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Socioeconomic Status and Physicians’ Treatment Decisions

Brekke, Kurt R.; Holmås, Tor Helge; Monstad, Karin; Straume, Odd Rune
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URI
http://hdl.handle.net/11250/284855
Date
2015-06
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  • Discussion papers (SAM) [578]
Abstract
This paper aims at shedding light on the social gradient by studying the relationship

between socioeconomic status (SES) and provision of health care. Using administrative data

on services provided by General Practitioners (GPs) in Norway over a five year period (2008-

12), we analyse the quantity, composition and value of services provided by the GPs according

to patients' SES measured by education, income or ethnicity. Our data allow us to control

for a wide set of patient and GP characteristics. To account for (unobserved) heterogeneity,

we limit the sample to patients with a specific disease, diabetes type 2, and estimate a

model with GP fixed effects. Our results show that patients with low SES visit the GPs

more often, but the value of services provided per visit is lower. The composition of services

varies with SES, where patients with low education and African or Asian ethnicity receive

more medical tests but shorter consultations, whereas patients with low income receive both

shorter consultations and fewer tests. Thus, our results show that GPs differentiate services

according to SES, but give no clear evidence for a social gradient in health care provision.
Publisher
SAM
Series
Discussion paper;12/15

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