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Physician-induced demand by Irish GPs

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  • Tussing, A. Dale
  • Wojtowycz, Martha A.

Abstract

Approximately one-third of the Irish population receive all medical care services free. GPs (general practitioners) treat both public and private patients, and are remunerated on a fee-for service basis by the state for public patients, and by the patient, at a higher rate, for private patients. In 1981, the first author conducted a national survey of Irish medical care utilization, asking whether patients' most recent GP visits resulted in a return visit being arranged. This measure of self-referral by GPs is significantly and strongly associated with the ratio of GPs to population, and negatively with the ratio to population of persons eligible for free services, and with area per capita income. All three results are as hypothesized from a theoretical model, and point to significant self-interested physician-induced demand by Irish GPs.

Suggested Citation

  • Tussing, A. Dale & Wojtowycz, Martha A., 1986. "Physician-induced demand by Irish GPs," Social Science & Medicine, Elsevier, vol. 23(9), pages 851-860, January.
    • Handle: RePEc:eee:socmed:v:23:y:1986:i:9:p:851-860
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    Cited by:

    1. Lurås, Hilde, 2009. "General Practice: Four Empirical Essays on GP Behaviour and Individuals’ Preferences for GPs," HERO Online Working Paper Series 2004:1, University of Oslo, Health Economics Research Programme.
    2. Anthony Scott & Alan Shiell, 1997. "Analysing the effect of competition on General Practitioners' behaviour using a multilevel modelling framework," Health Economics, John Wiley & Sons, Ltd., vol. 6(6), pages 577-588, November.
    3. Nolan, Brian, 1991. "The Utilisation and Financing of Health Services in Ireland," Research Series, Economic and Social Research Institute (ESRI), number GRS155.
    4. Nolan, Anne & Nolan, Brian, 2007. "Income, Medical Card Eligibility and Access to GP Services in Ireland," Book Chapters, in: Nolan, Brian (ed.),The Provision and Use of Health Services, Health Inequalities and Health and Social Gain, Economic and Social Research Institute (ESRI).
    5. Léonard, Christian & Stordeur, Sabine & Roberfroid, Dominique, 2009. "Association between physician density and health care consumption: A systematic review of the evidence," Health Policy, Elsevier, vol. 91(2), pages 121-134, July.
    6. Sundmacher, Leonie & Busse, Reinhard, 2011. "The impact of physician supply on avoidable cancer deaths in Germany. A spatial analysis," Health Policy, Elsevier, vol. 103(1), pages 53-62.
    7. Till Bärnighausen & David E. Bloom, 2009. "Changing Research Perspectives on the Global Health Workforce," NBER Working Papers 15168, National Bureau of Economic Research, Inc.
    8. Lise Rochaix & Stéphane Jacobzone, 1997. "L'hypothèse de demande induite : un bilan économique," Économie et Prévision, Programme National Persée, vol. 129(3), pages 25-36.

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    Keywords

    physician induced demand Eire;

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