Olivier L'Haridon (GRID - Groupe de Recherche sur le risque, l'Information et la Décision - CNRS : UMR8534 - Ecole Normale Supérieure de Cachan) Alain Panaponaris (Epidémiologie et Sciences Sociales Appliquées à l'Innovation Médicale - INSERM : U379 - Université de la Méditerranée - Aix-Marseille II) Camelia Protopopescu (Epidémiologie et Sciences Sociales Appliquées à l'Innovation Médicale - INSERM : U379 - Université de la Méditerranée - Aix-Marseille II, Observatoire Régional de la Santé de Provence-Alpes-Cote d'Azur - ORS PACA) Bruno Ventelou () (Epidémiologie et Sciences Sociales Appliquées à l'Innovation Médicale - INSERM : U379 - Université de la Méditerranée - Aix-Marseille II, GREQAM - Groupement de Recherche en Économie Quantitative d'Aix-Marseille - Université de la Méditerranée - Aix-Marseille II - Université Paul Cézanne - Aix-Marseille III - Ecole des Hautes Etudes en Sciences Sociales - CNRS : UMR6579)
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This article presents an adaptation of the labour supply model applied to the independent medical in which doctor’s choice of the length of consultations is examined. A theoretical analysis is performed in an attempt to define the sets of constraints to which self-employed doctors are subject, and they show a marked difference in time-allocation behaviour according to whether medical care is provided under a fixed-fee scheme or under an unregulated-fees scheme, respectively “sector 1” and “sector 2” in France. The objective of this econometric study was to analyse time-allocation choices made by doctors in both sectors in France and to validate the theoretical prediction that doctors under unregulated-fees can make choices about the length of patient consultations independently of their personal leisure choices. According to our empirical results, doctors with unregulated-fees indeed show different behaviours regarding leisure-consumption choices and consultation length. The endogeneity of leisure choice to consultation length –verified in fixed-fee scheme- is no longer apparent under unregulated-fee. Our findings can be seen as a necessary, but insufficient, condition for legitimate unregulated fees in general practice.
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Paper provided by HAL in its series Working Papers with number
halshs-00347449_v1.
Length: Date of creation: 15 Dec 2008 Date of revision: Handle: RePEc:hal:wpaper:halshs-00347449_v1
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