Junior doctors' medical specialty and practice location choice: simulating policies to overcome regional inequalities

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Arquivos
art_RAMOS_Junior_doctors_medical_specialty_and_practice_location_choice_2017.PDF (1.02 MB)
Citações na Scopus
6
Tipo de produção
article
Data de publicação
2017
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER
Autores
ALVES, Helio
GUIMARAES, Paulo
FERREIRA, Maria A.
Citação
EUROPEAN JOURNAL OF HEALTH ECONOMICS, v.18, n.8, p.1013-1030, 2017
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
There are nowadays over 1 million Portuguese who lack a primary care physician. By applying a discrete choice experiment to a large representative sample of Portuguese junior doctors (N = 503) in 2014, we provide an indication that this shortage may be addressed with a careful policy design that mixes pecuniary and non-pecuniary incentives for these junior physicians. According to our simulations, a policy that includes such incentives may increase uptake of general practitioners (GPs) in rural areas from 18% to 30%. Marginal wages estimated from our model are realistic and close to market prices: an extra hour of work would require an hourly wage of 16.5a,notsign; moving to an inland rural setting would involve an increase in monthly income of 1.150a,notsign (almost doubling residents' current income); a shift to a GP career would imply an 849a,notsign increase in monthly income. Additional opportunities to work outside the National Health Service overcome an income reduction of 433a,notsign. Our simulation predicts that an income increase of 350a,notsign would lead to a 3 percentage point increase in choice probability, which implies an income elasticity of 3.37, a higher estimation compared to previous studies.
Palavras-chave
Medical specialty choice, Discrete choice experiment, Location decision, Rural uptake policies, Portugal
URI
https://observatorio.fm.usp.br/handle/OPI/22174
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Coleções
Artigos e Materiais de Revistas Científicas - HC/Outros