Fee-for-service payment and consultation length in general practice A work-leisure trade-off model for French GPs

Isabelle Clerc (), Olivier L'Haridon, Alain Paraponaris, Camelia Protopopescu () and Bruno Ventelou
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Isabelle Clerc: SESSTIM - U912 INSERM - Aix Marseille Univ - IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale - IRD - Institut de Recherche pour le Développement - AMU - Aix Marseille Université - INSERM - Institut National de la Santé et de la Recherche Médicale

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Abstract: This article presents an adaptation of the labour supply model applied to the independent medical sector. First, we model simultaneous General Practitioner (GP) decisions on both the leisure time and the consultation length for two payment schemes: fixed fees and unregulated fees. The objective of this econometric study is to validate the theoretical prediction that doctors under unregulated fees may make choices about the length of patient consultations independent of their personal leisure decision. Indeed, according to our empirical results, the bidirectional link between leisure choice and consultation length - verified with fixed fees - does not hold any longer under unregulated fees. Our findings can be seen as a necessary but not a sufficient condition to legitimize unregulated fees in general practice.

Keywords: work-leisure trade-off; working time; consultation duration; general practitioners; simultaneous equations; Social Sciences & Humanities (search for similar items in EconPapers)
Date: 2011-06-25
Note: View the original document on HAL open archive server: https://hal.science/hal-00711452
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Citations: View citations in EconPapers (1)

Published in Applied Economics, 2011, 44 (25), pp.3323-3337. ⟨10.1080/00036846.2011.572858⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-00711452

DOI: 10.1080/00036846.2011.572858

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