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The organization of medical practice and primary care physician income

Author

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  • Wolinsky, F.D.
  • Marder, W.D.

Abstract

This study investigates the effect of the organization of medical practice, e.g., solo, fee-for-service group, or health maintenance organization (HMO) settings, on primary care physicians' net incomes. Using pooled data on 2,372 primary care physicians, multivariate regression analysis is used to adjust physicians' 1979 net incomes for differences in medical specialty, workload, sex, and experience before estimating the effects of the organization of medical practice. Among HMO physicians, only those in staff model HMOs were found to have significantly lower net incomes than their fee-for-service group practice counterparts. Accordingly, there is little evidence to support the popular belief that physicians practicing in HMOs consistently earn less than their fee-for-service counterparts.

Suggested Citation

  • Wolinsky, F.D. & Marder, W.D., 1983. "The organization of medical practice and primary care physician income," American Journal of Public Health, American Public Health Association, vol. 73(4), pages 379-383.
    • Handle: RePEc:aph:ajpbhl:1983:73:4:379-383_1
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    Cited by:

    1. Lin, Herng-Ching & Kao, Senyeong & Tang, Chao-Hsiun & Chang, Wen-Yin, 2005. "Using a population-based database to explore the inter-specialty differences in physician practice incomes in Taiwan," Health Policy, Elsevier, vol. 73(3), pages 253-262, September.
    2. Gosden, Toby & Sibbald, Bonnie & Williams, Jackie & Petchey, Roland & Leese, Brenda, 2003. "Paying doctors by salary: a controlled study of general practitioner behaviour in England," Health Policy, Elsevier, vol. 64(3), pages 415-423, June.
    3. Damiani, Gianfranco & Silvestrini, Giulia & Federico, Bruno & Cosentino, Mimma & Marvulli, Mariagrazia & Tirabassi, Federico & Ricciardi, Walter, 2013. "A systematic review on the effectiveness of group versus single-handed practice," Health Policy, Elsevier, vol. 113(1), pages 180-187.
    4. Lin, Herng-Ching & Chen, Chin-Shyan & Liu, Tsai-Ching & Lee, Hsin-Chien, 2006. "Differences in practice income between solo and group practice physicians," Health Policy, Elsevier, vol. 79(2-3), pages 296-305, December.

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