Dual job holding general practitioners: the effect of patient shortage

B-Tier
Journal: Health Economics
Year: 2009
Volume: 18
Issue: 10
Pages: 1133-1145

Authors (2)

Geir Godager (Universitetet i Oslo) Hilde Lurås (not in RePEc)

Score contribution per author:

1.005 = (α=2.01 / 2 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

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.

Technical Details

RePEc Handle
repec:wly:hlthec:v:18:y:2009:i:10:p:1133-1145
Journal Field
Health
Author Count
2
Added to Database
2026-01-25