squeeze more appointments out of every additional clinician.
At median admin staffing, 1 extra GP → +223 appointments/month. 1 extra nurse/DPC → +152.
The study models how practices convert staff into appointments. The punchline: bigger practices squeeze more appointments out of every additional clinician.
At median admin staffing, 1 extra GP → +223 appointments/month. 1 extra nurse/DPC → +152.