Cristin-resultat-ID: 1505948
Sist endret: 6. november 2017 11:12
NVI-rapporteringsår: 2017
Resultat
Vitenskapelig artikkel
2017

Do treatment decisions depend on physicians' financial incentives?

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

Tidsskrift

Journal of Public Economics
ISSN 0047-2727
e-ISSN 1879-2316
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2017
Volum: 155
Sider: 74 - 92

Importkilder

Scopus-ID: 2-s2.0-85042196441

Beskrivelse Beskrivelse

Tittel

Do treatment decisions depend on physicians' financial incentives?

Sammendrag

We study how General Practitioners (GPs) respond to fee changes with respect to the number of visits and treatment intensity. Our empirical strategy is to exploit within GP variation in the fee schedule due to specialisation in general medicine that implies a higher consultation fee, and to use only a narrow time window around the date of the fee change to identify the GPs' supply responses. Making use of detailed administrative claims data covering all GPs in Norway over a six-year period (2006-2011), we find that a higher consultation fee increases the number of visits (with an elasticity of 0.2), but reduces the treatment intensity per visit (and per patient). This is a pure substitution effect where GPs respond to the fee increase by seeing more patients but spending less time with each, without changing the total amount of time spent per month treating patients. Thus, our analysis suggests that fee-for-service is a powerful policy instrument that needs to be carefully designed in order to ensure optimal provision of care.

Bidragsytere

Kurt Richard 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
  • Tilknyttet:
    Forfatter
    ved Universidade do Minho
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