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Dual job holding general practitioners: the effect of patient shortage

  • Geir Godager

    (Institute of Health Management and Health Economics, University of Oslo, Oslo, Norway)

  • Hilde Lurås

    (Helse s�r Health Services Research Centre, Akershus University Hospital, L�renskog, Norway)

In 2001, a listpatient system with capitation payment was introduced in Norwegian general practice. After an allocation process where each inhabitant was listed with a general practitioner (GP), a considerable share of the GPs got fewer persons listed than they would have preferred. We examine whether GPs who experience a shortage of patients to a larger extent than other GPs seek to hold a second job in the community health service even though the wage rate is low compared with the wage rate in general practice. Assuming utility maximization, we model the effect of patient shortage on a GP's decision to contract for a second job in the community health service. The model predicts a positive relationship between patient shortage and participation in the community health service. This prediction is tested by means of censored regression analyses, taking account of labour supply as a censored variable. We find a significant effect of patient shortage on the number of hours the GPs supply to community health service. The estimated marginal effect is 1.72 hours per week. Copyright © 2008 John Wiley & Sons Ltd.

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File URL: http://hdl.handle.net/10.1002/hec.1418
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Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.

Volume (Year): 18 (2009)
Issue (Month): 10 ()
Pages: 1133-1145

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Handle: RePEc:wly:hlthec:v:18:y:2009:i:10:p:1133-1145
Contact details of provider: Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749

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