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Physician Labour Supply in Canada: a Cohort Analysis

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  • Thomas F. Crossley
  • Jeremiah Hurley
  • Sung-Hee Jeon

Abstract

This paper employs cohort analysis to examine the relative importance of different factors in explaining changes in the number of hours spent in direct patient care by Canadian general/ family practitioners (GP/FPs) over the period 1982 to 2002. Cohorts are defined by year of graduation from medical school. The results for male GP/FPs indicate that: there is little age effect on hours of direct patient care, especially among physicians aged 35 to 55; there is no strong cohort effect on hours of direct patient care; but there is a secular decline in hours of direct patient care over the period. The results for female GP/FPs indicate that: female physicians on average work fewer hours than male physicians; there is a clear age effect on hours of direct patient care; there is no strong cohort effect; there has been little secular change in average hours of direct patient care. The changing behaviour of male GP/FPs accounted for a greater proportion of the overall decline in hours of direct patient care from the 80’s through the mid 90’s than did the growing proportion of female GP/FPs in the physician stock.

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Bibliographic Info

Paper provided by McMaster University in its series Quantitative Studies in Economics and Population Research Reports with number 410.

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Length: 41 pages
Date of creation: Sep 2006
Date of revision:
Handle: RePEc:mcm:qseprr:410

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Keywords: physician; labour supply; hours; cohorts;

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References

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  1. Sung-Hee Jeon & Jeremiah Hurley, 2004. "The Relationship between Physician Labour Supply, Service Volume and Service Intensity," Centre for Health Economics and Policy Analysis Working Paper Series 2004-03, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
  2. Christopher Ferrall & Allan W. Gregory & William Tholl, 1998. "Endogenous Work Hours and Practice Patterns of Canadian Physicians," Canadian Journal of Economics, Canadian Economics Association, vol. 31(1), pages 1-27, February.
  3. Feldstein, Martin S, 1970. "The Rising Price of Physicians' Services," The Review of Economics and Statistics, MIT Press, vol. 52(2), pages 121-33, May.
  4. Rizzo, John A. & Blumenthal, David, 1994. "Physician labor supply: Do income effects matter?," Journal of Health Economics, Elsevier, vol. 13(4), pages 433-453.
  5. Brown, Douglas M & Lapan, Harvey E, 1979. "The Supply of Physicians' Services," Economic Inquiry, Western Economic Association International, vol. 17(2), pages 269-79, April.
  6. Anthony Scott, 2005. "The Productivity of Doctors in Australia: The ‘Flat of the Curve’ and Beyond?," Melbourne Institute Working Paper Series wp2005n19, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
  7. James Thornton & B. Kelly Eakin, 1997. "The Utility-Maximizing Self-Employed Physician," Journal of Human Resources, University of Wisconsin Press, vol. 32(1), pages 98-128.
  8. James Thornton, 1998. "The labour supply behaviour of self-employed solo practice physicians," Applied Economics, Taylor & Francis Journals, vol. 30(1), pages 85-94.
  9. Lapan, Harvey E. & Brown, Douglas M., 1988. "Utility Maximization, Individual Production and Market Equilibrium," Staff General Research Papers 10815, Iowa State University, Department of Economics.
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Citations

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Cited by:
  1. Sarma, Sisira & Devlin, Rose Anne & Belhadji, Bachir & Thind, Amardeep, 2010. "Does the way physicians are paid influence the way they practice? The case of Canadian family physicians' work activity," Health Policy, Elsevier, vol. 98(2-3), pages 203-217, December.
  2. Wang, Chao & Sweetman, Arthur, 2013. "Gender, family status and physician labour supply," Social Science & Medicine, Elsevier, vol. 94(C), pages 17-25.
  3. Sung-Hee Jeon & Jeremiah Hurley, 2010. "Physician Resource Planning in Canada: The Need for a Stronger Behavioural Foundation," Canadian Public Policy, University of Toronto Press, vol. 36(3), pages 359-375, September.
  4. Di Matteo, Livio, 2014. "Physician numbers as a driver of provincial government health spending in Canadian health policy," Health Policy, Elsevier, vol. 115(1), pages 18-35.
  5. Sung-Hee Jeon & Jeremiah Hurley, 2007. "The Relationship Between Physician Hours of Work, Service Volume and Service Intensity," Canadian Public Policy, University of Toronto Press, vol. 33(s1), pages 17-30, January.
  6. Chunzhou Mu & Shiko Maruyama, 2013. "Salient Gender Difference in the Wage Elasticity of General Practitioners' Labour Supply," Discussion Papers 2013-16, School of Economics, The University of New South Wales.
  7. Kantarevic, Jasmin & Kralj, Boris & Weinkauf, Darrel, 2011. "Enhanced fee-for-service model and physician productivity: Evidence from Family Health Groups in Ontario," Journal of Health Economics, Elsevier, vol. 30(1), pages 99-111, January.
  8. Kantarevic, Jasmin & Kralj, Boris & Weinkauf, Darrel, 2010. "Enhanced Fee-for-Service Model and Access to Physician Services: Evidence from Family Health Groups in Ontario," IZA Discussion Papers 4862, Institute for the Study of Labor (IZA).

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