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Physicians' Choices of Specialty, Location, and Mode: A Reexamination within an Interdependent Decision Framework

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  • Jeremiah E. Hurley

Abstract

In this paper, physicians' decisions regarding the specialty, community size, and mode of their first practices are analyzed in a simultaneous decision model using a nested logit specification. Physicians face a choice set consisting of eight specialties, seven community sizes, and three practice settings. Data come from the Longitudinal Survey of the Class of 1960. Income is found to be statistically significant and the average income elasticity is 1.05, which is considerably larger than previous estimates. However, the elasticity estimate is very sensitive to the assumed decision process. A series of policy simulations are then performed to estimate the effect of specified income-based policies on the predicted distribution of physicians across specialties, community sizes, and modes.

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Bibliographic Info

Article provided by University of Wisconsin Press in its journal Journal of Human Resources.

Volume (Year): 26 (1991)
Issue (Month): 1 ()
Pages: 47-71

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Handle: RePEc:uwp:jhriss:v:26:y:1991:i:1:p:47-71

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Web page: http://jhr.uwpress.org/

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Cited by:
  1. Sivey, Peter & Scott, Anthony & Witt, Julia & Joyce, Catherine & Humphreys, John, 2012. "Junior doctors’ preferences for specialty choice," Journal of Health Economics, Elsevier, vol. 31(6), pages 813-823.
  2. Robert Gagné & Pierre Thomas Léger, 2003. "Determinants of Physicians' Decisions to Specialize," CIRANO Working Papers 2003s-07, CIRANO.
  3. George M. Holmes, . "The Long Term Effect of the National Health Service Corps," Working Papers 0104, East Carolina University, Department of Economics.
  4. Kuhn, Michael & Ochsen, Carsten, 2009. "Demographic and geographic determinants of regional physician supply," Thuenen-Series of Applied Economic Theory 105, University of Rostock, Institute of Economics.
  5. Steven Stern & Elizabeth Merwin & Emily Hauenstein & Ivora Hinton & Virgina Rovnyak & Melvin Wilson & Ishan Williams & Irma Mahone, 2008. "The E¤ect of Rurality on Mental and Physical Health," Virginia Economics Online Papers 381, University of Virginia, Department of Economics.

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