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Endogenous Work Hours and Practice Patterns of Canadian Physicians

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Author Info
Chris Ferrall
Allan W. Gregory
William G. Tholl

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Abstract

Using an extensive survey of Canadian physicians, this paper studies how physician practice patterns are shaped by demographic characteristics, physician specialty, and government policy. We model the simultaneous determination of group size, primary source of professional income (fee-for- service or salaried position), weekly hours of direct patient care, and total weekly hours of work. Coefficient estimates are precisely identified and are consistent with a life cycle model of self-employed professionals. Hours of work peak after about twenty years of practice and the probability of having a solo practice rises steadily with experience. With all else constant in the model, physicians who work under fee-for-service see patients 11 more hours each week than physicians who are primarily salaried, and yet fee-for-service physicians work only one or two hours more per week in total. Physicians in Quebec, the province with the strictest limits to physician billing in 1990, work significantly fewer hours than physicians in any of the other provinces and are more likely to work for a salary in large groups.

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File URL: http://www.econ.queensu.ca/working_papers/papers/qed_wp_924.pdf
File Format: application/pdf
File Function: First version 1995
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Publisher Info
Paper provided by Queen's University, Department of Economics in its series Working Papers with number 924.

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Length: 22 pages
Date of creation: Apr 1995
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Handle: RePEc:qed:wpaper:924

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Related research
Keywords: PHYSICIANS MEDICAL CARE

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Cited by:
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  1. Bernard Fortin & Nicolas Jacquemet & Bruce Shearer, 2008. "Policy Analysis in the health-services market: accounting for quality and quantity," Université Paris1 Panthéon-Sorbonne, Post-Print halshs-00305309_v1, HAL. [Downloadable!]
    Other versions:
  2. Thomas F. Crossley & Jeremiah Hurley & Sung-Hee Jeon, 2006. "Physician Labour Supply in Canada: a Cohort Analysis," Quantitative Studies in Economics and Population Research Reports 410, McMaster University. [Downloadable!]
    Other versions:
  3. Badi Baltagi & Espen Bratberg & Tor Helge Holmas, 2003. "A Panel Data Study of Physicians' Labor Supply: The Case of Norway," CESifo Working Paper Series CESifo Working Paper No. , CESifo GmbH. [Downloadable!]
    Other versions:
  4. Michael Benarroch & Hugh Grant, 2004. "The interprovincial migration of Canadian physicians: does income matter?," Applied Economics, Taylor and Francis Journals, vol. 36(20), pages 2335-2345, November. [Downloadable!] (restricted)
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