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Author Allard, Marie ♦ Jelovac, Izabela ♦ Léger, Pierre-Thomas
Source Hyper Articles en Ligne (HAL)
Content type Text
File Format PDF
Language English
Subject Keyword GPs ♦ gatekeeping ♦ payment scheme ♦ self selection ♦ ability ♦ professional duty ♦ shs ♦ Humanities and Social Sciences/Economies and finances
Abstract The main question raised in this paper is whether GPs should self select their paymentmechanism or not. To answer it, we model GPs' behavior under the most commonpayment schemes (capitation and fee-for-service) and when GPs can select one amongthose. Our analysis considers GPs heterogeneity in terms of both ability and sense ofprofessional duty. We conclude that when savings on specialists costs are the mainconcern of a regulator, GPs should be paid on a fee-for-service basis. Instead, whenfailures to identify severe conditions are the main concern, then payment self selection byGPs can be optimal.
Educational Use Research
Learning Resource Type Article
Publisher Date 2010-01-01