Relative Income Expectations, Expected Malpractice Premium Costs, and Other Determinants of Physician Specialty Choice

Datos Bibliográficos

ID2559965
AutoresB F Kiker (University of South Carolina, autor de correspondencia), Michael Zeh, M C Zeh
Año1998
Volumen39
Número2
Páginas152
Fecha de publicación1998-06-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaJournal of Health and Social Behavior (JOURNAL)
Identificadores de la revistaISSN: 0022-1465 • E-ISSN: 2150-6000
EditorialSAGE Publications Inc (PUBLISHER)
DOI10.2307/2676397
PMID9642905
OpenAlexW2334558596
IdiomaEN
Citas recibidas8

We analyze the effects of relative income expectations, expected malpractice premium cost, and other economic and noneconomic factors on physician specialty choice. The data for this paper are taken from responses of medical students who completed the Association of American Medical Colleges' Medical School Questionnaire and graduated from medical school in 1995. A random utility model is used to guide our thinking; the econometric technique is multinomial logit regression. Selection of a surgical or support specialty is found to be positively income motivated, while the influence of expected relative income is negatively related to the choice of primary-care and medical practices. Concern over malpractice premium cost is negatively related to surgical and positively related to primary-care selection. Other important determinants of choice are planned location of practice, length of residency, type of medical school attended, score on the science problems section of the Medical College Admission Test, predictable working hours and perceived prestige of the specialty. Policies that alter expected relative income, length of residency, desired location of practice, medical school attended, predictable working hours, and prestige of practice, rather than financial aid, may be appropriate for correcting a perceived maldistribution of physicians among specialties

Actuarial science · Business · Demographic economics · Economics · Family medicine · Logistic regression · Malpractice · Medical education · Multinomial logistic regression · Political science · Prestige · Specialty · Test (biology) · Economic and Environmental Valuation · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Medicine · Psychology