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Doctor-Nurse Teams, Incentives and Behavior

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  • Aida Isabel Tavares

    (CEISUC, University of Coimbra, Portugal)

Abstract

Nurses have been gaining expertise over time and it is common that they work together in a team with doctors to treat patients. Using a model based on contract theory, the aim of this article is to analyze the effects of an improvement in nurses’ productivity on the incentives paid and on the behavior of doctors and nurses, in particular when the budgets are limited. The results show that following an improvement in nurse productivity, nurses’ incentives are lower but the overall budget of incentives is higher. Under a restricted health care budget, results show that the treatment of patients is mainly carried out by nurses, and not doctors, reflecting free-riding by doctors. The contribution of this work is particularly relevant for human resources policy makers in primary health-care units.

Suggested Citation

  • Aida Isabel Tavares, 2014. "Doctor-Nurse Teams, Incentives and Behavior," Notas Económicas, Faculty of Economics, University of Coimbra, issue 39, pages 9-35, June.
    • Handle: RePEc:gmf:journl:y:2014:i:39:p:9-35
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    File URL: https://impactum-journals.uc.pt/notaseconomicas/article/view/2183-203X_39_1/2630
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    References listed on IDEAS

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    1. Alchian, Armen A & Demsetz, Harold, 1972. "Production , Information Costs, and Economic Organization," American Economic Review, American Economic Association, vol. 62(5), pages 777-795, December.
    2. repec:hhs:bergec:2000_000 is not listed on IDEAS
    3. Bulow, Jeremy I & Geanakoplos, John D & Klemperer, Paul D, 1985. "Multimarket Oligopoly: Strategic Substitutes and Complements," Journal of Political Economy, University of Chicago Press, vol. 93(3), pages 488-511, June.
    4. Douglas M. Brown, 1988. "Do Physicians Underutilize Aides?," Journal of Human Resources, University of Wisconsin Press, vol. 23(3), pages 342-355.
    5. Burkhard Hehenkamp & Oddvar Kaarbøe, 2011. "Paying for Performance in Hospitals," Economic Analysis and Policy, Elsevier, vol. 41(1), pages 49-70, March.
    6. Gerald Richardson & Alan Maynard, 1995. "Fewer doctors? More nurses? A review of the knowledge base of doctor-nurse substitution," Working Papers 135chedp, Centre for Health Economics, University of York.
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    Cited by:

    1. Alex Barrachina & Víctor González-Chordá, 2016. "To report or not to report: Applying game theory to nursing error reporting," Working Papers 2016/14, Economics Department, Universitat Jaume I, Castellón (Spain).

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    More about this item

    JEL classification:

    • I19 - Health, Education, and Welfare - - Health - - - Other
    • D82 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Asymmetric and Private Information; Mechanism Design

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