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Organisational determinants of production and efficiency in general practice: a population-based study

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  • Kim Olsen
  • Dorte Gyrd-Hansen
  • Torben Sørensen
  • Troels Kristensen
  • Peter Vedsted
  • Andrew Street

Abstract

Nurses are currently undertaking other tasks than GPs, and larger practices do not lead to increased production per GP. However, a relative increase in list size increased the efficiency. This indicates that organisational changes aiming to increase capacity in general practice should be carefully designed and tested. Copyright Springer-Verlag 2013

Suggested Citation

  • Kim Olsen & Dorte Gyrd-Hansen & Torben Sørensen & Troels Kristensen & Peter Vedsted & Andrew Street, 2013. "Organisational determinants of production and efficiency in general practice: a population-based study," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(2), pages 267-276, April.
    • Handle: RePEc:spr:eujhec:v:14:y:2013:i:2:p:267-276
    DOI: 10.1007/s10198-011-0368-1
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    Cited by:

    1. Rita Bastião & Nuno de Sousa Pereira, 2020. "Performance in the Delivery of Primary Health Care Services: A Longitudinal Analysis," CEF.UP Working Papers 2002, Universidade do Porto, Faculdade de Economia do Porto.
    2. 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.
    3. Galina Besstremyannaya, 2015. "Heterogeneous effect of residency matching and prospective payment on labor returns and hospital scale economies," Discussion Papers 15-001, Stanford Institute for Economic Policy Research.
    4. Lukas Kwietniewski & Jonas Schreyögg, 2018. "Efficiency of physician specialist groups," Health Care Management Science, Springer, vol. 21(3), pages 409-425, September.
    5. Francetic, Igor & Gibson, Jon & Spooner, Sharon & Checkland, Katherine & Sutton, Matt, 2022. "Skill-mix change and outcomes in primary care: Longitudinal analysis of general practices in England 2015–2019," Social Science & Medicine, Elsevier, vol. 308(C).

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    More about this item

    Keywords

    General practice; Efficiency; Stochastic frontier analysis; Economies of scale; Input substitution; I12; C31; D22;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • C31 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Cross-Sectional Models; Spatial Models; Treatment Effect Models; Quantile Regressions; Social Interaction Models
    • D22 - Microeconomics - - Production and Organizations - - - Firm Behavior: Empirical Analysis

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