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Do Physicians Underutilize Aides?

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  • Douglas M. Brown

Abstract

This paper utilizes a large national data set to retest the result found by Reinhardt that office-based physicians underutilize aides. Employing the transcendental-exponential form of the production function, it finds that groups are more productive than solos and that physicians typically do not use aides efficiently. Specifically, except for physician assistants used in groups, nonnurse aides were found to be overemployed. The policy implications are that for physicians to produce more efficiently, they must use fewer secretarial, administrative, and technician hours. A trend in this direction is already in evidence.

Suggested Citation

  • Douglas M. Brown, 1988. "Do Physicians Underutilize Aides?," Journal of Human Resources, University of Wisconsin Press, vol. 23(3), pages 342-355.
    • Handle: RePEc:uwp:jhriss:v:23:y:1988:i:3:p:342-355
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    Cited by:

    1. Escarce, Jose J. & Pauly, Mark V., 1998. "Physician opportunity costs in physician practice cost functions," Journal of Health Economics, Elsevier, vol. 17(2), pages 129-151, April.
    2. Pope, Gregory C. & Burge, Russel T., 1995. "The marginal practice cost of physicians' services," Socio-Economic Planning Sciences, Elsevier, vol. 29(1), pages 1-16, March.
    3. Sisira Sarma & Rose Anne Devlin & William Hogg, 2010. "Physician's production of primary care in Ontario, Canada," Health Economics, John Wiley & Sons, Ltd., vol. 19(1), pages 14-30, January.
    4. James Thornton, 1998. "Do physicians employ aides efficiently?: Some new evidence on solo practitioners," Journal of Economics and Finance, Springer;Academy of Economics and Finance, vol. 22(2), pages 85-96, June.
    5. Lisa C. DeFelice & W. David Bradford, 1997. "Relative inefficiencies in production between solo and group practice physicians," Health Economics, John Wiley & Sons, Ltd., vol. 6(5), pages 455-465, September.
    6. Gregory Dobson & Edieal Pinker & R. Lawrence Van Horn, 2009. "Division of Labor in Medical Office Practices," Manufacturing & Service Operations Management, INFORMS, vol. 11(3), pages 525-537, May.
    7. Jasmin Kantarevic & Boris Kralj & Darrel Weinkauf, 2008. "Income effects and physician labour supply: evidence from the threshold system in Ontario," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 41(4), pages 1262-1284, November.
    8. Andrew I. Friedson, 2018. "Medical Scribes as an Input in Health-Care Production: Evidence from a Randomized Experiment," American Journal of Health Economics, MIT Press, vol. 4(4), pages 479-503, Fall.
    9. Theodore Stefos & James Burgess & Jeffrey Cohen & Laura Lehner & Eileen Moran, 2012. "Dynamics of the mental health workforce: investigating the composition of physicians and other health providers," Health Care Management Science, Springer, vol. 15(4), pages 373-384, December.
    10. Aida Isabel Tavares, 2014. "Doctor-Nurse Teams, Incentives and Behavior," Notas Económicas, Faculty of Economics, University of Coimbra, issue 39, pages 9-35, June.
    11. James Thornton, 1998. "The labour supply behaviour of self-employed solo practice physicians," Applied Economics, Taylor & Francis Journals, vol. 30(1), pages 85-94.

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