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French GPs’ willingness to delegate tasks: when risk aversion meets financial incentives

Abstract : Within hospital settings, delegation to paramedics is fairly recent in France. Whether General Practitioners are likely to follow hospital consultants is unknown. A 2012 survey of 2,000 GPs might help foresee GPs willingness to do so. This paper tests whether a more favourable funding system might help increasing GPs willingness. We implement a quasi-experimental design wherein GP’s are randomly selected to form three groups of equal size, each of them being exposed to a different funding scheme when declaring their willingness to delegate tasks to nurses: fully funded (FF) by the social security administration, self-funded by GPs’ revenues (Self Funded, SF) and half-funded by both the social security administration and GPs (Half Funded, HF). GP’s likelihood to be in favour of task delegation is estimated with a Probit model which especially considers GP’s attitude toward risk (aversion or preference), among a set of covariates such as age, gender, rural/urban area, GP’s density and funding scheme. This article shows that, firstly GPs are more likely to favour delegation where they share a lower proportion of the cost. Secondly, the effect of risk aversion on the likelihood of being in favour of delegation is not altered by the funding scheme.
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https://hal.ehesp.fr/hal-02895019
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Submitted on : Thursday, July 9, 2020 - 2:03:35 PM
Last modification on : Saturday, July 11, 2020 - 3:20:37 AM

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  • HAL Id : hal-02895019, version 1

Citation

Simon Jean-Baptiste Combes, A. Paraponaris, Y. Videau. French GPs’ willingness to delegate tasks: when risk aversion meets financial incentives. 66th AFSE meeting, Association Française de Science Economique (AFSE); GREDEG (Groupe de Recherche en Droit, Economie et Gestion) a joint research team of UCA and CNRS, Jun 2017, Nice, France. ⟨hal-02895019⟩

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