Cristin-resultat-ID: 1258089
Sist endret: 10. februar 2016 12:54
Resultat
Rapport
2015

Do Treatment Decisions Depend on Physicians’ Financial Incentives?

Bidragsytere:
  • Kurt Brekke
  • Tor Helge Holmås
  • Karin Monstad og
  • Odd Rune Straume

Utgiver/serie

Utgiver

Institutt for samfunnsøkonomi, NHH

Serie

NHH Dept. of Economics Discussion papers
ISSN 0804-6824

Om resultatet

Rapport
Publiseringsår: 2015
Hefte: 15
Antall sider: 31

Beskrivelse Beskrivelse

Tittel

Do Treatment Decisions Depend on Physicians’ Financial Incentives?

Sammendrag

We study whether and how physicians respond to …nancial incentives, making use of detailed register data on the health-care services provided to patients by general practitioners (GPs) in Norway over a six-year period (2006-11). To identify GPs’treatment responses, we exploit that specialisation in general medicine entitles the GPs to a higher consultation fee, implying a change in total and relative fee payments. To control for demand and supply factors related to becoming a specialist, we estimate a GP …xed e¤ect model focusing on a narrow time window around the date of specialist certi…cation. Our results show a sharp response by the GPs immediately after obtaining specialist certi…cation and thus a higher consultation fee: the number of visits increase, while the treatment intensity (prolonged consultations, lab tests, medical procedures) decline. These …ndings are consistent with a theory model where (partly) pro…t-motivated GPs face excess demand and income e¤ects are su¢ ciently small. Finally, we …nd no evidence for adverse health e¤ects (measured by emergency care centre visits) on patients due to the change in GPs’ treatment behaviour after becoming a specialist.

Bidragsytere

Kurt Richard Brekke

Bidragsyterens navn vises på dette resultatet som Kurt Brekke
  • Tilknyttet:
    Forfatter
    ved Institutt for samfunnsøkonomi ved Norges Handelshøyskole

Tor Helge Holmås

  • Tilknyttet:
    Forfatter
    ved NORCE Samfunn ved NORCE Norwegian Research Centre AS

Karin Monstad

  • Tilknyttet:
    Forfatter
    ved NORCE Samfunn ved NORCE Norwegian Research Centre AS

Odd Rune Straume

  • Tilknyttet:
    Forfatter
    ved Institutt for økonomi ved Universitetet i Bergen
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