2023-09-28 14:46:10 +00:00
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abstract: 'There are nowadays over 1 million Portuguese who lack a primary care
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physician. By applying a discrete choice experiment to a large
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representative sample of Portuguese junior doctors (N = 503) in 2014, we
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provide an indication that this shortage may be addressed with a careful
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policy design that mixes pecuniary and non-pecuniary incentives for
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these junior physicians. According to our simulations, a policy that
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includes such incentives may increase uptake of general practitioners
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(GPs) in rural areas from 18\% to 30\%. Marginal wages estimated from
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our model are realistic and close to market prices: an extra hour of
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work would require an hourly wage of 16.5a,notsign; moving to an inland
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rural setting would involve an increase in monthly income of
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1.150a,notsign (almost doubling residents'' current income); a shift to a
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GP career would imply an 849a,notsign increase in monthly income.
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Additional opportunities to work outside the National Health Service
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overcome an income reduction of 433a,notsign. Our simulation predicts
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that an income increase of 350a,notsign would lead to a 3 percentage
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point increase in choice probability, which implies an income elasticity
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of 3.37, a higher estimation compared to previous studies.'
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affiliation: 'Ramos, P (Corresponding Author), Univ Sao Paulo, Hosp Clin, Med Director
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Off, Fac Med, Av Dr Eneas de Carvalho Aguiar ,255, BR-05403000 Sao Paulo, SP, Brazil.
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Ramos, P (Corresponding Author), Univ Porto, Fac Med, Oporto, Portugal.
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Ramos, Pedro, Univ Sao Paulo, Hosp Clin, Med Director Off, Fac Med, Av Dr Eneas
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de Carvalho Aguiar ,255, BR-05403000 Sao Paulo, SP, Brazil.
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Ramos, Pedro; Alves, Helio; Ferreira, Maria A., Univ Porto, Fac Med, Oporto, Portugal.
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Guimaraes, Paulo, Bank Portugal, Oporto, Portugal.
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Guimaraes, Paulo, Univ Porto, Fac Econ, Oporto, Portugal.'
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author: Ramos, Pedro and Alves, Helio and Guimaraes, Paulo and Ferreira, Maria A.
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author-email: pedrosaldanharamos@live.com.pt
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author_list:
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- family: Ramos
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given: Pedro
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- family: Alves
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given: Helio
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- family: Guimaraes
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given: Paulo
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- family: Ferreira
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given: Maria A.
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da: '2023-09-28'
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doi: 10.1007/s10198-016-0846-6
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eissn: 1618-7601
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files: []
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issn: 1618-7598
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journal: EUROPEAN JOURNAL OF HEALTH ECONOMICS
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keywords: 'Medical specialty choice; Discrete choice experiment; Location decision;
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Rural uptake policies; Portugal'
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keywords-plus: 'EXPERIMENTAL-DESIGN; STATED PREFERENCE; PHYSICIANS; INCENTIVES; CARE;
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GPS; HETEROGENEITY; MODELS; EQUITY; ACCESS'
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language: English
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month: NOV
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number: '8'
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number-of-cited-references: '51'
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orcid-numbers: 'Ferreira, Maria Amélia/0000-0001-6789-3796
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Guimaraes, Paulo D/0000-0002-2992-1028
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Alves, Helio/0000-0002-5879-3838
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Ramos, Pedro/0000-0002-6825-6577'
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pages: 1013-1030
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papis_id: e2078940600e8e93bf07bf3ac428d189
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ref: Ramos2017juniordoctors
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researcherid-numbers: 'Ferreira, Maria Amélia/AAQ-5080-2021
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Guimaraes, Paulo D/A-7085-2008
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'
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times-cited: '4'
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title: 'Junior doctors'' medical specialty and practice location choice: simulating
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policies to overcome regional inequalities'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000410920100007
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usage-count-last-180-days: '1'
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usage-count-since-2013: '23'
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volume: '18'
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web-of-science-categories: Economics; Health Policy \& Services
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year: '2017'
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