LENGTH OF GP CONSULTATION WITHIN TWO PAYMENT SCHEMES - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

* Corresponding author 1 GRID - Groupe de Recherche sur le risque, l-Information et la Décision 2 Epidémiologie et Sciences Sociales Appliquées à l-Innovation Médicale 3 Observatoire Régional de la Santé de Provence-Alpes-Cote d-Azur 4 GREQAM - Groupement de Recherche en Économie Quantitative d-Aix-Marseille

Abstract : This article presents an adaptation of the labour supply model applied to the independent medical in which doctor-s choice of the length of consultations is examined. A theoretical analysis is performed in an attempt to define the sets of constraints to which self-employed doctors are subject, and they show a marked difference in time-allocation behaviour according to whether medical care is provided under a fixed-fee scheme or under an unregulated-fees scheme, respectively -sector 1- and -sector 2- in France. The objective of this econometric study was to analyse time-allocation choices made by doctors in both sectors in France and to validate the theoretical prediction that doctors under unregulated-fees can make choices about the length of patient consultations independently of their personal leisure choices. According to our empirical results, doctors with unregulated-fees indeed show different behaviours regarding leisure-consumption choices and consultation length. The endogeneity of leisure choice to consultation length –verified in fixed-fee scheme- is no longer apparent under unregulated-fee. Our findings can be seen as a necessary, but insufficient, condition for legitimate unregulated fees in general practice.

Keywords : leisure trade-off Working time Consultation duration payment schemes General practitioners Simultaneous equations

Autor: Olivier L-Haridon - Alain Panaponaris - Camelia Protopopescu - Bruno Ventelou -

Fuente: https://hal.archives-ouvertes.fr/


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