Fee-for-service payments and consultation length in general practice: a work-leisure trade-off model for French GPs

被引：7

作者：

Clerc, Isabelle ^{[1
,2
,3
]}

L'Haridon, Olivier ^{[4
,5
]}

Paraponaris, Alain ^{[1
,2
,3
]}

Protopopescu, Camelia ^{[1
,2
,3
]}

Ventelou, Bruno ^{[1
,3
,6
]}

机构：

[1] INSERM, U912, SE4S, F-13258 Marseille, France

[2] Univ Aix Marseille, IRD, UMR S912, Marseille, France

[3] ORS PACA, Observ Reg Sante Prov Alpes Cote Azur, Marseille, France

[4] Univ Paris 04, Paris, France

[5] Greg HEC, Paris, France

[6] CNRS, GREQAM, Marseille, France

来源：

APPLIED ECONOMICS | 2012年 / 44卷 / 25期

关键词：

work-leisure trade-off; working time; consultation duration; general practitioners; simultaneous equations; SUPPLY BEHAVIOR; PHYSICIANS;

D O I：

10.1080/00036846.2011.572858

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

This article presents an adaptation of the labour supply model applied to the independent medical sector. First, we model simultaneous General Practitioner (GP) decisions on both the leisure time and the consultation length for two payment schemes: fixed fees and unregulated fees. The objective of this econometric study is to validate the theoretical prediction that doctors under unregulated fees may make choices about the length of patient consultations independent of their personal leisure decision. Indeed, according to our empirical results, the bidirectional link between leisure choice and consultation length - verified with fixed fees - does not hold any longer under unregulated fees. Our findings can be seen as a necessary but not a sufficient condition to legitimize unregulated fees in general practice.

引用

页码：3323 / 3337

页数：15

共 29 条

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