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Medical labour supply and the production of healthcare

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Title: Medical labour supply and the production of healthcare
Authors: Lee, T
Propper, C
Stoye, G
Item 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.
Issue Date: 17-Feb-2020
Date of Acceptance: 12-Aug-2019
URI: http://hdl.handle.net/10044/1/72958
DOI: 10.1111/1475-5890.12198
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.
Sponsor/Funder: Commission of the European Communities
Economic & Social Research Council (ESRC)
Funder's Grant Number: 788529
ES00154: 512 (ES/S003118/1)
Keywords: 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
Online Publication Date: 2019-12-01
Appears in Collections:Imperial College Business School