Please use this identifier to cite or link to this item: http://hdl.handle.net/1822/65671

TitleCompetition and physician behaviour: Does the competitive environment affect the propensity to issue sickness certificates?
Author(s)Brekke, Kurt R.
Holmas, Tor Helge
Monstad, Karin
Straume, Odd Rune
KeywordsPhysicians
Competition
Sickness certification
Issue date1-Jul-2019
PublisherElsevier
JournalJournal of Health Economics
CitationBrekke, K. R., Holmås, T. H., Monstad, K., & Straume, O. R. (2019). Competition and physician behaviour: Does the competitive environment affect the propensity to issue sickness certificates?. Journal of health economics, 66, 117-135
Abstract(s)Competition among physicians is widespread, but compelling empirical evidence on its impact on service provision is limited, mainly due to endogeneity issues. In this paper we exploit that many GPs, in addition to own practice, work in local emergency centres, where the matching of patients to GPs is random. The same GP is observed both with competition (own practice) and without (emergency centre). Using high-dimensional fixed-effect models, we find that GPs with a fee-for-service (fixed-salary) contract are 12 (8) percentage points more likely to certify sick leave at own practice than at the emergency centre. Thus, competition has a positive impact on GPs' sicklisting that is strongly reinforced by financial incentives. (C) 2019 Elsevier B.V. All rights reserved.
TypeArticle
URIhttp://hdl.handle.net/1822/65671
DOI10.1016/j.jhealeco.2019.05.007
ISSN0167-6296
e-ISSN1879-1646
Publisher versionhttps://www.sciencedirect.com/science/article/pii/S016762961830835X
Peer-Reviewedyes
AccessEmbargoed access (2 Years)
Appears in Collections:NIPE - Artigos em Revistas de Circulação Internacional com Arbitragem Científica

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