IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v119y2015i9p1188-1196.html
   My bibliography  Save this article

Remuneration of medical specialists. Drivers of the differences between six European countries

Author

Listed:
  • Kok, Lucy
  • Boyle, Seán
  • Lammers, Marloes
  • Tempelman, Caren

Abstract

Between countries there are large differences in the remuneration of medical specialists. We compared the remuneration levels in 2010 in six countries: Belgium, Denmark, England, France, Germany and the Netherlands. We used OECD figures for the remuneration levels, but corrected them extensively for differences in measurement between countries. English doctors earned most in 2010, French doctors earned least. For the six countries under study the number of doctors per capita is most consistent with the differences in income. Surprisingly, the payment scheme (salaried or fee-for-service) does not seem to account for differences between countries, although within countries fee-for-service specialists earn more than their salaried counterparts. Differences in the role of the GP, differences in workload, composition of the workforce and education could not account for differences in remuneration between these six countries. As our conclusions are based on only six countries more research involving a larger number of countries is needed to confirm these findings.

Suggested Citation

  • Kok, Lucy & Boyle, Seán & Lammers, Marloes & Tempelman, Caren, 2015. "Remuneration of medical specialists. Drivers of the differences between six European countries," Health Policy, Elsevier, vol. 119(9), pages 1188-1196.
    • Handle: RePEc:eee:hepoli:v:119:y:2015:i:9:p:1188-1196
    DOI: 10.1016/j.healthpol.2015.04.003
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851015000986
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2015.04.003?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Groenewegen, Peter P. & Dourgnon, Paul & Greß, Stefan & Jurgutis, Arnoldas & Willems, Sara, 2013. "Strengthening weak primary care systems: Steps towards stronger primary care in selected Western and Eastern European countries," Health Policy, Elsevier, vol. 113(1), pages 170-179.
    2. Socha, Karolina, 2010. "A survey investigation of public hospital physicians’ working time, income and work satisfaction in the primary and secondary job: Descriptive statistics," DaCHE discussion papers 2010:2, University of Southern Denmark, Dache - Danish Centre for Health Economics.
    3. Rie Fujisawa & Gaétan Lafortune, 2008. "The Remuneration of General Practitioners and Specialists in 14 OECD Countries: What are the Factors Influencing Variations across Countries?," OECD Health Working Papers 41, OECD Publishing.
    4. Garcia-Prado, Ariadna & Gonzalez, Paula, 2007. "Policy and regulatory responses to dual practice in the health sector," Health Policy, Elsevier, vol. 84(2-3), pages 142-152, December.
    5. repec:dau:papers:123456789/12226 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Gifford, Rachel & Molleman, Eric & van der Vaart, Taco, 2024. "It's a jungle out there: Understanding physician payment and its role in group dynamics," Social Science & Medicine, Elsevier, vol. 350(C).
    2. Quentin, Wilm & Geissler, Alexander & Wittenbecher, Friedrich & Ballinger, Geoff & Berenson, Robert & Bloor, Karen & Forgione, Dana A. & Köpf, Peer & Kroneman, Madelon & Serden, Lisbeth & Suarez, Raúl, 2018. "Paying hospital specialists: Experiences and lessons from eight high-income countries," Health Policy, Elsevier, vol. 122(5), pages 473-484.
    3. Boyle, Seán & Petch, Jeremy & Batt, Kathy & Durand-Zaleski, Isabelle & Thomson, Sarah, 2018. "How much do cancer specialists earn? A comparison of physician fees and remuneration in oncology and radiology in high-income countries," Health Policy, Elsevier, vol. 122(2), pages 94-101.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Põlluste, Kaja & Kosunen, Elise & Koskela, Tuomas & Mattila, Kari J. & Schäfer, Willemijn L.A. & Boerma, Wienke G.W. & Lember, Margus, 2019. "Primary health care in transition: Variations in service profiles of general practitioners in Estonia and in Finland between 1993 and 2012," Health Policy, Elsevier, vol. 123(1), pages 37-44.
    2. Reibling, Nadine & Ariaans, Mareike & Wendt, Claus, 2019. "Worlds of Healthcare: A Healthcare System Typology of OECD Countries," Health Policy, Elsevier, vol. 123(7), pages 611-620.
    3. Nóra Kovács & Anita Pálinkás & Valéria Sipos & Attila Nagy & Nouh Harsha & László Kőrösi & Magor Papp & Róza Ádány & Orsolya Varga & János Sándor, 2019. "Factors Associated with Practice-Level Performance Indicators in Primary Health Care in Hungary: A Nationwide Cross-Sectional Study," IJERPH, MDPI, vol. 16(17), pages 1-15, August.
    4. Lukas, Daniel, 2009. "Efficiency effects of cross-border medical demand," Dresden Discussion Paper Series in Economics 15/09, Technische Universität Dresden, Faculty of Business and Economics, Department of Economics.
    5. Ammi, Mehdi & Fortier, Grant, 2017. "The influence of welfare systems on pay-for-performance programs for general practitioners: A critical review," Social Science & Medicine, Elsevier, vol. 178(C), pages 157-166.
    6. Yanchen Liu & Yingchun Chen & Xueyan Cheng & Yan Zhang, 2020. "Performance and Sociodemographic Determinants of Excess Outpatient Demand of Rural Residents in China: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(16), pages 1-14, August.
    7. Terence C. Cheng & Guyonne Kalb & Anthony Scott, 2018. "Public, private or both? Analyzing factors influencing the labour supply of medical specialists," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 51(2), pages 660-692, May.
    8. Pantelidis, Pantelis & Vozikis, Athanassios & Meggouli, Eirini, 2019. "Strategies to prioritize prevention in the Greek primary healthcare system," MPRA Paper 92103, University Library of Munich, Germany.
    9. Agnieszka Barczak & Natalia Marska-Dzioba & Tomasz Rostkowski & Dorota Rozmus, 2021. "Multiple Correspondence Analysis in the Study of Remuneration Fairness: Conclusions for Energy Companies—Case Study of Poland," Energies, MDPI, vol. 14(23), pages 1-13, November.
    10. Akman, Mehmet & Sakarya, Sibel & Sargın, Mehmet & Ünlüoğlu, İlhami & Eğici, Memet Taşkın & Boerma, Wienke G.W. & Schäfer, Willemijn L.A., 2017. "Changes in primary care provision in Turkey: A comparison of 1993 and 2012," Health Policy, Elsevier, vol. 121(2), pages 197-206.
    11. Michael Kuhn & Robert Nuscheler, 2020. "Saving the public from the private? Incentives and outcomes in dual practice," Journal of Public Economic Theory, Association for Public Economic Theory, vol. 22(4), pages 1120-1150, August.
    12. Meliala, Andreasta & Hort, Krishna & Trisnantoro, Laksono, 2013. "Addressing the unequal geographic distribution of specialist doctors in Indonesia: The role of the private sector and effectiveness of current regulations," Social Science & Medicine, Elsevier, vol. 82(C), pages 30-34.
    13. Mihályi, Péter, 2009. "Árak és volumenek a posztszocialista egészségügyben [Prices and volumes in the post-socialist health sector]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(7), pages 585-608.
    14. Igor Sheiman & Vladimir Shevski, 2017. "Two Models of Primary Health Care Development: Russia vs. Central and Eastern European Countries," HSE Working papers WP BRP 06/PSP/2017, National Research University Higher School of Economics.
    15. Ed Westerhout & Kees Folmer, 2013. "Why it may hurt to be insured: the effects of capping coinsurance payments," CPB Discussion Paper 239.rdf, CPB Netherlands Bureau for Economic Policy Analysis.
    16. Laberge, Maude & Gaudreault, Myriam, 2019. "Promoting access to family medicine in Québec, Canada: Analysis of bill 20, enacted in November 2015," Health Policy, Elsevier, vol. 123(10), pages 901-905.
    17. Dean Baker, 2016. "Working Paper: The Compensation of Highly Paid Professionals: How Much Is Rent?," CEPR Reports and Issue Briefs 2016-13, Center for Economic and Policy Research (CEPR).
    18. González, Paula & Macho-Stadler, Inés, 2013. "A theoretical approach to dual practice regulations in the health sector," Journal of Health Economics, Elsevier, vol. 32(1), pages 66-87.
    19. Cheng, Terence C. & Joyce, Catherine M. & Scott, Anthony, 2013. "An empirical analysis of public and private medical practice in Australia," Health Policy, Elsevier, vol. 111(1), pages 43-51.
    20. Socha, Karolina & Bech, Mickael, 2011. "The relationship between dual practice and physicians’ work behaviour in the public hospitals: Results from the Danish survey," DaCHE discussion papers 2011:1, University of Southern Denmark, Dache - Danish Centre for Health Economics.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:119:y:2015:i:9:p:1188-1196. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.