HERO On line Working Paper Series
General Practice: Four Empirical Essays on GP Behaviour and Individuals’ Preferences for GPs
Abstract: On June 1, 2001 a reform took place in Norwegian general
practice. This implied some advantages of importance to empirical analysis.
First, a new organisation and a new payment system were introduced, which
makes it possible to perform before-after analysis. Second, the GPs'
preferred list-sizes are known, which makes it possible to analyse the
effect of patient constraints for individual GPs. Third, the size and
composition of patient-lists are known on the individual practice level.
Previously, it was not known whether consultations provided during a
certain period were given to a large or a small number of persons, and this
made it difficult to compare practice styles. If, for instance, two GPs
provide the same number of services during one year, but GP A is
responsible for twice as many patients as GP B, GP B has a more
service-intensive practice style. When information on the number of
patients on the list is not known, we might erroneously conclude that A and
B have the same practice style.
Last, but not least, the population
filled in an entry form ahead of the nationwide reform - which gives us
information on preferences for GPs for the whole population.
2004: 1 "General Practice: Four Empirical Essays on GP Behaviour and
Individuals Preferences for GPs" focuses on the General Practitioner
reform. Four essays show different impacts this reform had on the general
practitioners practice and preferences in the population.
the reform in general practice is very well suited for collecting
interesting data and doing empirical analysis. The first three analyses in
this doctoral thesis by Hilde Lurås are based on the evaluation of the list
patient trial (in four municipalities in 1993-1996). The last analysis is
based on the evaluation of the nationwide reform in 2001.
Keywords: General practice; Payment systems; Capitation; Service provision; Preferences; Applied econometrics; (follow links to similar papers)
JEL-Codes: C25; C33; I11; I18; (follow links to similar papers)
36 pages, June 14, 2009
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