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Physician Labor Supply, Financial Incentives, and Access to Healthcare

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  • Lionel Wilner
  • Philippe Choné

Abstract

To empirically assess how physicians respond to financial incentives, we leverage a quasi-natural experiment in France where most GPs' fees are regulated. In 2017, a wide-scale regulatory change caused the price of a visit to increase from €23 to €25. Relying on granular claims data covering the universe of patients, doctors, and visits, we show that physician activity grew by nearly 9% after the price increase, yielding a unitary price elasticity of healthcare provision. The number of distinct patients examined increased substantially, while the provision of medical services per patient hardly changed, resulting in a slight increase in physicians' number of days worked. Drug prescription per patient is also shown to decrease, suggesting that the policy was cost-effective and enhanced access to healthcare, with limited adverse effects. Early-career physicians responded strongly to these financial incentives, while later-career physicians hardly changed their labor supply behavior.

Suggested Citation

  • Lionel Wilner & Philippe Choné, 2025. "Physician Labor Supply, Financial Incentives, and Access to Healthcare," CESifo Working Paper Series 11947, CESifo.
    • Handle: RePEc:ces:ceswps:_11947
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    Keywords

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    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J44 - Labor and Demographic Economics - - Particular Labor Markets - - - Professional Labor Markets and Occupations

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