How does the type of remuneration affect physician behaviour? Fixed salary versus fee-for-service

Detalhes bibliográficos
Autor(a) principal: Brekke, Kurt R.
Data de Publicação: 2020
Outros Autores: Holmås, 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: https://hdl.handle.net/1822/69297
Resumo: We analyze the effects of fee-for-service versus fixed salary on the treatment decisions of general practitioners (GPs) and on patients’ health outcomes. Using rich Norwegian register data for the period 2009–13, we find that GPs respond strongly and consistently to changes in remuneration type. Compared with fixed salary, GP payment by fee-for-service leads to an increase in the supply of consultations and a higher provision of medical services (along several dimensions) per consultation. This also has significant implications for patients’ health outcomes, with a more than 16 percent reduction in the probability of an emergency hospital admission (more than 46 percent reduction for ambulatory care–sensitive conditions) shortly after a GP consultation.
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spelling How does the type of remuneration affect physician behaviour? Fixed salary versus fee-for-servicePhysiciansPrimary careFixed salaryFee-for-serviceSocial SciencesScience & TechnologyWe analyze the effects of fee-for-service versus fixed salary on the treatment decisions of general practitioners (GPs) and on patients’ health outcomes. Using rich Norwegian register data for the period 2009–13, we find that GPs respond strongly and consistently to changes in remuneration type. Compared with fixed salary, GP payment by fee-for-service leads to an increase in the supply of consultations and a higher provision of medical services (along several dimensions) per consultation. This also has significant implications for patients’ health outcomes, with a more than 16 percent reduction in the probability of an emergency hospital admission (more than 46 percent reduction for ambulatory care–sensitive conditions) shortly after a GP consultation.Fundação para a Ciência e TecnologiaThis research is funded by the Norwegian Research Council (project no. 237991) and Prisreguleringsfondet. Straume also acknowledges funding from COMPETE (POCI-01-0145-FEDER-006683), with the FCT/MECís Önancial support through national funding and by the ERDF through the Operational Programme on Competitiveness and Internationalization - COMPETE 2020 under the PT2020 Partnership Agreement.University of Chicago PressUniversidade do MinhoBrekke, Kurt R.Holmås, Tor HelgeMonstad, KarinStraume, Odd Rune20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/1822/69297eng2332-34932332-350710.1086/706624info: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:RCAAP2023-07-21T12:35:53Zoai:repositorium.sdum.uminho.pt:1822/69297Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:31:50.571133Repositório 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 How does the type of remuneration affect physician behaviour? Fixed salary versus fee-for-service
title How does the type of remuneration affect physician behaviour? Fixed salary versus fee-for-service
spellingShingle How does the type of remuneration affect physician behaviour? Fixed salary versus fee-for-service
Brekke, Kurt R.
Physicians
Primary care
Fixed salary
Fee-for-service
Social Sciences
Science & Technology
title_short How does the type of remuneration affect physician behaviour? Fixed salary versus fee-for-service
title_full How does the type of remuneration affect physician behaviour? Fixed salary versus fee-for-service
title_fullStr How does the type of remuneration affect physician behaviour? Fixed salary versus fee-for-service
title_full_unstemmed How does the type of remuneration affect physician behaviour? Fixed salary versus fee-for-service
title_sort How does the type of remuneration affect physician behaviour? Fixed salary versus fee-for-service
author Brekke, Kurt R.
author_facet Brekke, Kurt R.
Holmås, Tor Helge
Monstad, Karin
Straume, Odd Rune
author_role author
author2 Holmås, 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.
Holmås, Tor Helge
Monstad, Karin
Straume, Odd Rune
dc.subject.por.fl_str_mv Physicians
Primary care
Fixed salary
Fee-for-service
Social Sciences
Science & Technology
topic Physicians
Primary care
Fixed salary
Fee-for-service
Social Sciences
Science & Technology
description We analyze the effects of fee-for-service versus fixed salary on the treatment decisions of general practitioners (GPs) and on patients’ health outcomes. Using rich Norwegian register data for the period 2009–13, we find that GPs respond strongly and consistently to changes in remuneration type. Compared with fixed salary, GP payment by fee-for-service leads to an increase in the supply of consultations and a higher provision of medical services (along several dimensions) per consultation. This also has significant implications for patients’ health outcomes, with a more than 16 percent reduction in the probability of an emergency hospital admission (more than 46 percent reduction for ambulatory care–sensitive conditions) shortly after a GP consultation.
publishDate 2020
dc.date.none.fl_str_mv 2020
2020-01-01T00:00:00Z
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 https://hdl.handle.net/1822/69297
url https://hdl.handle.net/1822/69297
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2332-3493
2332-3507
10.1086/706624
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 University of Chicago Press
publisher.none.fl_str_mv University of Chicago Press
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
institution RCAAP
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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