Journal of Economics and Finance

, Volume 22, Issue 2–3, pp 85–96 | Cite as

Do physicians employ aides efficiently?: Some new evidence on solo practitioners

  • James Thornton

Abstract

This paper investigates the issue of efficient employment of aides in the production of medical care services by self-employed solo practice physicians. Several alternative specifications of the production function for physician services are estimated. The parameter estimates obtained are then used to draw inferences about medical care delivery technology and allocation efficiency. The findings suggest that solo practice physicians overemploy aides and in so doing neither maximize medical practice profit nor minimize the cost of delivering medical care services.

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References

  1. Brown, D., “Do Physicians Underutilize Aides?,”Journal of Human Resources, 23, (1988): 342–55.CrossRefGoogle Scholar
  2. Brown, D., and H. Lapan, “Analysis of Physician' Input Decisions,” in N. Greenspan (ed.)Issues in Physician Reimbursement, HCFA No. 03121, 1981.Google Scholar
  3. Cebula, R., “Determinants of the Inflation Rate of the Health Care CPI in the US,”Applied Economics Letters, 5, (1998): 47–49.CrossRefGoogle Scholar
  4. Cutler, D., “A Guide to Health Care Reform,”Journal of Economic Perspectives, 8, (1994): 18–29.Google Scholar
  5. Danzon, P., M. Pauly, and R. Kingston, “The Effects of Malpractice Litigation on Physician Fees and Incomes,”American Economic Review, 80, (1990): 122–27.Google Scholar
  6. Eakin, K., “Do Physicians Minimize Cost? A Comparison of Group and Solo Practices,” in H. Fried, C. A. K. Lovell, and S. Shelton (eds.),The Measurement of Production Efficiency: Techniques and Applications, Oxford University Press, 1992.Google Scholar
  7. Eakin, K., and T. Kniesner, “Estimating a Non-Minimum Cost Function for Hospitals,”Southern Economic Journal, 54, (1988): 583–97.CrossRefGoogle Scholar
  8. Feldstein, M., “Rising Price of Physicians Services,”Review of Economics and Statistics, 52, (1970): 121–33.CrossRefGoogle Scholar
  9. Feldstein, P., Health Care Economics, Albany: Delmar Publishers, 1993.Google Scholar
  10. Greenwald, B., and M. Mueller, (1978), “Medical Malpractice and Medical Costs,” in Simon Rottenberg (ed.),The Economics of Medical Malpractice. Washington D.C.: American Enterprise Institute, 1978.Google Scholar
  11. Held, P., and U. Reinhardt, “Analysis of Economic Performance in Medical Group Practice: Final Report and Executive Summary,” Mathematica Policy Research, Princeton NJ, 1979.Google Scholar
  12. Jacoby, H., “Shadow Wages and Peasant Family Labor Supply: An Econometric Application to the Peruvian Sierra,”Review of Economic Studies, 60, (1993): 903–21.CrossRefGoogle Scholar
  13. Keeler, T., and J. Ying, “Hospital Costs and Excess Bed Capacity: A Statistical Analysis,”The Review of Economics and Statistics, 78, (1996): 470–481.CrossRefGoogle Scholar
  14. Kralewski, J., L. Pitt, and D Shatin, “Structural Characteristics of Medical Group Practice,”Administrative Science Quarterly, 30, (1985): 34–35.CrossRefGoogle Scholar
  15. Lau, L., and P. Yotopolous, “A Test for Relative Efficiency and Application to Indian Agriculture,”American Economic Review, 63, (1973): 214–223.Google Scholar
  16. Lee, R., and J. Hadley, “Physician Fees and Public Medical Care Programs,”Health Services Research, 16, (1981): 185–203.Google Scholar
  17. Levit, R., C. Cowan, et. al., “National Health Spending Trends, 1960–1993,”Health Affairs, 13, (1994): 14–31.CrossRefGoogle Scholar
  18. McCarthy, T, “The Competitive Nature of the Primary-Care Physician Services Market,”Journal of Health Economics, 4, (1985): 93–117.CrossRefGoogle Scholar
  19. Nakamura, A., and M. Nakamura, “On the Relationship Among Several Error Tests Presented By Durbin, Wu, and Hausman,”Econometrica, 49, (1981): 1583–88.CrossRefGoogle Scholar
  20. Newhouse, J., “A Model of Physician Pricing,”Southern Economic Journal, 37, (1970): 174–183.CrossRefGoogle Scholar
  21. Newhouse, J., “Medical Care Costs: How Much Welfare Loss?,”Journal of Economic Perspectives, 6, (1992): 23–42.Google Scholar
  22. Pauly, M.,Doctors and Their Workshops: Economic Models of Physician Behavior, Chicago: The University of Chicago Press, 1980.Google Scholar
  23. Reinhardt, U., “A Production Function for Physician Services,”Review of Economics and Statistics, 54, (1972): 55–66.CrossRefGoogle Scholar
  24. Reynolds, R., J. Rizzo, and M. Gonzalez, The Cost of Medical Professional Liability, 257, (1987): 2776–81.Google Scholar
  25. Sloan, F., “Physician Labor Supply Behavior in the Short-Run,”Journal of Industrial and Labor Relations Review, 28, (1975): 549–69.CrossRefGoogle Scholar
  26. Sprachman, S., Burich, M., et al., “Physician Practice Cost and Income Survey, Users Guide and Codebook,” prepared under HCFA contract No. 500-83-0025, December, 1985.Google Scholar
  27. Steinwald, B., and F. Sloan, “Determinants of Physician Fees,”Journal of Business, 47, (1974): 493–511.CrossRefGoogle Scholar
  28. Thornton, J., and K. Eakin, “Virtual Prices and a General Theory of the Owner Operated Firm,”Southern Economic Journal, 58, (1992): 1015–29.CrossRefGoogle Scholar
  29. Zuckerman, S., J. Hadley, and L. Iezzoni, “Measuring Hospital Efficiency with Frontier Cost Functions,”Journal of Health Economics, 13, (1994): 255–80.CrossRefGoogle Scholar

Copyright information

© Springer 1998

Authors and Affiliations

  • James Thornton
    • 1
  1. 1.Department of EconomicsEastern Michigan UniversityYpsilanti

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