Preference for practice: a Danish study on young doctors' choice of general practice using a discrete choice experiment

Pedersen, Line Bjornskov and Gyrd-Hansen, Dorte (2014) Preference for practice: a Danish study on young doctors' choice of general practice using a discrete choice experiment. European Journal of Health Economics, 15 6: 611-621. doi:10.1007/s10198-013-0500-5


Author Pedersen, Line Bjornskov
Gyrd-Hansen, Dorte
Title Preference for practice: a Danish study on young doctors' choice of general practice using a discrete choice experiment
Journal name European Journal of Health Economics   Check publisher's open access policy
ISSN 1618-7598
1618-7601
Publication date 2014-07
Sub-type Article (original research)
DOI 10.1007/s10198-013-0500-5
Open Access Status
Volume 15
Issue 6
Start page 611
End page 621
Total pages 11
Place of publication Heidelberg, Germany
Publisher Springer
Collection year 2015
Language eng
Formatted abstract
Objective
This study examines the preferences of general practitioners (GPs) in training for organizational characteristics in general practice with focus on aspects that can mitigate problems with GP shortages.

Study design

A discrete choice experiment was used to investigate preferences for the attributes practice type, number of GPs in general practice, collaboration with other practices, change in weekly working hours (administrative versus patient related), and change in yearly surplus.

Data collection

In May 2011, all doctors actively engaged in the family medicine program in Denmark were invited to participate in a web-based survey. A total of 485 GPs in training responded to the questionnaire, resulting in a response rate of 56 %.

Principal findings

A mixed logit model showed that GPs in training prefer to work in smaller shared practices (2 GPs). This stands in contrast to the preferences of current GPs. Hence, a generational change in the GP population is likely to introduce more productive practice forms, and problems with GP shortages are likely to be mitigated over the coming years. Results further showed that a majority of the respondents are willing to work in larger shared practices (with 3–4 GPs) if they receive an increase in surplus (approximately 50,000 DKK/6,719 EUR per year) and that they may be willing to take in more patient-related work if the increase in surplus is sufficient (approximately 200,000 DKK/26,875 EUR per year for 5 extra hours per week). Monetary incentives may therefore be an effective tool for further improving productivity.
Keyword Discrete choice experiment
General practice
Organization
Preferences
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Economics Publications
 
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