Do financial incentives influence GPs' decisions to do after-hours work? : a discrete choice labour supply model
Barbara Broadway (Melbourne Institute, University of Melbourne and Life Course Centre), Guyonne Kalb (Melbourne Institute, University of Melbourne, Life Course Centre and IZA), Jinhu Li (Melbourne Institute, University of Melbourne and Life Course Centre), Anthony Scott (Melbourne Institute, University of Melbourne)
This paper analyses doctors' supply of after-hours care, and how it is affected by personal and family circumstances as well as the earnings structure. We use detailed survey data from a large sample of Australian General Practitioners to estimate a structural, discrete-choice model of labour supply and after-hours care. This allows us to jointly model how many daytime-weekday hours a doctor works, and his or her probability of providing after-hours care. The underlying utility function varies across individual and family characteristics. We simulate labour supply responses to an increase in doctors' hourly earnings, both in a daytime-weekday setting and for after-hours care. Among doctors overall, men and women increase their daytime-weekday working hours if their hourly earnings in this setting increases, but only to a very small extent. Men's labour supply elasticities do not change if their family circumstances change, but for women the small behavioural response disappears completely if they have preschool-aged children. Doctors are somewhat more likely to provide after-hours care if their hourly earnings in that setting increases, but again the effect is very small and is only evident in some sub-groups. Moreover, higher earnings in weekday-daytime practice reduces the probability of providing after-hours care, particularly for men. Increasing doctors' earnings appears to be at best relatively ineffective in encouraging increased provision of after-hours care, and may even prove harmful if incentives are not well-targeted.
Year of publication: |
April 2016
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Authors: | Broadway, Barbara ; Kalb, Guyonne ; Li, Jinhu ; Scott, Anthony |
Publisher: |
Bonn, Germany : IZA |
Subject: | labour supply | after-hours care | wage elasticity | health workforce | MABEL | Arbeitsangebot | Labour supply | Anreiz | Incentives | Lohn | Wages | Haushaltsökonomik | Household economics | Australien | Australia | Großbritannien | United Kingdom |
Saved in:
freely available
Extent: | 1 Online-Ressource (circa 35 Seiten) Illustrationen |
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Series: | Discussion paper series / IZA. - Bonn : IZA, ZDB-ID 2120053-1. - Vol. no. 9910 |
Type of publication: | Book / Working Paper |
Type of publication (narrower categories): | Arbeitspapier ; Working Paper ; Graue Literatur ; Non-commercial literature |
Language: | English |
Other identifiers: | hdl:10419/142349 [Handle] |
Classification: | I11 - Analysis of Health Care Markets ; J22 - Time Allocation and Labor Supply ; J44 - Professional Labor Markets and Occupations ; J21 - Labor Force and Employment, Size, and Structure |
Source: | ECONIS - Online Catalogue of the ZBW |
Persistent link: https://www.econbiz.de/10011458891