The aim of this chapter is to show how discrete choice experiments (DCEs) can be applied to examine the preferences of health care providers. Health care providers comprise health care organisations and health professionals employed within them. Health professionals make decisions about their supply of labour in addition to clinical decisions. A key policy issue across many developed and developing countries is shortages of health professionals, particularly doctors and nurses. Although a number of policies are being introduced and have been suggested to reduce these shortages, there is little empirical evidence on what factors influence the labour market behaviour of doctors and nurses. Evidence on the relative impact of pay and remuneration on job choices and labour supply has shown that pecuniary factors do matter, but that their effect may be moderate. This raises the issue of what non-pecuniary job characteristics might be altered by policy to increase recruitment and retention. Existing “revealed preference” administrative and survey data do not collect good information on these non-pecuniary job characteristics. DCEs are a method that can be used to inform this issue (Scott, 2001). This chapter focuses on the labour market decisions of hospital consultants in the UK.
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References
Blair, M. 2002. Review body on doctors’ and dentists’ remuneration. Thirty-first report. London: Stationery Office.
Booth, A. and Francesconi, M. 1999. Job mobility in 1990s Britain: does gender matter? Working papers of the Institute for Social and Economic Research. Colchester: University of Essex.
Bradley, M. 1991. User’s manual for SPEED version 2.1 sated preference experiment editor and designer. The Hague: Hague Consulting Group.
Carlsson, F. and Martinsson, P. 2003. Design techniques for stated preference methods in health economics. Health Economics, vol 12, 281–294.
Department of Health. 2001. The NHS Plan. Proposal for a new approach to the consultant contract. London: Department of Health.
Ekeland, I., Heckman, J.J. and Nesheim, L. 2002. Identifying hedonic models. The American Economic Review, vol 92, 304–309.
Elliot, R., Mavromaras, K., Scott, A., Bell, D., der Pol, M. and Gerova, V. 2002. Labour markets and NHS Scotland. Final Report to Scottish Executive Health Department, Aberdeen.
Gronberg, T.J. and Reed, W.R. 1994. Estimating workers marginal willingness to pay for job attributes using duration data. Journal of Human Resources, vol 29, 911–931.
Herzog, H.W. and Schlottmann, A.M. 1990. Valuing risk in the workplace: market price, willingness to pay, and the optimal provision of safety. Review of Economics and Statistics, vol 72, 463–470.
Kniesner, T.J. and Leeth, J.D. 1991. Compensating wage differentials for fatal injury risk in Australia, Japan, and the United States. Journal of Risk and Uncertainty, vol 4, 75–90.
Lloyd, A.J. 2003. Threats to the estimation of benefit: are preference elicitation methods accurate? Health Economics, vol 12, 393–402.
Manski C.F. and McFadden D. (eds). 1977. Structural Analysis of Discrete Data with Econometric Applications. Cambridge, MA: MIT Press.
Marin, A. and Psacharopoulos, G. 1982. The reward for risk in the labour market: evidence from the United Kingdom and a reconciliation with other studies. Journal of Political Economy, vol 90, 827–853.
McFadden, D. 1974a. The measurement of urban travel demand. Journal of Public Economics, vol 3, 303–328.
McFadden, D. 1974b. Conditional logit analysis of qualitative choice behaviour. In: Frontiers in Econometrics. Zarembka, P. (ed.). New York: Academic Press.
Peitz, M. 1995. Utility maximisation in models of discrete choice. Economics Letters, vol 49, 91–94.
Propper, C. 1995. The disutility of time spent on UK National Health Service waiting lists. Journal of Human Resources, vol 30 (4), 677–700.
Ratcliffe, J. 2000. The use of conjoint analysis to elicit willingness to pay: proceed with caution? International Journal of Technology Assessment in Health Care, vol 16, 270–290.
Rosen, S. 1986. The theory of equalising differences. In: Handbook of Labor Economics, vol 1. Ashenfelter, O. and Layard, R. (eds). Amsterdam: Elsevier, pp 641–692.
Ryan, M. and Gerard, K. 2002. Using discrete choice experiments in health economics: moving forward. In: Advances in Health Economics. Scott, A., Maynard, A. and Elliott, R. (eds). Chichester, UK: Wiley.
Scott, A. 2001. Eliciting GPs’ preferences for pecuniary and non-pecuniary job characteristics. Journal of Health Economics, vol 20, 329–347.
Scott, A. 2002. Identifying and analysing dominant preferences in discrete choice experiments: an application in health care. Journal of Economic Psychology, vol 23, 383–398.
Skjoldborg, U.S. and Gyrd-Hansen, D. 2003. Conjoint analysis. The cost variable: an Achilles’ heel? Health Economics, vol 12, 479–492.
Truong, T.P. and Hensher, D.A. 1985. Measurement of travel time values and opportunity cost from a discrete choice model. The Economic Journal, vol 95, 438–451.
Viscusi, W.K. 1993. The value of risks to life and health. Journal of Economic Literature, vol 31, 1912–1946.
Zwerina, K., Huber, J. and Kuhfeld, W. 1996. A general method for constructing efficient choice designs. Durham, NC: Fuqua School of Business, Duke University.
M. Ryan, K. Gerard and M. Amaya-Amaya (eds.), Using Discrete Choice Experiments to Value Health and Health Care, 153–171.
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Scott, A., Ubach, C., French, F., Needham, G. (2008). Examining the Preferences of Health Care Providers: An application to hospital consultants. In: Ryan, M., Gerard, K., Amaya-Amaya, M. (eds) Using Discrete Choice Experiments to Value Health and Health Care. The Economics of Non-Market Goods and Resources, vol 11. Springer, Dordrecht. https://doi.org/10.1007/978-1-4020-5753-3_7
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