文章基本信息

标题：Socioeconomic Status and Physicians' Treatment Decisions
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作者：Kurt R. Brekke ; Tor Helge Holmås ; Karin Monstad 等
期刊名称：Discussion Papers / Norwegian School of Economics and Business Administration
印刷版ISSN：0804-6824
出版年度：2015
卷号：2015
出版社：Bergen
摘要：This paper aims at shedding light on the social gradient by studying the relationshipbetween socioeconomic status (SES) and provision of health care. Using administrative dataon services provided by General Practitioners (GPs) in Norway over a ve year period (2008-12), we analyse the quantity, composition and value of services provided by the GPs accordingto patientsSES measured by education, income or ethnicity. Our data allow us to controlfor a wide set of patient and GP characteristics. To account for (unobserved) heterogeneity,we limit the sample to patients with a specic disease, diabetes type 2, and estimate amodel with GP xed e¤ects. Our results show that patients with low SES visit the GPsmore often, but the value of services provided per visit is lower. The composition of servicesvaries with SES, where patients with low education and African or Asian ethnicity receivemore medical tests but shorter consultations, whereas patients with low income receive bothshorter consultations and fewer tests. Thus, our results show that GPs di¤erentiate servicesaccording to SES, but give no clear evidence for a social gradient in health care provision.
关键词：Socio-economic status; Primary care; General Practitioners