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首页> 外文期刊>Journal of health economics >Do Physician Remuneration Schemes Matter? The Case Of Canadian Family Physicians
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Do Physician Remuneration Schemes Matter? The Case Of Canadian Family Physicians

机译：医师薪酬计划重要吗？加拿大家庭医师案

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摘要

Although it is well known theoretically that physicians respond to financial incentives, the empirical evidence is quite mixed. Using the 2004 Canadian National Physician Survey, we analyze the number of patient visits per week provided by family physicians in alternative forms of remuneration schemes. Overwhelmingly, fee-for-service (FFS) physicians conduct more patient visits relative to four other types of remuneration schemes examined in this paper. We find that family physicians self-select into different remuneration regimes based on their personal preferences and unobserved characteristics; OLS estimates plus the estimates from an IV GMM procedure are used to tease out the magnitude of the selection and incentive effects. We find a positive selection effect and a large negative incentive effect; the magnitude of the incentive effect increases with the degree of deviation from a FFS scheme. Knowledge of the extent to which remuneration schemes affect physician output is an important consideration for health policy.
机译：尽管从理论上讲，医生对经济激励措施有反应，但经验证据却很复杂。使用2004年加拿大国家医师调查，我们分析了家庭医生以其他形式的薪酬计划提供的每周患者就诊次数。与本文研究的其他四种报酬计划相比，收费服务（FFS）医师绝大多数会进行更多的患者就诊。我们发现家庭医生根据他们的个人喜好和未观察到的特征自行选择​​不同的薪酬制度； OLS估计值加上IV GMM程序的估计值可用来弄清选择和激励效果的大小。我们发现正选择效应和很大的负激励效应；激励效果的幅度随着与FFS计划的偏离程度而增加。了解薪酬方案在多大程度上影响医生的产量是卫生政策的重要考虑因素。

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