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GPs’ payment contracts and their referral practice

Author

Listed:
  • Begoña Garcia Mariñoso

    (City University London)

  • Izabela Jelovac

    (GATE Lyon Saint-Étienne - Groupe d'Analyse et de Théorie Economique Lyon - Saint-Etienne - ENS de Lyon - École normale supérieure de Lyon - UL2 - Université Lumière - Lyon 2 - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - UJM - Université Jean Monnet - Saint-Étienne - CNRS - Centre National de la Recherche Scientifique, CNRS - Centre National de la Recherche Scientifique)

Abstract

This paper compares the role of general practitioners in determining access to specialists in two types of health care systems: gate-keeping systems, where a general practitioner (GP) referral is compulsory to visit a specialist, and non-gate-keeping systems, where this referral is optional. We model the dependence between the GP's diagnosis effort and her referral behaviour, and identify the optimal contracts that induce the best behaviour from a public insurer's point of view, where there is asymmetry of information between the insurer and the GP regarding diagnosis effort and referral decisions. We show that gate keeping is superior wherever GP's incentives matter.

Suggested Citation

  • Begoña Garcia Mariñoso & Izabela Jelovac, 2003. "GPs’ payment contracts and their referral practice," Post-Print hal-03881162, HAL.
    • Handle: RePEc:hal:journl:hal-03881162
    DOI: 10.1016/s0167-6296(03)00008-0
    Note: View the original document on HAL open archive server: https://hal.science/hal-03881162v2
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    References listed on IDEAS

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