Financial incentives and the supply of laboratory tests

被引：8

作者：

Fredrik Carlsen

Jostein Grytten

Irene Skau

机构：

[1] Department of Economics, NTNU, Trondheim

[2] Dental Faculty, University of Oslo, Box 1052, Blindern

来源：

The European Journal of Health Economics, formerly: HEPAC | 2003年 / 4卷 / 4期

关键词：

Consultations; Fees; Income effect; Laboratory tests; Primary care physicians;

D O I：

10.1007/s10198-003-0179-0

中图分类号：

学科分类号：

摘要：

This study examined how the number of laboratory tests taken by a sample of Norwegian contract physicians is influenced by their private economy outside of the practice and by changes in remuneration. The data are drawn from 40,000 consultations carried out by 44 contract physicians in 1991-1994. Two factors which led to changes in the level of physicians' income are considered: changes in remuneration for consultations and laboratory tests and changes in interest rates on loans and bank deposits. The effect which changes in interest rates have on physicians' disposable income was calculated using information about their financial assets and debts obtained from tax assessments. The main finding was that changes in private economy and changes in remuneration have no or only a small effect on the number of laboratory tests taken. Our results suggest that fee regulation can be an effective means of controlling physicians' income and therefore government expenditure on primary physician services.

引用

页码：279 / 285

页数：6

共 22 条

[1]

Carlsen F., Grytten J., More physicians: Improved availability or induced demand?, Health Econ, 7, pp. 495-508, (1998)

[2]

Christensen S., Volume responses to exogenous changes in Medicare payment policies, Health Serv Res, 27, pp. 65-79, (1992)

[3]

Groenewegen P.P., Van Der Zee J., Van Haaften R., Remunerating General Practitioners in Western Europe, (1991)

[4]

Grytten J., Carlsen F., Sorensen R., Supplier inducement in a public health care system, J Health Econ, 14, pp. 207-229, (1995)

[5]

Grytten J., Carlsen F., Skau I., The income effect and supplier induced demand. Evidence from primary physician services in Norway, Appl Econ, 3, pp. 1455-1467, (2001)

[6]

Hoffmeyer U.K., McCarthy T.R., Financing Health Care, (1994)

[7]

Holahan J., Scanlon W., Price Controls, Physician Fees, and Physician Incomes from Medicare and Medicaid, (1978)

[8]

Holahan J., Dor A., Zuckerman S., Understanding the recent growth in Medicare physician expenditures, JAMA, 263, pp. 1658-1661, (1990)

[9]

Hurdle S., Pope G.C., Physician productivity: Trends and determinants, Inquiry, 26, pp. 100-115, (1989)

[10]

Hurley J., Labelle R., Rice T., The relationship between physician fees and the utilization of medical services in Ontario, Adv Health Econ Health Serv Res, 11, pp. 49-78, (1990)

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