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Access to Primary Health Care and Health Outcomes: The Relationships between GP Characteristics and Mortality Rates

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Author Info

  • Aakvik, Arild

    ()
    (University of Bergen, Department of Economics)

  • Holmås, Tor Helge

    ()
    (University of Bergen, Department of Economics)

Abstract

This paper analyses the impact of economic conditions and access to primary health care on health outcomes in Norway. Total mortality rates, grouped into four causes of death, were used as proxies for health, and the number of general practitioners (GPs) at the municipality level was used as the proxy for access to primary health care. Dynamic panel data models that allow for time persistence in mortality rates, incorporate municipal fixed effects, and treat both the number and types of GPs in a district as endogenous were estimated using municipality data from 1986 to 2001. We reject the significant relationship between mortality and the number of GPs per capita found in most previous studies. However, there is a significant effect of the composition of GPs, where an increase in the number of fee-for-service GPs reduces mortality rates when compared with GPs employed directly by the municipality.

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Bibliographic Info

Paper provided by University of Bergen, Department of Economics in its series Working Papers in Economics with number 16/05.

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Length: 24 pages
Date of creation: 05 Jun 2005
Date of revision:
Handle: RePEc:hhs:bergec:2005_016

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Postal: Institutt for økonomi, Universitetet i Bergen, Postboks 7802, 5020 Bergen, Norway
Phone: (+47)55589200
Fax: (+47)55589210
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Web page: http://www.uib.no/econ/en
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Keywords: general practitioners (GPs); mortality; morbidity; simultaneity; endogeneity; municipalities; dynamic panel data models;

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Cited by:
  1. David Granlund, 2010. "The effect of health care expenditure on sickness absence," The European Journal of Health Economics, Springer, vol. 11(6), pages 555-568, December.
  2. Sundmacher, Leonie & Busse, Reinhard, 2011. "The impact of physician supply on avoidable cancer deaths in Germany. A spatial analysis," Health Policy, Elsevier, vol. 103(1), pages 53-62.
  3. Mansour Farahani & S. V. Subramanian & David Canning, 2009. "Short and long-term relationship between physician density on infant mortality: a longitudinal econometric analysis," PGDA Working Papers 4909, Program on the Global Demography of Aging.
  4. Aakvik, Arild & Holmås, Tor Helge & Islam, M. Kamrul, 2011. "Does variation in GP practice matter for the length of sick leave? A multilevel analysis based on Norwegian GP—patient data," Working Papers in Economics 17/08, University of Bergen, Department of Economics.
  5. Juho Aaltonen, 2007. "Determinants of Health Care Expenditures in Finnish Hospital Districts 1993-2005," Discussion Papers 429, Government Institute for Economic Research Finland (VATT).
  6. Yusuke Kamiya, 2010. "Determinants of Health in Developing Countries:Cross-Country Evidence," OSIPP Discussion Paper 10E009, Osaka School of International Public Policy, Osaka University.
  7. Granlund, David, 2007. "The effect of health care expenditure on sickness absence," UmeÃ¥ Economic Studies 701, Umeå University, Department of Economics, revised 13 Apr 2007.

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