A Model of Hierarchical Professionals: Cooperation and Conflict between Anesthesiologists and CRNAs

Jee-Hyeong Park, Stephen Spurr and Sheng-Kai Chang

No 2009-13, CEI Working Paper Series from Center for Economic Institutions, Institute of Economic Research, Hitotsubashi University

Abstract: This paper examines a labor market with two professional groups both cooperating and directly competing with each other: certified registered nurse anesthetists (CRNAs) and anesthesiologists (MDAs). We develop a model where the supply of MDAs endogenously determines (1) the earnings of CRNAs and MDAs, and (2) the extent of supervision of CRNAs by MDAs. We also analyze how MDAs may lobby to limit the scope of practice of CRNAs, and the resulting market equilibrium. Our theoretical model can be applied to the analysis of relationships between other hierarchical professionals with overlapping responsibilities, such as nurse practitioners and primary care physicians.

JEL-codes: I11 J31 J44 (search for similar items in EconPapers)
Pages: 44 pages
Date: 2009-12
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Persistent link: https://EconPapers.repec.org/RePEc:hit:hitcei:2009-13

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