ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2017
Junior doctors' medical specialty and practice location choice: simulating policies to overcome regional inequalities.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Preferences of health professions learners: a scoping review of the use and role of DCEs in health professions education.Medical education online · 2026Article
- Better Together? A Mediation Analysis of French General Practitioners' Performance in Multi Professional Group Practice.Health services insights · 2025Article
- The impacts of altruism levels on the job preferences of medical students: a cross-sectional study in China.BMC medical education · 2023Article
- What do Iranian physicians value most when choosing a specialty? Evidence from a discrete choice experiment.Cost effectiveness and resource allocation : C/E · 2022Article
- How French general practitioners respond to declining medical density: a study on prescription practices, with an insight into opioids use.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
- Stubbing out hypothetical bias: improving tobacco market predictions by combining stated and revealed preference data.Journal of health economics · 2019Article
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Authors and funding
4 authors.
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Abstract
There are nowadays over 1 million Portuguese who lack a primary care physician. By applying a discrete choice experiment to a large representative sample of Portuguese junior doctors (N = 503) in 2014, we provide an indication that this shortage may be addressed with a careful policy design that mixes pecuniary and non-pecuniary incentives for these junior physicians. According to our simulations, a policy that includes such incentives may increase uptake of general practitioners (GPs) in rural areas from 18% to 30%. Marginal wages estimated from our model are realistic and close to market prices: an extra hour of work would require an hourly wage of 16.5€; moving to an inland rural setting would involve an increase in monthly income of 1.150€ (almost doubling residents' current income); a shift to a GP career would imply an 849€ increase in monthly income. Additional opportunities to work outside the National Health Service overcome an income reduction of 433€. Our simulation predicts that an income increase of 350€ would lead to a 3 percentage point increase in choice probability, which implies an income elasticity of 3.37, a higher estimation compared to previous studies.
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