Journal article

Do Financial Incentives Influence GPs' Decisions to Do After-hours Work? A Discrete Choice Labour Supply Model

Barbara Broadway, Guyonne Kalb, Jinhu Li, Anthony Scott

HEALTH ECONOMICS | WILEY | Published : 2017


This paper analyses doctors' supply of after-hours care (AHC), and how it is affected by personal and family circumstances as well as the earnings structure. We use detailed survey data from a large sample of Australian General Practitioners (GPs) to estimate a structural, discrete choice model of labour supply and AHC. This allows us to jointly model GPs' decisions on the number of daytime-weekday working hours and the probability of providing AHC. We simulate GPs' labour supply responses to an increase in hourly earnings, both in a daytime-weekday setting and for AHC. GPs increase their daytime-weekday working hours if their hourly earnings in this setting increase, but only to a very smal..

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Funding Acknowledgements

This work was supported by a National Health and Medical Research Council Health Services Research Grant (2007-2011) and a National Health and Medical Research Council Centre of Research Excellence in Medical Workforce Dynamics Grant (2012-2016) with additional support from the Department of Health (in 2008) and Health Workforce Australia (in 2013). None of the funding sources has had any involvement in the actual research or writing of the paper. The views in this paper are those of the authors alone. We thank the doctors who gave their valuable time to participate in the Medicine in Australia: Balancing Employment and Life (MABEL) survey, and the other members of the MABEL team for data cleaning and comments on drafts of this paper. We also thank two anonymous referees for their helpful comments. The study was approved by the University of Melbourne, Faculty of Business and Economics Human Ethics Advisory Group (Ref. 0709559) and the Monash University Standing Committee on Ethics in Research Involving Humans (Ref. CF07/1102 - 2007000291).