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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. Kristiansen, Ivar Sønbø & Mooney, Gavin, 1993. "The general practitioner's use of time: Is it influenced by the remuneration system?," Social Science & Medicine, Elsevier, vol. 37(3), pages 393-399, August.
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  8. Amemiya, Takeshi, 1984. "Tobit models: A survey," Journal of Econometrics, Elsevier, vol. 24(1-2), pages 3-61.
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  10. Cragg, John G, 1971. "Some Statistical Models for Limited Dependent Variables with Application to the Demand for Durable Goods," Econometrica, Econometric Society, vol. 39(5), pages 829-44, September.
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  12. 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.
  13. Rizzo, John A. & Blumenthal, David, 1994. "Physician labor supply: Do income effects matter?," Journal of Health Economics, Elsevier, vol. 13(4), pages 433-453.
  14. Erik Magnus Sather, 2005. "Physicians' Labour Supply: The Wage Impact on Hours and Practice Combinations," LABOUR, CEIS, vol. 19(4), pages 673-703, December.
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Cited by:
  1. Geir Godager & Tor Iversen & Ching-To Ma, 2009. "Service motives and profit incentives among physicians," International Journal of Health Care Finance and Economics, Springer, vol. 9(1), pages 39-57, March.
  2. Biorn, Erik & Godager, Geir, 2008. "Does quality influence choice of general practitioner? An analysis of matched doctor-patient panel data," MPRA Paper 8793, University Library of Munich, Germany.

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