IDEAS home Printed from https://ideas.repec.org/a/gmf/journl/y2014i39p9-35.html
   My bibliography  Save this article

Doctor-Nurse Teams, Incentives and Behavior

Author

Listed:
  • Aida Isabel Tavares

    (CEISUC, University of Coimbra, Portugal)

Abstract

Nurses have been gaining expertise over time and it is common that they work together in a team with doctors to treat patients. Using a model based on contract theory, the aim of this article is to analyze the effects of an improvement in nurses’ productivity on the incentives paid and on the behavior of doctors and nurses, in particular when the budgets are limited. The results show that following an improvement in nurse productivity, nurses’ incentives are lower but the overall budget of incentives is higher. Under a restricted health care budget, results show that the treatment of patients is mainly carried out by nurses, and not doctors, reflecting free-riding by doctors. The contribution of this work is particularly relevant for human resources policy makers in primary health-care units.

Suggested Citation

  • Aida Isabel Tavares, 2014. "Doctor-Nurse Teams, Incentives and Behavior," Notas Económicas, Faculty of Economics, University of Coimbra, issue 39, pages 9-35, June.
    • Handle: RePEc:gmf:journl:y:2014:i:39:p:9-35
    as

    Download full text from publisher

    File URL: https://impactum-journals.uc.pt/notaseconomicas/article/view/2183-203X_39_1/2630
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. repec:hhs:bergec:2000_000 is not listed on IDEAS
    2. Douglas M. Brown, 1988. "Do Physicians Underutilize Aides?," Journal of Human Resources, University of Wisconsin Press, vol. 23(3), pages 342-355.
    3. Alchian, Armen A & Demsetz, Harold, 1972. "Production , Information Costs, and Economic Organization," American Economic Review, American Economic Association, vol. 62(5), pages 777-795, December.
    4. Gerald Richardson & Alan Maynard, 1995. "Fewer doctors? More nurses? A review of the knowledge base of doctor-nurse substitution," Working Papers 135chedp, Centre for Health Economics, University of York.
    5. Burkhard Hehenkamp & Oddvar Kaarbøe, 2011. "Paying for Performance in Hospitals," Economic Analysis and Policy, Elsevier, vol. 41(1), pages 49-70, March.
    6. Bulow, Jeremy I & Geanakoplos, John D & Klemperer, Paul D, 1985. "Multimarket Oligopoly: Strategic Substitutes and Complements," Journal of Political Economy, University of Chicago Press, vol. 93(3), pages 488-511, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Alex Barrachina & Víctor González-Chordá, 2016. "To report or not to report: Applying game theory to nursing error reporting," Working Papers 2016/14, Economics Department, Universitat Jaume I, Castellón (Spain).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Bose, Arup & Pal, Debashis & Sappington, David E.M., 2010. "Asymmetric treatment of identical agents in teams," European Economic Review, Elsevier, vol. 54(7), pages 947-961, October.
    2. Cheikbossian, Guillaume, 2021. "Evolutionarily stable in-group altruism in intergroup conflict over (local) public goods," Games and Economic Behavior, Elsevier, vol. 127(C), pages 206-226.
    3. Nicolas Le Pape, 2001. "Endettement des firmes et comportements de rivalité : l’apport des principaux modèles en économie industrielle," L'Actualité Economique, Société Canadienne de Science Economique, vol. 77(2), pages 281-302.
    4. Etro, Federico, 2016. "Research in economics and industrial organization," Research in Economics, Elsevier, vol. 70(4), pages 511-517.
    5. Bergland, Harald & Pedersen, Pål Andreas, 2019. "Efficiency and traffic safety with pay for performance in road transportation," Transportation Research Part B: Methodological, Elsevier, vol. 130(C), pages 21-35.
    6. Soufiane Mezzourh & Walid A Nakara, 2009. "Governance and innovation : A Knowledge-based approach [La gouvernance de l'innovation : une approche par la connaissance]," Post-Print halshs-01955966, HAL.
    7. David J. Cooper & Krista Saral & Marie Claire Villeval, 2021. "Why Join a Team?," Management Science, INFORMS, vol. 67(11), pages 6980-6997, November.
    8. Peter-J. Jost, 2023. "Auditing versus monitoring and the role of commitment," Review of Accounting Studies, Springer, vol. 28(2), pages 463-496, June.
    9. Michael Berlemann & Vera Jahn & Robert Lehmann, 2018. "Auswege aus dem Dilemma der empirischen Mittelstandsforschung," ifo Schnelldienst, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 71(23), pages 22-28, December.
    10. Maya Eden, 2017. "Misallocation and the Distribution of Global Volatility," American Economic Review, American Economic Association, vol. 107(2), pages 592-622, February.
    11. Lau, Sau-Him Paul, 2001. "Aggregate Pattern of Time-dependent Adjustment Rules, II: Strategic Complementarity and Endogenous Nonsynchronization," Journal of Economic Theory, Elsevier, vol. 98(2), pages 199-231, June.
    12. Derek Jones & Panu Kalmi & Niels Mygind, 2005. "Choice of Ownership Structure and Firm Performance: Evidence from Estonia," Post-Communist Economies, Taylor & Francis Journals, vol. 17(1), pages 83-107.
    13. Pascal Louvet & Ollivier Taramasco, 2004. "Gouvernement d’entreprise:un modèle de répartition de la valeur créée entre dirigeant et actionnaire," Revue Finance Contrôle Stratégie, revues.org, vol. 7(1), pages 81-116, March.
    14. Faouzi Bensebaa, 2003. "La dynamique concurrentielle:défis analytiques et méthodologiques," Revue Finance Contrôle Stratégie, revues.org, vol. 6(1), pages 5-37, March.
    15. Megy, Camille & Massol, Olivier, 2023. "Is Power-to-Gas always beneficial? The implications of ownership structure," Energy Economics, Elsevier, vol. 128(C).
    16. Luigi Guiso & Paola Sapienza & Luigi Zingales, 2016. "Long-Term Persistence," Journal of the European Economic Association, European Economic Association, vol. 14(6), pages 1401-1436, December.
    17. Odero Naor Juma & Peter T. Wawire & John Byaruhanga & Ochieng Okaka & Odhiambo Odera, 2012. "Impact of Bank Mergers on Shareholders’ Wealth: A Review of Literature," International Journal of Academic Research in Accounting, Finance and Management Sciences, Human Resource Management Academic Research Society, International Journal of Academic Research in Accounting, Finance and Management Sciences, vol. 2(4), pages 162-172, October.
    18. Christophe Loussouarn & Carine Franc & Yann Videau & Julien Mousquès, 2021. "Can General Practitioners Be More Productive? The Impact of Teamwork and Cooperation with Nurses on GP Activities," Health Economics, John Wiley & Sons, Ltd., vol. 30(3), pages 680-698, March.
    19. Kim, Jongwook & Mahoney, Joseph T., 2008. "A Strategic Theory of the Firm as a Nexus of Incomplete Contracts: A Property Rights Approach," Working Papers 08-0108, University of Illinois at Urbana-Champaign, College of Business.
    20. Luc Laeven & Christopher Woodruff, 2007. "The Quality of the Legal System, Firm Ownership, and Firm Size," The Review of Economics and Statistics, MIT Press, vol. 89(4), pages 601-614, November.

    More about this item

    JEL classification:

    • I19 - Health, Education, and Welfare - - Health - - - Other
    • D82 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Asymmetric and Private Information; Mechanism Design

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gmf:journl:y:2014:i:39:p:9-35. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sofia Antunes (email available below). General contact details of provider: https://edirc.repec.org/data/fecucpt.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.