abstract: 'There are nowadays over 1 million Portuguese who lack a primary care

  physician. By applying a discrete choice experiment to a large

  representative sample of Portuguese junior doctors (N = 503) in 2014, we

  provide an indication that this shortage may be addressed with a careful

  policy design that mixes pecuniary and non-pecuniary incentives for

  these junior physicians. According to our simulations, a policy that

  includes such incentives may increase uptake of general practitioners

  (GPs) in rural areas from 18\% to 30\%. Marginal wages estimated from

  our model are realistic and close to market prices: an extra hour of

  work would require an hourly wage of 16.5a,notsign; moving to an inland

  rural setting would involve an increase in monthly income of

  1.150a,notsign (almost doubling residents'' current income); a shift to a

  GP career would imply an 849a,notsign increase in monthly income.

  Additional opportunities to work outside the National Health Service

  overcome an income reduction of 433a,notsign. Our simulation predicts

  that an income increase of 350a,notsign would lead to a 3 percentage

  point increase in choice probability, which implies an income elasticity

  of 3.37, a higher estimation compared to previous studies.'
affiliation: 'Ramos, P (Corresponding Author), Univ Sao Paulo, Hosp Clin, Med Director
  Off, Fac Med, Av Dr Eneas de Carvalho Aguiar ,255, BR-05403000 Sao Paulo, SP, Brazil.

  Ramos, P (Corresponding Author), Univ Porto, Fac Med, Oporto, Portugal.

  Ramos, Pedro, Univ Sao Paulo, Hosp Clin, Med Director Off, Fac Med, Av Dr Eneas
  de Carvalho Aguiar ,255, BR-05403000 Sao Paulo, SP, Brazil.

  Ramos, Pedro; Alves, Helio; Ferreira, Maria A., Univ Porto, Fac Med, Oporto, Portugal.

  Guimaraes, Paulo, Bank Portugal, Oporto, Portugal.

  Guimaraes, Paulo, Univ Porto, Fac Econ, Oporto, Portugal.'
author: Ramos, Pedro and Alves, Helio and Guimaraes, Paulo and Ferreira, Maria A.
author-email: pedrosaldanharamos@live.com.pt
author_list:
- family: Ramos
  given: Pedro
- family: Alves
  given: Helio
- family: Guimaraes
  given: Paulo
- family: Ferreira
  given: Maria A.
da: '2023-09-28'
doi: 10.1007/s10198-016-0846-6
eissn: 1618-7601
files: []
issn: 1618-7598
journal: EUROPEAN JOURNAL OF HEALTH ECONOMICS
keywords: 'Medical specialty choice; Discrete choice experiment; Location decision;

  Rural uptake policies; Portugal'
keywords-plus: 'EXPERIMENTAL-DESIGN; STATED PREFERENCE; PHYSICIANS; INCENTIVES; CARE;

  GPS; HETEROGENEITY; MODELS; EQUITY; ACCESS'
language: English
month: NOV
number: '8'
number-of-cited-references: '51'
orcid-numbers: 'Ferreira, Maria Amélia/0000-0001-6789-3796

  Guimaraes, Paulo D/0000-0002-2992-1028

  Alves, Helio/0000-0002-5879-3838

  Ramos, Pedro/0000-0002-6825-6577'
pages: 1013-1030
papis_id: e2078940600e8e93bf07bf3ac428d189
ref: Ramos2017juniordoctors
researcherid-numbers: 'Ferreira, Maria Amélia/AAQ-5080-2021

  Guimaraes, Paulo D/A-7085-2008

  '
times-cited: '4'
title: 'Junior doctors'' medical specialty and practice location choice: simulating
  policies to overcome regional inequalities'
type: article
unique-id: WOS:000410920100007
usage-count-last-180-days: '1'
usage-count-since-2013: '23'
volume: '18'
web-of-science-categories: Economics; Health Policy \& Services
year: '2017'