GPs’ Payment Contracts and their Referral Policy
The aim of this paper is to compare the role of general practitioners in determining access to specialised and hospitalised health care in two different types of health care systems: Systems where a GP referral is compulsory for specialist/hospitalised attention and systems where this referral is only facultative. We model the dependence between the GPs’ diagnosis effort and referral practice, and concentrate on the optimal contracts that induce the best behaviour from the public insurers’ point of view with asymmetric information on both GP's diagnosis effort and diagnosis outcome. We show that the compulsory referral system is superior wherever the GP's incentives matter.
|Date of creation:||Feb 2000|
|Date of revision:|
|Publication status:||Published in Journal of Health Economics, July 2003, pages 617-635|
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- Martin Gaynor, 1994.
"Issues in the Industrial Organization of the Market for Physician Services,"
NBER Working Papers
4695, National Bureau of Economic Research, Inc.
- Gaynor, Martin, 1994. "Issues in the Industrial Organization of the Market for Physician Services," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 3(1), pages 211-55, Spring.
- Izabela Jelovac, 2001. "Physicians' payment contracts, treatment decisions and diagnosis accuracy," Health Economics, John Wiley & Sons, Ltd., vol. 10(1), pages 9-25.
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