LENGTH OF GP CONSULTATION WITHIN TWO PAYMENT SCHEMES

Olivier L'Haridon, Alain Panaponaris, Camelia Protopopescu () and Bruno Ventelou
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Alain Panaponaris: Epidémiologie et Sciences Sociales Appliquées à l'Innovation Médicale - Université de la Méditerranée - Aix-Marseille 2 - 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 in which doctor's choice of the length of consultations is examined. A theoretical analysis is performed in an attempt to define the sets of constraints to which self-employed doctors are subject, and they show a marked difference in time-allocation behaviour according to whether medical care is provided under a fixed-fee scheme or under an unregulated-fees scheme, respectively "sector 1" and "sector 2" in France. The objective of this econometric study was to analyse time-allocation choices made by doctors in both sectors in France and to validate the theoretical prediction that doctors under unregulated-fees can make choices about the length of patient consultations independently of their personal leisure choices. According to our empirical results, doctors with unregulated-fees indeed show different behaviours regarding leisure-consumption choices and consultation length. The endogeneity of leisure choice to consultation length –verified in fixed-fee scheme- is no longer apparent under unregulated-fee. Our findings can be seen as a necessary, but insufficient, condition for legitimate unregulated fees in general practice.

Keywords: leisure trade-off; Working time; Consultation duration; payment schemes; General practitioners; Simultaneous equations (search for similar items in EconPapers)
Date: 2008-12-15
Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-00347449
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