Riise, J., Hole, A.R. orcid.org/0000-0002-9413-8101, Gyrd- Hansen, D. et al. (1 more author) (2016) GPs’ implicit prioritization through clinical choices – evidence from three national health services. Journal of Health Economics, 49. pp. 169-183. ISSN 0167-6296
Abstract
We present results from an extensive discrete choice experiment, which was conducted in three countries (Norway, Scotland, and 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. In general there is a substantial amount 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.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016 Elsevier. This is an author produced version of a paper subsequently published in Journal of Health Economics. Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Social Sciences (Sheffield) > Department of Economics (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 02 Aug 2016 13:12 |
Last Modified: | 07 Jan 2018 01:38 |
Published Version: | http://dx.doi.org/10.1016/j.jhealeco.2016.07.001 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.jhealeco.2016.07.001 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:103232 |