GPs’ implicit prioritization through clinical choices – evidence from three national health services

Julie Riise (julie.riise@uib.no), Arne Hole, Dorte Gyrd-Hansen (dgh@sam.sdu.dk) and Diane Skåtun (d.skatun@abdn.ac.uk)
Additional contact information
Julie Riise: Department of Economics, University of Bergen, Postal: Post Box 7800, 5020 Bergen
Diane Skåtun: Health Economics Research Unit, University of Aberdeen, Postal: Polwarth Building, Foresterhill, Aberdeen, AB25 2ZD, Scotland

No 02/15, Working Papers in Economics from University of Bergen, Department of Economics

Abstract: We present results from an extensive discrete choice experiment, which was conducted in three countries (Norway, Scotland, England) with the aim of disclosing stated prescription behaviour in different decision making contexts and across different cost containment cultures. We show that GPs in all countries respond to information about societal costs, benefits and effectiveness, and that they make trade-offs between them. The UK GPs have higher willingness to accept costs when they can prescribe medicines that are cheaper or more preferred by the patient, while Norwegian GPs tend to have higher willingness to accept costs for attributes regarding effectiveness or the doctors’ experience, while. In general there is a lot of heterogeneity also within each country. We discuss the results from the DCE in the light of the GPs two conflicting agency roles and what we know about the incentive structures and cultures in the different countries.

Keywords: Prioritization; discrete choice Experiments; prescription behavior; GPs (search for similar items in EconPapers)
JEL-codes: D82 I11 (search for similar items in EconPapers)
Pages: 37 pages
Date: 2015-07-01
New Economics Papers: this item is included in nep-dcm and nep-hea
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Journal Article: GPs' implicit prioritization through clinical choices – evidence from three national health services (2016)
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