THE JOINT EFFECT OF PRIMARY CARE TEAM AND PAY-FOR-COORDINATION PAYMENTS ON THE ACTIVITY OF THE GENERAL PRACTITIONERS

被引:1
作者
Loussouarn, Christophe [1 ,2 ,3 ]
Franc, Carine [3 ,4 ]
Videau, Yann [2 ,5 ]
Mousques, Julien [3 ,6 ]
机构
[1] Univ Paris Dauphine, PSL, Leda, France
[2] Erudite, EA 437 FR TEPP, Dijon, France
[3] Inst Rech & Documentat Econ Sante Irdes, Paris, France
[4] Univ Paris Saclay, CESP, Inserm, UMR1018, Villejuif, France
[5] Univ Paris Est Creteil, Creteil, France
[6] Ecole Hautes Etud Sante Publ EHESP, Arenes, UMR CNRS 6051, Rennes, France
来源
REVUE ECONOMIQUE | 2023年 / 74卷 / 03期
关键词
primary care; general practitioners; productive efficiency; exact matching; difference-in-differences; INEFFICIENCIES; INCENTIVES; ECONOMICS;
D O I
10.3917/reco.743.0441
中图分类号
F [经济];
学科分类号
02 ;
摘要
In France, the joint evolution of both primary care supply-with a GP shortageand demand have led to an increasing imbalance. The trend towards horizontal and vertical integration in primary care, with the support given to the development of multi-professional primary care groups (MPCGs) or Primary Care Team (PCTs) combine with practice pay-for-coordination mechanism, aims to improve the productive efficiency. Using exact matching and difference-in-differences estimations on panel data (2013-2017 period), we find that practicing in MPCG with pay-for-coordination significantly increases general practitioners (GPs)' number of working days, patients seen and visits. Stratification tests point out that our findings especially hold for female, young and GPs practicing in medically underserved areas. Results are mainly driven by organizational design and not by pay-for-coordination schemes.
引用
收藏
页码:441 / 470
页数:30
相关论文
共 39 条
[1]   Semiparametric difference-in-differences estimators [J].
Abadie, A .
REVIEW OF ECONOMIC STUDIES, 2005, 72 (01) :1-19
[2]  
Anguis M., 2021, Les dossiers de la DREES, V76
[3]  
[Anonymous], 2010, Questions d'economie de la sante
[4]  
Biais M., 2022, Etudes et resultats, V1229
[5]   The benefits of co-location in primary care practices: the perspectives of general practitioners and patients in 34 countries [J].
Bonciani, M. ;
Schafer, W. ;
Barsanti, S. ;
Heinemann, S. ;
Groenewegen, P. P. .
BMC HEALTH SERVICES RESEARCH, 2018, 18
[6]  
Bras P, 2011, Prat Organ Soins, V1, P27
[7]   Difference-in-Differences with multiple time periods [J].
Callaway, Brantly ;
Sant'Anna, Pedro H. C. .
JOURNAL OF ECONOMETRICS, 2021, 225 (02) :200-230
[8]   General practitioners' income and activity: the impact of multi-professional group practice in France [J].
Cassou, Matthieu ;
Mousques, Julien ;
Franc, Carine .
EUROPEAN JOURNAL OF HEALTH ECONOMICS, 2020, 21 (09) :1295-1315
[9]  
Chaput H., 2020, Etudes et resultats, V1140
[10]  
Chevillard G, 2018, L'Espace Geographique, V47, P362, DOI DOI 10.3917/EG.474.0362