Medical labour supply and the production of healthcare
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Author(s)
Lee, Tom
Propper, Carol
Stoye, George
Type
Journal Article
Abstract
Medical labour markets are important due to their size and the importance
of medical labour in the production of healthcare and subsequent patient outcomes. We present a summary of important trends in the UK medical labour
market, and review the latest research on factors that determine medical labour
supply and the impact of labour on patient outcomes. The topics examined
include the responsiveness of labour supply to changes in wages, regulation
and other incentives; factors which determine the wide variation in physician
practice and style; and the effect of teams and management quality on patient
outcomes. This literature reveals that while labour supply is relatively unresponsive to changes in wages, medical personnel do react strongly to other
incentives even in the short run. This is likely to have consequences for quality of care provided to patients. We set out a series of unanswered questions
in the UK setting, including: the importance of non-financial incentives in
recruiting and retaining medical staff; how individuals can be incentivised to
work in particular specialties and regions; and how medical teams can be best
organised to improve care.
of medical labour in the production of healthcare and subsequent patient outcomes. We present a summary of important trends in the UK medical labour
market, and review the latest research on factors that determine medical labour
supply and the impact of labour on patient outcomes. The topics examined
include the responsiveness of labour supply to changes in wages, regulation
and other incentives; factors which determine the wide variation in physician
practice and style; and the effect of teams and management quality on patient
outcomes. This literature reveals that while labour supply is relatively unresponsive to changes in wages, medical personnel do react strongly to other
incentives even in the short run. This is likely to have consequences for quality of care provided to patients. We set out a series of unanswered questions
in the UK setting, including: the importance of non-financial incentives in
recruiting and retaining medical staff; how individuals can be incentivised to
work in particular specialties and regions; and how medical teams can be best
organised to improve care.
Date Issued
2020-02-17
Date Acceptance
2019-08-12
Citation
Fiscal Studies, 2020, 40 (4), pp.621-661
ISSN
0143-5671
Publisher
Wiley
Start Page
621
End Page
661
Journal / Book Title
Fiscal Studies
Volume
40
Issue
4
Copyright Statement
© 2020 The Authors. Fiscal Studies published by John Wiley & Sons Ltd. on behalf of Institute for Fiscal Studies
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Sponsor
Commission of the European Communities
Economic & Social Research Council (ESRC)
Grant Number
788529
ES00154: 512 (ES/S003118/1)
Subjects
Social Sciences
Business, Finance
Economics
Business & Economics
healthcare production
medical labour force
regulation
PAY-FOR-PERFORMANCE
PANEL-DATA EVIDENCE
QUALITY-OF-CARE
MANAGEMENT-PRACTICES
PATIENT PREFERENCES
REGIONAL-VARIATIONS
PHYSICIANS
NURSES
BEHAVIOR
WORK
Economics
1402 Applied Economics
Publication Status
Published
Date Publish Online
2019-12-01