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Dual job holding general practitioners: the effect of patient shortage

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  • Geir Godager

    (Institute of Health Management and Health Economics, University of Oslo, Oslo, Norway)

  • Hilde Lurås

    (Helse s�r Health Services Research Centre, Akershus University Hospital, L�renskog, Norway)

Abstract

In 2001, a listpatient system with capitation payment was introduced in Norwegian general practice. After an allocation process where each inhabitant was listed with a general practitioner (GP), a considerable share of the GPs got fewer persons listed than they would have preferred. We examine whether GPs who experience a shortage of patients to a larger extent than other GPs seek to hold a second job in the community health service even though the wage rate is low compared with the wage rate in general practice. Assuming utility maximization, we model the effect of patient shortage on a GP's decision to contract for a second job in the community health service. The model predicts a positive relationship between patient shortage and participation in the community health service. This prediction is tested by means of censored regression analyses, taking account of labour supply as a censored variable. We find a significant effect of patient shortage on the number of hours the GPs supply to community health service. The estimated marginal effect is 1.72 hours per week. Copyright © 2008 John Wiley & Sons Ltd.

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Bibliographic Info

Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.

Volume (Year): 18 (2009)
Issue (Month): 10 ()
Pages: 1133-1145

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Handle: RePEc:wly:hlthec:v:18:y:2009:i:10:p:1133-1145

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Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749

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  1. Amemiya, Takeshi, 1984. "Tobit models: A survey," Journal of Econometrics, Elsevier, Elsevier, vol. 24(1-2), pages 3-61.
  2. 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.
  3. Culler, Steven D. & Bazzoli, Gloria J., 1985. "The moonlighting decisions of resident physicians," Journal of Health Economics, Elsevier, Elsevier, vol. 4(3), pages 283-292, September.
  4. Pedro Pita Barros & Pau Olivella, 2005. "Waiting Lists and Patient Selection," Journal of Economics & Management Strategy, Wiley Blackwell, Wiley Blackwell, vol. 14(3), pages 623-646, 09.
  5. Anupa Bir & Karen Eggleston, 2003. "Physician Dual Practice: Access Enhancement or Demand Inducement?," Discussion Papers Series, Department of Economics, Tufts University, Department of Economics, Tufts University 0311, Department of Economics, Tufts University.
  6. Iversen, Tor, 1997. "The effect of a private sector on the waiting time in a national health service," Journal of Health Economics, Elsevier, Elsevier, vol. 16(4), pages 381-396, August.
  7. Melenberg, B. & Van Soest, A., 1991. "Parametric and Semi-parametric Modelling of Vocation Expenditures," Papers, Tilburg - Center for Economic Research 9144, Tilburg - Center for Economic Research.
  8. Shishko, Robert & Rostker, Bernard, 1976. "The Economics of Multiple Job Holding," American Economic Review, American Economic Association, American Economic Association, vol. 66(3), pages 298-308, June.
  9. Cragg, John G, 1971. "Some Statistical Models for Limited Dependent Variables with Application to the Demand for Durable Goods," Econometrica, Econometric Society, Econometric Society, vol. 39(5), pages 829-44, September.
  10. Mroz, Thomas A, 1987. "The Sensitivity of an Empirical Model of Married Women's Hours of Work to Economic and Statistical Assumptions," Econometrica, Econometric Society, Econometric Society, vol. 55(4), pages 765-99, July.
  11. Iversen, Tor, 2004. "The effects of a patient shortage on general practitioners' future income and list of patients," Journal of Health Economics, Elsevier, Elsevier, vol. 23(4), pages 673-694, July.
  12. Showalter, Mark H. & Thurston, Norman K., 1997. "Taxes and labor supply of high-income physicians," Journal of Public Economics, Elsevier, Elsevier, vol. 66(1), pages 73-97, October.
  13. Kristiansen, Ivar Sønbø & Mooney, Gavin, 1993. "The general practitioner's use of time: Is it influenced by the remuneration system?," Social Science & Medicine, Elsevier, Elsevier, vol. 37(3), pages 393-399, August.
  14. Eggleston, Karen & Bir, Anupa, 2006. "Physician dual practice," Health Policy, Elsevier, Elsevier, vol. 78(2-3), pages 157-166, October.
  15. Rizzo, John A. & Blumenthal, David, 1994. "Physician labor supply: Do income effects matter?," Journal of Health Economics, Elsevier, Elsevier, vol. 13(4), pages 433-453.
  16. Erik Magnus Sather, 2005. "Physicians' Labour Supply: The Wage Impact on Hours and Practice Combinations," LABOUR, CEIS, CEIS, vol. 19(4), pages 673-703, December.
  17. Iversen, Tor & Luras, Hilde, 2000. "Economic motives and professional norms: the case of general medical practice," Journal of Economic Behavior & Organization, Elsevier, Elsevier, vol. 43(4), pages 447-470, December.
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Cited by:
  1. Greir Godager & Tor Iversen & Ching-to Albert Ma, 2007. "Service Motives And Profit Incentives Among Physicians," Boston University - Department of Economics - Working Papers Series, Boston University - Department of Economics WP2007-042, Boston University - Department of Economics, revised Sep 2007.
  2. Biørn, Erik & Godager, Geir, 2009. "Does quality influence choice of general practitioner? An analysis of matched doctor-patient panel data," HERO On line Working Paper Series, Oslo University, Health Economics Research Programme 2008:3, Oslo University, Health Economics Research Programme.

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