IDEAS home Printed from https://ideas.repec.org/p/has/discpr/2210.html
   My bibliography  Save this paper

Financial subsidies and the shortage of primary care physicians

Author

Listed:
  • Anikó Bíró

    (Centre for Economic and Regional Studies)

  • Blanka Imre

    (University of Groningen and Centre for Economic and Regional Studies)

Abstract

The shortage of primary care physicians is a global healthcare problem, especially in rural areas. In this paper, we analyse the choice of location of primary care physicians and estimate the causal effect of financial incentives on the supply of primary care physicians in underserved areas. Our analysis is based on a quasi-experimental setting from Hungary. After 2015, primary care physicians could receive financial subsidy if they filled such a primary care position which has been vacant for at least a year, the amount of the subsidy increasing with the duration of the vacancy. Our results suggest that targeted financial incentives can help fill long-time vacant primary care positions but cannot completely eliminate primary care shortages. We also provide evidence on the role of demographic characteristics and individual preferences in the location choice of primary care physicians.

Suggested Citation

  • Anikó Bíró & Blanka Imre, 2022. "Financial subsidies and the shortage of primary care physicians," CERS-IE WORKING PAPERS 2210, Institute of Economics, Centre for Economic and Regional Studies.
    • Handle: RePEc:has:discpr:2210
    as

    Download full text from publisher

    File URL: https://kti.krtk.hu/wp-content/uploads/2022/05/CERSIEWP202210.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Francisco Costa & Letícia Nunes & Fabio Miessi Sanches, 2024. "How to Attract Physicians to Underserved Areas? Policy Recommendations from a Structural Model," The Review of Economics and Statistics, MIT Press, vol. 106(1), pages 36-52, January.
    2. Thomas Le Barbanchon & Roland Rathelot & Alexandra Roulet, 2021. "Gender Differences in Job Search: Trading off Commute against Wage," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 136(1), pages 381-426.
    3. Steven Simoens & Jeremy Hurst, 2006. "The Supply of Physician Services in OECD Countries," OECD Health Working Papers 21, OECD Publishing.
    4. Tamara Bischof & Boris Kaiser, 2021. "Who cares when you close down? The effects of primary care practice closures on patients," Health Economics, John Wiley & Sons, Ltd., vol. 30(9), pages 2004-2025, September.
    5. Borghorst, Malte & Mulalic, Ismir & van Ommeren, Jos, 2021. "Commuting, Children and the Gender Wage Gap," Working Papers 15-2021, Copenhagen Business School, Department of Economics.
    6. Hancock, Christine & Steinbach, Alan & Nesbitt, Thomas S. & Adler, Shelley R. & Auerswald, Colette L., 2009. "Why doctors choose small towns: A developmental model of rural physician recruitment and retention," Social Science & Medicine, Elsevier, vol. 69(9), pages 1368-1376, November.
    Full references (including those not matched with items on IDEAS)

    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. Itzik Fadlon & Frederik Plesner Lyngse & Torben Heien Nielsen, 2022. "Early Career Setbacks and Women’s Career-Family Trade-Off," CEBI working paper series 22-06, University of Copenhagen. Department of Economics. The Center for Economic Behavior and Inequality (CEBI).
    2. Sonia Oreffice & Dario Sansone, 2022. "Commuting to work and gender-conforming social norms: evidence from same-sex couples," Papers 2202.10344, arXiv.org.
    3. Ivandić, Ria & Lassen, Anne Sophie, 2023. "Gender gaps from labor market shocks," Labour Economics, Elsevier, vol. 83(C).
    4. Feder-Bubis, Paula & Bin-Nun, Gabi & Zarhin, Dana & Sherf, Michael & Heiman-Neuman, Nitza, 2023. "Residents' choice of a placement in periphery hospitals in Israel: The significance of personal/family and professional considerations," Health Policy, Elsevier, vol. 132(C).
    5. Claudia Hupkau & Barbara Petrongolo, 2020. "Work, Care and Gender during the COVID‐19 Crisis," Fiscal Studies, John Wiley & Sons, vol. 41(3), pages 623-651, September.
    6. Agnès Charpin & Josep Amer-Mestre & Noémi Berlin & Magali Dumontet, 2024. "Gender Differences in Early Occupational Choices: Evidence from Medical Specialty Selection," Working Papers hal-04455212, HAL.
    7. Kesternich, Iris & Schumacher, Heiner & Siflinger, Bettina & Valder, Franziska, 2022. "Reservation wages and labor supply," Journal of Economic Behavior & Organization, Elsevier, vol. 194(C), pages 583-607.
    8. Eric Delattre & Anne-Laure Samson, 2012. "Stratégies de localisation des médecins généralistes français : mécanismes économiques ou hédonistes ?," Économie et Statistique, Programme National Persée, vol. 455(1), pages 115-142.
    9. Giménez-Nadal, José Ignacio & Velilla, Jorge & Ortega-Lapiedra, Raquel, 2024. "Differences in commuting between employee and self-employed workers: The case of Latin America," Journal of Transport Geography, Elsevier, vol. 114(C).
    10. Roberto Brunetti & Carl Gaigné & Fabien Moizeau, 2023. "Credit Market Imperfections, Urban Land Rents and the Henry George Theorem," Revue économique, Presses de Sciences-Po, vol. 74(5), pages 681-703.
    11. Giménez-Nadal, José Ignacio & Velilla, Jorge & Ortega, Raquel, 2022. "Revisiting excess commuting and self-employment: The case of Latin America," GLO Discussion Paper Series 1179, Global Labor Organization (GLO).
    12. Patricia Palffy & Patrick Lehnert & Uschi Backes‐Gellner, 2023. "Social norms and gendered occupational choices of men and women: Time to turn the tide?," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 62(4), pages 380-410, October.
    13. Azmat, Ghazala & Hensvik, Lena & Rosenqvist, Olof, 2020. "Workplace presenteeism, job substitutability and gender inequality," Working Paper Series 2020:9, IFAU - Institute for Evaluation of Labour Market and Education Policy.
    14. Vanda Almeida & Claire Hoffmann & Sebastian Königs & Ana Moreno Monroy & Mauricio Salazar-Lozada & Javier Terrero-Dávila, 2024. "Geographic inequalities in accessibility of essential services," OECD Social, Employment and Migration Working Papers 307, OECD Publishing.
    15. Carneiro, Pedro & Salvanes, Kjell G. & Willage, Barton & Willén, Alexander, 2022. "The Timing of Parental Job Displacement, Child Development and Family Adjustment," Discussion Paper Series in Economics 12/2022, Norwegian School of Economics, Department of Economics.
    16. Alessandra Casarico & Salvatore Lattanzio, 2023. "Behind the child penalty: understanding what contributes to the labour market costs of motherhood," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(3), pages 1489-1511, July.
    17. Biermann, Marcus, 2024. "Remote talks: Changes to economics seminars during COVID-19," European Economic Review, Elsevier, vol. 163(C).
    18. David R. Agrawal & Aline Bütikofer, 2022. "Public finance in the era of the COVID-19 crisis," International Tax and Public Finance, Springer;International Institute of Public Finance, vol. 29(6), pages 1349-1372, December.
    19. Jung Ho Choi & Joseph Pacelli & Kristina M. Rennekamp & Sorabh Tomar, 2023. "Do Jobseekers Value Diversity Information? Evidence from a Field Experiment and Human Capital Disclosures," Journal of Accounting Research, Wiley Blackwell, vol. 61(3), pages 695-735, June.
    20. Carlsson, Fredrik & Kataria, Mitesh & Lampi, Elina, 2024. "Sexual objectification of women in media and the gender wage gap: Does exposure to objectifying pictures lower the reservation wage?," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 108(C).

    More about this item

    Keywords

    primary care; physician shortage; financial subsidy; location choice; Hungary;
    All these keywords.

    JEL classification:

    • H20 - Public Economics - - Taxation, Subsidies, and Revenue - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    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:has:discpr:2210. 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: Nora Horvath (email available below). General contact details of provider: https://edirc.repec.org/data/iehashu.html .

    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.