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Licensing of Physicians

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Regulation of Health: Case Studies of Sweden and Switzerland

Part of the book series: Developments in Health Economics and Public Policy ((HEPP,volume 7))

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Abstract

Licensing of physicians plays a key role in the health care sector. It determines the long-run quantity and quality of medical services supplied, i.e. it influences the availability of general practitioners and cardiovascular surgery to the public. A first look at Sweden and Switzerland suggests that the two countries found different ways to deal with this issue. Sweden is characterised by relatively high barriers to enter a medical school, but by a high share of specialists among physicians. Conversely, in Switzerland, access to medical schools is granted in general. However, a smaller fraction of physicians get specialist education, reflecting a stiffer policy regime against specialisation.

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References

  • Becker, G. (1962). Investment in human capital: a theoretical analysis, Journal of Political Economy 70, 9–49.

    Article  Google Scholar 

  • Benham, L. (1992). Licensure and Competition, in: Frech, H.E (ed.), Health Politics.

    Google Scholar 

  • Benham, L., and A. Benham (1975). Regulating through the Professions: A perspective on information control, Journal of Law and Economics, 421-447.

    Google Scholar 

  • Blomquist, A. (1992), The Swedish Health Care System — an Economist’s view, Health Policy 21, 113–128.

    Article  Google Scholar 

  • Bohnet, I., and B.S. Frey (1995). Direct Democratic Rules: The Role of Discussion, Kyklos 47, 341–354.

    Article  Google Scholar 

  • Burström, K., and R. Gisin (1998) Price Setting for Doctors, this volume.

    Google Scholar 

  • Danzon, P.M. (1994). The Swedish patient compensation system: Myths and realities, International Review of Law and Economics 14, 453–466.

    Article  Google Scholar 

  • Eichenberger, R., and A. Serna (1996). Random Errors, Dirty Information and Politics, forthcoming Public Choice.

    Google Scholar 

  • Fershtman, C., and Y. Weiss (1993). Social status and economic performance, The Economic Journal 103, 946–959.

    Article  Google Scholar 

  • Frank, R. H. (1985). Choosing the Right Pond, Cambridge University Press: Boston.

    Google Scholar 

  • Frank, R.H. (1995). The Winner-Takes-All Society, Cambridge University Press: Boston.

    Google Scholar 

  • Frey, B.S. (1994). Direct Democracy: Politico-Economic Lessons from the Swiss Experience, American Economic Review 84, Papers and Proceedings, 383–443.

    Google Scholar 

  • Frey, B.S., and R. Eichenberger (1995). The Fifth Freedom, European Journal of Political Economy.

    Google Scholar 

  • Gullan L. (1996). Regeringen håller på att avliva den privata vården (Government about to kill private health care), Svenska Dagbladet 7.3.1996, 4.

    Google Scholar 

  • Hasler, N. (1993). Einkommensverhältnisse der freien Aerzteschaft der Schweiz (physicians’ incomes in Switzerland), report to the Swiss Medical Association, Zürich.

    Google Scholar 

  • Hurley, J. (1991). Physicians’ Choices of Specialty, Location, and Mode, The Journal of Human Resources 26, 45–57.

    Article  Google Scholar 

  • Immergut, E. (1992). Health Politics, Cambridge University Press, Cambridge.

    Google Scholar 

  • Läkartidningen (Journal of the Swedish Medical Association), 5/1996, Specialistbrist hotar (Lack of specialists threatening), 313.

    Google Scholar 

  • Läkartidnning (13/1996), Antalet ST-Tjänster för litet för att möta pensionspuckeln (To few internships for specialist to match retirements), 1182.

    Google Scholar 

  • Landstingsförbundet (1996). Lönestatistik (Wage statistics), Stockholm.

    Google Scholar 

  • Landstingsvärlden, (12/1995), Kraftigt beskuren utbildning av allmänläkare (Strongly reduced education of general practitioneers), 9.

    Google Scholar 

  • Landstingsvärleden, (21/1996), Läkare med ifrågasatt legitimation sparkad sparkad (Physician with questioned license fired), 9.

    Google Scholar 

  • Lee, C.S. (1995). Optimal medical treatment under asymmetric information, Journal of Health Economics 15, 419–441.

    Article  Google Scholar 

  • Lentz, B.F., and L.N. David (1988). Why so many children of doctors become doctors, The Journal of Human Resources 18, 396–413.

    Google Scholar 

  • Mueller, D.C. (1989). Public Choice II, Cambridge University Press, Cambridge MA.

    Google Scholar 

  • Samnordisk Arbetsgrupp för Prognos-och utbildningsfragor (Joint Nordic Workgroup for Prospective and Educational Questions) (1990). Den framtida läkararbetsmarknaden i Norden (The future of the labor market for physicians in Scandinavia).

    Google Scholar 

  • SCB (Statistics Sweden) (1993). Löner och sysselsättning inom offentlig sektor del 2 kommunal personal (Wages and employment within the public sector, part two municipal employees), Stockholm.

    Google Scholar 

  • SCB (1994). Universitet och Högskolor, Grundutbildning: Genomströmning. Resultat t.o.m. 1993/94 inclusive (Higher education, Basic Education: Flow through. Results up to 1993/94 inclusive), Örebro.

    Google Scholar 

  • SCB (1995a). Hälso-och sjukvårdsstatistisk årsbok 1995 (Yearbook of Health and Medical Care 1995), Stockholm.

    Google Scholar 

  • SCB (1995b). Inkomst för högskoleutbildade-Jämförelse mellan 1970 och 1990 (Development of incomes for university graduates between 1970 and 1990), Stockholm.

    Google Scholar 

  • SCB (1995c). Statistiska meddelanden, Universitet och högskolor (Statistical information, higher education), Örebro.

    Google Scholar 

  • SCB (1996a). Statistiska årsboken 1996 (Statistical Yearbook 1996), Stockholm.

    Google Scholar 

  • SCB (1996b). Gymnasieungdomars interesse för högre studier, Enkätundersökning hösten 1995 (Plans for higher education autumn 1995), Örebro.

    Google Scholar 

  • Shapiro, C. (1986). Investment, Moral hazard, and Occupational Licensing, Review of Economic Studies LIII, 843–862.

    Article  Google Scholar 

  • Shortell, S.M. (1974). Occupational prestige differences within the medical and allied health professions, Social Science and Medicine 8, 1032–1038.

    Article  Google Scholar 

  • Sloan, F.A. (1970). Lifetime earnings and physicians’ choice of specialty, Industrial and Labor Relations Review 24, 47–56.

    Article  Google Scholar 

  • SOU (1991:63). Tillsynen över hälso-och sjukvården (Supervision of health-and medical care), Slutbetänkandet av tillsynsutredningen, Socialdepartementet, Allmäna Förlaget, Stockholm.

    Google Scholar 

  • SOU (1992:1). Frihet Ansvar Kompetens (Freedom Responsibility and Competence) Betänkandet av högskoleutredningen, Utbildningsdepartmentet, Allmäna Förlaget, Stockholm.

    Google Scholar 

  • SOU (1994:126). Husläkarreformens första halvår (Family doctor reform, the first six month), Delbetänkande av Husläkardelegationen, Socialdepartementet, Allmäna Förlaget Stockholm.

    Google Scholar 

  • SOU (1995:5). Vårdens svåra val (Hard choice for health care), Slutbetänkandet av Prioriteringsutredning, Socialdepartementet, Alimäna Förlaget Stockholm.

    Google Scholar 

  • SOU (1995:71). Behörighet och Urval (Competence and selection), Delbetänkande av Utredningen om uppföljning av 1993 års universitets-och högskolereform (RUT-93), Utbildningsdepartmentet, Allmäna Förlaget Stockholm.

    Google Scholar 

  • SOU (1996:21). Reform och förändring (Reform and change), utbildningsdepartement, Allmäna Förlaget Stockholm.

    Google Scholar 

  • Svanfeldt, G. (1994). Higher education in Sweden, in: Goedengebuure, L., et al. (eds.), Higher education policy — An international comparative perspective, Pergamon Press: Oxford, New York, Seoul, Tokyo.

    Google Scholar 

  • Svenska Dagbladet, 20/03–1996, Få anmälda läkare blir varnade (Few reported physicians get a warning), Inrikes, 9.

    Google Scholar 

  • Svenska Dagbladet, 4/4–1996, Sjukvård — Tematidning om mannens hälsa (Health care — Supplement on male health).

    Google Scholar 

  • Verket för Högskoleservice (1995). Den samordnade antagningen till utbildningar vid universitet och högskolor, Antagningen Hösttermin 1995 (The coordinated admission to higher education, admission 1995/96), VHS SKRIFTSERIE 1995:4.

    Google Scholar 

  • Wedman, I. (1992). Selection to higher education in Sweden, paper presented at the 18th annual conference admission to higher education September 14–18, 1992, International Association for Educational assessment, The educational Research centre St. Patrick’s college, Dublin9, Ireland.

    Google Scholar 

  • Zweifel, P. (1992). Comment on Benham, in: Frech, H.E. (ed.), Health Policy.

    Google Scholar 

  • Zweifel, P., and R. Eichenberger (1992). The political economy of corporatism in medicine, Journal of Regulatory Economics 4(1), 89–108.

    Article  Google Scholar 

  • Zweifel, P., and F. Breyer (1997), Health Economics, Oxford University Press: New York.

    Google Scholar 

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Authors
  1. Lorenz Götte
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  2. Klaus Hammes
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Editor information

Editors and Affiliations

  1. Socioeconomic Institute, University of Zürich, Switzerland

    Peter Zweifel

  2. Department of Economics, Lund University, Sweden

    Carl Hampus Lyttkens

  3. School of Economics, Lund University, Sweden

    Lars Söderström

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© 1998 Springer Science+Business Media New York

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Götte, L., Hammes, K. (1998). Licensing of Physicians. In: Zweifel, P., Lyttkens, C.H., Söderström, L. (eds) Regulation of Health: Case Studies of Sweden and Switzerland. Developments in Health Economics and Public Policy, vol 7. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-4052-6_4

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  • DOI: https://doi.org/10.1007/978-1-4615-4052-6_4

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6814-4

  • Online ISBN: 978-1-4615-4052-6

  • eBook Packages: Springer Book Archive

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