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Does the Geographical Distribution of Physicians Reflect Market Failure?

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Author Info
Joseph P. Newhouse
Albert P. Williams
Bruce W. Bennett
William B. Schwartz

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Abstract

Public policy toward the geographic distribution of physicians presumes that the market fails because physicians can create their own demand. A number of government interventions attempt to correct this market failure. We derive several predictions about physical location behavior from standard location theory (i.e., assuming the market does not fail). The data generally support these predictions. At a theoretical level the ability of physicians to induce demand is neither necessary nor sufficient to demonstrate that physicians will locate only in large cities as their numbers increase. The premises of public policy toward the geographic distribution of physicians need rethinking.

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Publisher Info
Article provided by The RAND Corporation in its journal Bell Journal of Economics.

Volume (Year): 13 (1982)
Issue (Month): 2 (Autumn)
Pages: 493-505
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Handle: RePEc:rje:bellje:v:13:y:1982:i:autumn:p:493-505

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  1. Michael Kuhn & Carsten Ochsen, 2009. "Demographic and Geographic Determinants of Regional Physician Supply," Thuenen-Series of Applied Economic Theory 105, University of Rostock, Institute of Economics, Germany. [Downloadable!]
  2. Bruce Carpenter & Stephen Neun, 1999. "An analysis of the location decision of young primary care physicians," Atlantic Economic Journal, International Atlantic Economic Society, vol. 27(2), pages 135-149, June. [Downloadable!] (restricted)
  3. Sandra Nocera & Gabrielle Wanzenried, 2002. "On the Dynamics of Physician Density; Theory and Empirical Evidence for Switzerland," Diskussionsschriften dp0208, Universitaet Bern, Departement Volkswirtschaft. [Downloadable!]
  4. John Bound & Jeffrey Groen & Gabor Kezdi & Sarah Turner, 2001. "Trade in University Training: Cross-State Variation in the Production and Use of College-Educated Labor," NBER Working Papers 8555, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  5. Gabrielle Wanzenried & Sandra Nocera, 2008. "The Evolution of Physician Density in Switzerland," Swiss Journal of Economics and Statistics (SJES), Swiss Society of Economics and Statistics (SSES), vol. 144(II), pages 247-282, June. [Downloadable!]
  6. Martin Gaynor & Deborah Haas-Wilson, 1998. "Change, Consolidation, and Competition in Health Care Markets," NBER Working Papers 6701, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  7. George M. Holmes, . "The Long Term Effect of the National Health Service Corps," Working Papers 0104, East Carolina University, Department of Economics. [Downloadable!]
  8. George M. Holmes, 2004. "Does the National Health Service Corps Improve Physician Supply in Underserved Locations?," Eastern Economic Journal, Eastern Economic Association, vol. 30(4), pages 563-581, Fall. [Downloadable!]
  9. Michael Benarroch & Hugh Grant, 2004. "The interprovincial migration of Canadian physicians: does income matter?," Applied Economics, Taylor and Francis Journals, vol. 36(20), pages 2335-2345, November. [Downloadable!] (restricted)
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