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Male and Female GPs incomes: A study of the determinants through quantiles regressions

  • Franc, Carine
  • Dumontet, Magali
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    In any fee for service system (FFS), doctors are incited to increase their activity such that outpatient care supply is strongly linked to private practice income. Thus, studying the private practice income determinants allows predicting doctors’ care provision. We aim first, to identify the effects of determinants on income, second, to study the evolution of these effects along the incomes distribution and third, to emphasize differences between male and female GPs. From an exhaustive database on French General Practitioners’ (GP) working in private practice in 2008, we perform an ordinary least squares regression and a quantile regression for each income determinant. Among others, we consider the tradeoffs within the GP’s household (couple, single, with or without children, spouse's income). The income gap between male and female GPs is 32% in favor of male and we have shown that some determinants acted with different magnitude on incomes of men and women. Another original result is related to the GP’s casemix: a male GP at the upper end of the incomes distribution may be discouraged to accept an additional elderly illustrating a potential limit of the FFS in outpatient care.

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    File URL: http://basepub.dauphine.fr/xmlui/bitstream/123456789/11717/1/JMA-2013.pdf
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    Paper provided by Paris Dauphine University in its series Economics Papers from University Paris Dauphine with number 123456789/11717.

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    Date of creation: Jun 2013
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    Handle: RePEc:dau:papers:123456789/11717
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    1. Moshe Buchinsky, 1998. "Recent Advances in Quantile Regression Models: A Practical Guideline for Empirical Research," Journal of Human Resources, University of Wisconsin Press, vol. 33(1), pages 88-126.
    2. David Bardey, 2002. "Demande induite et réglementation de médecins altruistes," Revue Économique, Programme National Persée, vol. 53(3), pages 581-588.
    3. Rizzo, John A. & Blumenthal, David, 1994. "Physician labor supply: Do income effects matter?," Journal of Health Economics, Elsevier, vol. 13(4), pages 433-453.
    4. B. Dormont & A.-L. Samson, 2008. "Medical demography and intergenerational inequalities in general practitioners' earnings," Health Economics, John Wiley & Sons, Ltd., vol. 17(9), pages 1037-1055.
    5. Alicia C. Sasser, 2005. "Gender Differences in Physician Pay: Tradeoffs Between Career and Family," Journal of Human Resources, University of Wisconsin Press, vol. 40(2).
    6. Sophie Béjean & Christine Peyron & Renaud Urbinelli, 2007. "Variations in activity and practice patterns: a French study for GPs," The European Journal of Health Economics, Springer, vol. 8(3), pages 225-236, September.
    7. Roger Koenker & Kevin F. Hallock, 2001. "Quantile Regression," Journal of Economic Perspectives, American Economic Association, vol. 15(4), pages 143-156, Fall.
    8. David J . Bashaw & John S . Heywood, 2001. "The Gender Earnings Gap for US Physicians: Has Equality been Achieved?," LABOUR, CEIS, vol. 15(3), pages 371-391, 09.
    9. Eric Delattre & Brigitte Dormont, 2003. "Fixed fees and physician-induced demand: A panel data study on French physicians," Health Economics, John Wiley & Sons, Ltd., vol. 12(9), pages 741-754.
    10. Lise Rochaix, 2004. "Les modes de rémunération des médecins," Revue d'Économie Financière, Programme National Persée, vol. 76(3), pages 223-239.
    11. Dumontet, Magali & Le Vaillant, Marc & Franc, Carine, 2012. "What determines the income gap between French male and female GPs - the role of medical practices," Economics Papers from University Paris Dauphine 123456789/10755, Paris Dauphine University.
    12. Carine Franc & Romain Lesur, 2004. "Systèmes de rémunération des médecins et incitations à la prévention," Revue économique, Presses de Sciences-Po, vol. 55(5), pages 901-922.
    13. Engelbert Theurl & Hannes Winner, 2011. "The male–female gap in physician earnings: evidence from a public health insurance system," Health Economics, John Wiley & Sons, Ltd., vol. 20(10), pages 1184-1200, October.
    14. Koenker, Roger W & Bassett, Gilbert, Jr, 1978. "Regression Quantiles," Econometrica, Econometric Society, vol. 46(1), pages 33-50, January.
    15. Anne‐Laure Samson, 2011. "Do French low‐income GPs choose to work less?," Health Economics, John Wiley & Sons, Ltd., vol. 20(9), pages 1110-1125, 09.
    16. Isabelle Clerc & Olivier L’Haridon & Alain Paraponaris & Camelia Protopopescu & Bruno Ventelou, 2012. "Fee-for-service payments and consultation length in general practice: a work--leisure trade-off model for French GPs," Applied Economics, Taylor & Francis Journals, vol. 44(25), pages 3323-3337, September.
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