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Obligatory service requirement and physician specialist distribution in Turke

Author

Listed:
  • Burcay Erus

    (Bogazici University)

  • Ayca Bilir

    (Bogazici University)

Abstract

Obligatory service requirement is one of the government policies which has been adopted, especially in developing countries, to attract physicians to locations that are considered rather unattractive. Objective of this study is to analyze the impact of the obligatory service requirement on specialist workforce distribution in public sector in Turkey, using a panel study with data from 63 provinces, in years 1990, 1995, and 2000. To identify the impact of the regulation we make use of the change in the regulation in 1995 which ended the requirement for the new graduates to work for 2 to 4 years in a location specified by the government. We test whether the importance of a socio-economic development index as a determinant of specialist distribution differs across the periods. We also provide summary statistics for the change in the workload of specialists. Results show that obligatory service requirements have been effective in directing specialist workforce to less developed parts of Turkey. When the requirement was lifted, socio-economic conditions of a region became a significant determinant of availability of specialists. Despite improvement in the specialist distribution, we observe no change in workload of specialists indicating a significant shortage.

Suggested Citation

  • Burcay Erus & Ayca Bilir, 2015. "Obligatory service requirement and physician specialist distribution in Turke," Economics Bulletin, AccessEcon, vol. 35(1), pages 441-451.
    • Handle: RePEc:ebl:ecbull:eb-14-00211
    as

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    References listed on IDEAS

    as
    1. Till Bärnighausen & David E. Bloom, 2008. "Financial incentives for return of service in underserved areas: a systematic review," PGDA Working Papers 3608, Program on the Global Demography of Aging.
    2. Cavender, Anthony & Albán, Manuel, 1998. "Compulsory medical service in Ecuador: the physician's perspective," Social Science & Medicine, Elsevier, vol. 47(12), pages 1937-1946, December.
    3. Matsumoto, Masatoshi & Inoue, Kazuo & Kajii, Eiji, 2010. "Policy implications of a financial incentive programme to retain a physician workforce in underserved Japanese rural areas," Social Science & Medicine, Elsevier, vol. 71(4), pages 667-671, August.
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    More about this item

    Keywords

    physician specialists; Turkey; inequalities; regulation; obligatory service;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health

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