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Public, private or both? Analyzing factors influencing the labour supply of medical specialists

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  • Terence C. Cheng
  • Guyonne Kalb
  • Anthony Scott

Abstract

This paper investigates the factors influencing the allocation of time between public and private sectors by medical specialists. A discrete choice structural labour supply model is estimated, where specialists choose from a set of job packages that are characterized by the number of working hours in the public and private sectors. The results show that medical specialists respond to changes in earnings by reallocating working hours to the sector with relatively increased earnings, while leaving total working hours unchanged. The magnitudes of the own-sector and cross-sector hours elasticities fall in the range of 0.160.51. The labour supply response varies by gender, doctors age and medical specialty. Family circumstances such as the presence of young dependent children reduce the hours worked by female specialists but not male specialists.

Suggested Citation

  • Terence C. Cheng & Guyonne Kalb & Anthony Scott, 2018. "Public, private or both? Analyzing factors influencing the labour supply of medical specialists," Canadian Journal of Economics, Canadian Economics Association, vol. 51(2), pages 660-692, May.
    • Handle: RePEc:cje:issued:v:51:y:2018:i:2:p:660-692
    DOI: 10.1111/caje.12334
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    Cited by:

    1. Barbara Broadway & Guyonne Kalb & Jinhu Li & Anthony Scott, 2017. "Do Financial Incentives Influence GPs' Decisions to Do After‐hours Work? A Discrete Choice Labour Supply Model," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 52-66, December.
    2. Tianshu Bai & Susan Méndez & Anthony Scott & Jongsay Yong, 2020. "The falling growth in the use of private hospitals in Australia," Melbourne Institute Working Paper Series wp2020n18, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
    3. Belinda O'Sullivan & Matthew McGrail & Jennifer May, 2022. "Responsive policies needed to secure rural supply from increasing female doctors: A perspective," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(1), pages 40-49, January.
    4. Kalb, Guyonne & Kühnle, Daniel & Scott, Anthony & Cheng, Terence Chai & Jeon, Sung-Hee, 2015. "What Factors Affect Doctors' Hours Decisions: Comparing Structural Discrete Choice and Reduced-Form Approaches," IZA Discussion Papers 9054, Institute of Labor Economics (IZA).
    5. Nibene H. Somé & Bernard Fortin & Bruce Shearer, 2024. "Measuring physicians' response to incentives: Labour supply, multitasking and earnings," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 57(2), pages 622-661, May.
    6. Pestana, Joana & Frutuoso, João & Costa, Eduardo & Fonseca, Filipa, 2024. "Heterogeneity in physician's job preferences in a dual practice context – Evidence from a DCE," Social Science & Medicine, Elsevier, vol. 343(C).
    7. Maripier Isabelle & Mark Stabile, 2020. "Local inequality and departures from publicly provided health care in Canada," Health Economics, John Wiley & Sons, Ltd., vol. 29(9), pages 1031-1047, September.

    More about this item

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General

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