Designing Dynamic Reassignment Mechanisms: Evidence from GP Allocation.

We study the problem of designing a dynamic reassignment mechanism when agents' preferences over objects change over time. In the context of Norway's system for (re)assigning patients to general practitioners (GPs), we provide direct evidence of misallocation under the current mechanism—patients wai...

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Detalles Bibliográficos
Publicado en:American Economic Review Vol. 116; no. 8; pp. 3036 - 3076
Autores principales: Huitfeldt, Ingrid, Marone, Victoria, Waldinger, Daniel
Formato: Artículo
Publicado: American Economic Association Aug2026
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Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:We study the problem of designing a dynamic reassignment mechanism when agents' preferences over objects change over time. In the context of Norway's system for (re)assigning patients to general practitioners (GPs), we provide direct evidence of misallocation under the current mechanism—patients waiting for each others' GPs, but who cannot trade—and estimate a structural model of GP-switching behavior to evaluate alternatives. Introducing top trading cycles (TTC) would, on average, reduce waiting times and increase patient welfare. However, patients endowed with less desirable GPs would be harmed. Prioritizing these patients can avoid these harms while preserving most of the gains from TTC. (JEL D82, H51, I11, I13, I18)