Competition and physician behaviour: Does the competitive environment affect the propensity to issue sickness certicates?

Detalhes bibliográficos
Autor(a) principal: Brekke, Kurt R.
Data de Publicação: 2017
Outros Autores: Holmas, Tor Helge, Monstad, Karin, Straume, Odd Rune
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/1822/45114
Resumo: JEL Classication: I11; I18; L13
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spelling Competition and physician behaviour: Does the competitive environment affect the propensity to issue sickness certicates?PhysiciansCompetitionSickness certicationCiências Sociais::Economia e GestãoCiências Sociais::Economia e GestãoJEL Classication: I11; I18; L13Competition among physicians is widespread, but compelling empirical evidence on the impact on service provision is limited, mainly due to lack of exogenous variation in the degree of competition. In this paper we exploit that many GPs, in addition to own practice, work in local emergency centres, where the matching of patients to GPs is random. This allows us to observe the same GP in two di⁄erent competitive environments; with competition (own practice) and without competition (emergency centre). Using rich administrative patientlevel data from Norway for 2006-14, which allow us to estimate high-dimensional xed-e⁄ect models to control for time-invariant patient and GP heterogeneity, we nd that GPs with a fee-for-service (xed salary) contract are 11 (8) percentage points more likely to certify sick leave at own practice than at the emergency centre. Thus, competition has a positive impact on GPssick listing that is reinforced by nancial incentives.OMPETE reference nº POCI-01-0145-FEDER-006683(UID/ECO/03182/2013) , with the FCT/MEC’s (Fundação para a Ciência e a Tecnologia, I.P.) financial support through national funding and by the ERDF through the Operational Programm e on "Competitiveness and Internationalization – COMPETE 2020 under the PT2020 Partnership Agreement»info:eu-repo/semantics/publishedVersionUniversidade do Minho. Núcleo de Investigação em Políticas Económicas (NIPE)Universidade do MinhoBrekke, Kurt R.Holmas, Tor HelgeMonstad, KarinStraume, Odd Rune2017-022017-02-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/45114enghttp://www.nipe.eeg.uminho.pt/Uploads/WP_2017/NIPE%20WP-05_2017.pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:03:33Zoai:repositorium.sdum.uminho.pt:1822/45114Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:53:41.815035Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Competition and physician behaviour: Does the competitive environment affect the propensity to issue sickness certicates?
title Competition and physician behaviour: Does the competitive environment affect the propensity to issue sickness certicates?
spellingShingle Competition and physician behaviour: Does the competitive environment affect the propensity to issue sickness certicates?
Brekke, Kurt R.
Physicians
Competition
Sickness certication
Ciências Sociais::Economia e Gestão
Ciências Sociais::Economia e Gestão
title_short Competition and physician behaviour: Does the competitive environment affect the propensity to issue sickness certicates?
title_full Competition and physician behaviour: Does the competitive environment affect the propensity to issue sickness certicates?
title_fullStr Competition and physician behaviour: Does the competitive environment affect the propensity to issue sickness certicates?
title_full_unstemmed Competition and physician behaviour: Does the competitive environment affect the propensity to issue sickness certicates?
title_sort Competition and physician behaviour: Does the competitive environment affect the propensity to issue sickness certicates?
author Brekke, Kurt R.
author_facet Brekke, Kurt R.
Holmas, Tor Helge
Monstad, Karin
Straume, Odd Rune
author_role author
author2 Holmas, Tor Helge
Monstad, Karin
Straume, Odd Rune
author2_role author
author
author
dc.contributor.none.fl_str_mv Universidade do Minho
dc.contributor.author.fl_str_mv Brekke, Kurt R.
Holmas, Tor Helge
Monstad, Karin
Straume, Odd Rune
dc.subject.por.fl_str_mv Physicians
Competition
Sickness certication
Ciências Sociais::Economia e Gestão
Ciências Sociais::Economia e Gestão
topic Physicians
Competition
Sickness certication
Ciências Sociais::Economia e Gestão
Ciências Sociais::Economia e Gestão
description JEL Classication: I11; I18; L13
publishDate 2017
dc.date.none.fl_str_mv 2017-02
2017-02-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1822/45114
url http://hdl.handle.net/1822/45114
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv http://www.nipe.eeg.uminho.pt/Uploads/WP_2017/NIPE%20WP-05_2017.pdf
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade do Minho. Núcleo de Investigação em Políticas Económicas (NIPE)
publisher.none.fl_str_mv Universidade do Minho. Núcleo de Investigação em Políticas Económicas (NIPE)
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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