S-WoPEc
 
Scandinavian Working Papers in Economics
HomeAboutSeriesSubject/JEL codesAdvanced Search
Health Economics Research Programme, University of Oslo HERO On line Working Paper Series

No 2005:8:
A study of income-motivated behavior among general practitioners in the Norwegian list patient system

Tor Iversen ()

Abstract: In the Norwegian capitation system each general practitioner (GP) has a personal list of patients. The payment system is a mix of a capitation fee and fee-for-service. From a model of a GPs decisions we derive the optimal practice profile contingent on whether a GP experiences a shortage of patients or not. We also find the conditions for whether a GP, who experiences a shortage of patients, is likely to increase the number of services he provides to his patients. Data give us the opportunity to reveal patient shortage, i.e. a positive difference between a GPs preferred and actual list size, at the individual practice level.

From the analysis of 2587 Norwegian GPs (out of a total 3650) the main result is that patient shortage has a positive effect on a GPs intensity of service provision and hence, on the income per listed person. We also find that a GPs income per listed person is influenced by the composition of the list according to indicators of need for services, and of accessibility according to the GP density in the municipality. These results are also valid when possible selection bias is accounted for, although the magnitude of the effects is then smaller.

Keywords: economic motives; capitation; general practice; patient shortage; service provision; (follow links to similar papers)

JEL-Codes: H42; I11; I18; (follow links to similar papers)

29 pages, June 7, 2009

Before downloading any of the electronic versions below you should read our statement on copyright.
Download GhostScript for viewing Postscript files and the Acrobat Reader for viewing and printing pdf files.

Full text versions of the paper:

HERO2005_8.pdf    PDF-file
Download Statistics

Questions (including download problems) about the papers in this series should be directed to Anbjrg Kolaas ()
Report other problems with accessing this service to Sune Karlsson () or Helena Lundin ().

Programing by
Design by Joachim Ekebom

Handle: RePEc:hhs:oslohe:2005_008 This page was generated on 2014-12-14 19:26:05