Physician Density in a Two-Tiered Health Care System
AbstractWe investigate the density of private physicians in a two-tiered health care system, i.e., one with co-existing public and private health care providers. In particular, we analyze how the densities of private and public suppliers of outpatient health care (general practitioners and specialists) are related to each other. Using a panel of 121 Austrian districts between 2002 and 2008, we find that the density of private specialists is positively associated with the density of private general practitioners, but negatively related to the density of public general practitioners. We also observe a negative relationship between the densities of private and public general practitioners and the ones of private and public specialists, indicating competitive forces between the private and the public sector of the outpatient health care provision in Austria.
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Bibliographic InfoPaper provided by University of Salzburg in its series Working Papers in Economics and Finance with number 2011-5.
Length: 24 pages
Date of creation: 31 Mar 2011
Date of revision:
Competition in health care markets; physician location; panel econometrics;
Other versions of this item:
- Gächter, Martin & Schwazer, Peter & Theurl, Engelbert & Winner, Hannes, 2012. "Physician density in a two-tiered health care system," Health Policy, Elsevier, vol. 106(3), pages 257-268.
- C23 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Models with Panel Data; Spatio-temporal Models
- I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
- L23 - Industrial Organization - - Firm Objectives, Organization, and Behavior - - - Organization of Production
This paper has been announced in the following NEP Reports:
- NEP-ALL-2011-04-09 (All new papers)
- NEP-HEA-2011-04-09 (Health Economics)
- NEP-MIC-2011-04-09 (Microeconomics)
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- Lin, Ge & Rosenthal, Thomas C. & Horwitz, Mary, 1997. "Physician location survey: Self-reported and census-defined rural/urban locations," Social Science & Medicine, Elsevier, vol. 44(11), pages 1761-1766, June.
- Joseph P. Newhouse & Albert P. Williams & Bruce W. Bennett & William B. Schwartz, 1982. "Does the Geographical Distribution of Physicians Reflect Market Failure?," Bell Journal of Economics, The RAND Corporation, vol. 13(2), pages 493-505, Autumn.
- Schaumans, Catherine & Verboven, Frank, 2006.
"Entry and Regulation - Evidence from Health Care Professions,"
CEPR Discussion Papers
5482, C.E.P.R. Discussion Papers.
- Catherine Schaumans & Frank Verboven, 2008. "Entry and regulation: evidence from health care professions," RAND Journal of Economics, RAND Corporation, vol. 39(4), pages 949-972.
- Bresnahan, T.F & Reiss, P.C., 1989.
"Entry And Competition In Concentrated Markets,"
151, Stanford - Studies in Industry Economics.
- Baumgardner, James R, 1988. "Physicians' Services and the Division of Labor across Local Markets," Journal of Political Economy, University of Chicago Press, vol. 96(5), pages 948-82, October.
- Atella, Vincenzo & Deb, Partha, 2008. "Are primary care physicians, public and private sector specialists substitutes or complements? Evidence from a simultaneous equations model for count data," Journal of Health Economics, Elsevier, vol. 27(3), pages 770-785, May.
- Bresnahan, Timothy F & Reiss, Peter C, 1990. "Entry in Monopoly Markets," Review of Economic Studies, Wiley Blackwell, vol. 57(4), pages 531-53, October.
- Engelbert Theurl & Hannes Winner, 2010.
"The Male-Female Gap in Physician Earnings: Evidence from a Public Health Insurance System,"
NRN working papers
2010-01, The Austrian Center for Labor Economics and the Analysis of the Welfare State, Johannes Kepler University Linz, Austria.
- Engelbert Theurl & Hannes Winner, 2011. "The male–female gap in physician earnings: evidence from a public health insurance system," Health Economics, John Wiley & Sons, Ltd., vol. 20(10), pages 1184-1200, October.
- Theurl, Engelbert & Winner, Hannes, 2010. "The male-female gap in physician earnings: Evidence from a public health insurance system," Working Papers in Economics and Finance 2010-15, University of Salzburg.
- Hausman, Jerry A. & Taylor, William E., 1981.
"Panel data and unobservable individual effects,"
Journal of Econometrics,
Elsevier, vol. 16(1), pages 155-155, May.
- Martin Gaynor & Deborah Haas-Wilson, 1998.
"Change, Consolidation, and Competition in Health Care Markets,"
- Martin Gaynor & Deborah Haas-Wilson, 1999. "Change, Consolidation, and Competition in Health Care Markets," Journal of Economic Perspectives, American Economic Association, vol. 13(1), pages 141-164, Winter.
- Martin Gaynor & Deborah Haas-Wilson, . "Change, Consolidation, and Competition in Health Care Markets," GSIA Working Papers 1999-E31, Carnegie Mellon University, Tepper School of Business.
- Martin Gaynor & Deborah Haas-Wilson, 1998. "Change, Consolidation, and Competition in Health Care Markets," NBER Working Papers 6701, National Bureau of Economic Research, Inc.
- Propper, Carol, 2000. "The demand for private health care in the UK," Journal of Health Economics, Elsevier, vol. 19(6), pages 855-876, November.
- Noether, Monica, 1986. "The Growing Supply of Physicians: Has the Market Become More Competitive?," Journal of Labor Economics, University of Chicago Press, vol. 4(4), pages 503-37, October.
- Jiang, H. Joanna & Begun, James W., 2002. "Dynamics of change in local physician supply: an ecological perspective," Social Science & Medicine, Elsevier, vol. 54(10), pages 1525-1541, May.
- Bolduc, Denis & Fortin, Bernard & Fournier, Marc-Andre, 1996. "The Effect of Incentive Policies on the Practice Location of Doctors: A Multinomial Probit Analysis," Journal of Labor Economics, University of Chicago Press, vol. 14(4), pages 703-32, October.
- Davidson, Russell & MacKinnon, James G., 1993. "Estimation and Inference in Econometrics," OUP Catalogue, Oxford University Press, number 9780195060119.
- Amemiya, Takeshi & MaCurdy, Thomas E, 1986. "Instrumental-Variable Estimation of an Error-Components Model," Econometrica, Econometric Society, vol. 54(4), pages 869-80, July.
- Kristiansen, Ivar Sønbø & Førde, Olav Helge, 1992. "Medical specialists' choice of location: The role of geographical attachment in Norway," Social Science & Medicine, Elsevier, vol. 34(1), pages 57-62, January.
- Gächter, Martin & Schwazer, Peter & Theurl, Engelbert & Winner, Hannes, 2012. "Regional density of private dentists: Empirical evidence from Austria," Working Papers in Economics and Finance 2012-8, University of Salzburg.
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