TY - JOUR
T1 - Do doctors respond to financial incentives? UK family doctors and the GP fundholder scheme
AU - Croxson, B.
AU - Propper, C.
AU - Perkins, A.
N1 - Funding Information:
The authors gratefully acknowledge the support and co-operation of North West Anglia Health Authority, and discussions with Simon Burgess. The project was conducted while two of the authors were based in the School of Health, University of East Anglia. The project was funded by a grant from the Anglia and Oxford NHS Executive Health Services & Public Health Research Sub-Committee. Part of Propper’s time was funded by the Leverhulme Trust under a grant given to the CMPO. This paper is entirely a reflection of the views and interpretation of the authors and does not in any way reflect the views of the NHS or health authority.
PY - 2001/2
Y1 - 2001/2
N2 - The 1991 reforms to the UK NHS created a group of buyers of hospital care from amongst primary care physicians. The implementation of the reforms was such that these buyers had incentives to increase their use of hospital services prior to entering the scheme in order to inflate their budgets. It has been argued that non-financial motives would limit such behaviour. The paper shows that these health care providers did respond to the financial incentives offered by the scheme, increasing hospital-based activity prior to entry, and so inflating their budgets upwards for the duration of the fundholding scheme.
AB - The 1991 reforms to the UK NHS created a group of buyers of hospital care from amongst primary care physicians. The implementation of the reforms was such that these buyers had incentives to increase their use of hospital services prior to entering the scheme in order to inflate their budgets. It has been argued that non-financial motives would limit such behaviour. The paper shows that these health care providers did respond to the financial incentives offered by the scheme, increasing hospital-based activity prior to entry, and so inflating their budgets upwards for the duration of the fundholding scheme.
KW - Analysis of health care markets (I110)
KW - Health care reform
KW - Physicians and financial incentives
KW - Public sector labour markets (J450)
UR - https://www.scopus.com/pages/publications/0000965190
U2 - 10.1016/S0047-2727(00)00074-8
DO - 10.1016/S0047-2727(00)00074-8
M3 - Article
AN - SCOPUS:0000965190
SN - 0047-2727
VL - 79
SP - 375
EP - 398
JO - Journal of Public Economics
JF - Journal of Public Economics
IS - 2
ER -