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Busy physicians

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  • Grytten, Jostein
  • Sørensen, Rune
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    Abstract

    Numerous researchers have explored whether general practitioners compensate for a shortage of patients by providing more items of treatment. Empirical testing of this hypothesis often lacks a valid measure of the relevant patient population. In the Norwegian case, researchers have exploited the fact that most patients are registered on a patient list of one general practitioner. However, a significant number of patients move between physicians. We show that physicians with a deficit of patients on the list attract more external patients than those with a surplus of patients on the list. In contrast with previous research, we find no evidence of revenue compensation when consultations with external patients are taken into account.

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    Bibliographic Info

    Article provided by Elsevier in its journal Journal of Health Economics.

    Volume (Year): 27 (2008)
    Issue (Month): 2 (March)
    Pages: 510-518

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    Handle: RePEc:eee:jhecon:v:27:y:2008:i:2:p:510-518

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    Web page: http://www.elsevier.com/locate/inca/505560

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    References

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    Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
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    1. Stano, Miron, 1985. "An analysis of the evidence on competition in the physician services markets," Journal of Health Economics, Elsevier, vol. 4(3), pages 197-211, September.
    2. Grytten, Jostein & Sorensen, Rune, 2007. "Primary physician services--List size and primary physicians' service production," Journal of Health Economics, Elsevier, vol. 26(4), pages 721-741, July.
    3. Dranove, David & Wehner, Paul, 1994. "Physician-induced demand for childbirths," Journal of Health Economics, Elsevier, vol. 13(1), pages 61-73, March.
    4. Iversen, Tor & Luras, Hilde, 2000. "Economic motives and professional norms: the case of general medical practice," Journal of Economic Behavior & Organization, Elsevier, vol. 43(4), pages 447-470, December.
    5. Iversen, Tor, 2004. "The effects of a patient shortage on general practitioners' future income and list of patients," Journal of Health Economics, Elsevier, vol. 23(4), pages 673-694, July.
    6. Kathryn M. Langwell, 1982. "Factors Affecting the Incomes of Men and Women Physicians: Further Explorations," Journal of Human Resources, University of Wisconsin Press, vol. 17(2), pages 261-275.
    7. Hausman, Jerry A, 1978. "Specification Tests in Econometrics," Econometrica, Econometric Society, vol. 46(6), pages 1251-71, November.
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    Cited by:
    1. Fredrik Carlsen & Jostein Grytten & Irene Skau, 2007. "Service Production and Patient Satisfaction in Primary Care," Working Paper Series 9107, Department of Economics, Norwegian University of Science and Technology.
    2. Grytten, Jostein & Carlsen, Fredrik & Skau, Irene, 2009. "Services production and patient satisfaction in primary care," Health Policy, Elsevier, vol. 89(3), pages 312-321, March.
    3. Kann, Inger Cathrine & Biørn, Erik & Lurås, Hilde, 2010. "Competition in general practice: Prescriptions to the elderly in a list patient system," Journal of Health Economics, Elsevier, vol. 29(5), pages 751-764, September.
    4. Iversen, Tor & Lurås, Hilde, 2011. "Patient switching in general practice," Journal of Health Economics, Elsevier, vol. 30(5), pages 894-903.

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