Economies of scope in Danish primary care practices

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Abstract

Aim: We analyze total operating costs and activities in Danish General Practice units to assess whether there are unexploited economies of scope in the production of primary care services.
Methods: We apply stochastic frontier analysis to derive cost functions and associated cost complementarities between GP services and overall economies of scope.
Data: Cross-section data for a sample of 331 primary care practices with 1-8 GPs from the year 2006. This is a unique combined dataset consisting of survey and register data.
Results: We find a trend towards cost complementarities between the production of standard consultations and email/phone consultations. In contrast, we obtain insignificant anti-cost complementarities between standard consultations and home visits as well as an insignificant trend towards anti-complementarities between email/phone consultations and home visits. Overall we find positive economies of scope in the production of GP services.
Conclusions: Our preliminary results show that there were overall economies of scope associated with the joint production of a) standard consultations, b) email/phone consultations and c) home visits. Cost complementarities between standard consultations and email/phone consultations outbalance anti-cost complementarities between standard consultations versus home visits and email/phone consultations versus home visits.
OriginalsprogEngelsk
TitelSympositum i anvendt Statistik 2011
RedaktørerPeter Linde
Antal sider13
UdgivelsesstedKøbenhavns Universitet & Danmarks Statistik
Publikationsdato2011
Sider141-53
ISBN (Trykt)978-87-501-1914-2
StatusUdgivet - 2011
BegivenhedSYMPOSIUM I ANVENDT 2011 - København, Danmark
Varighed: 24. jan. 201126. jan. 2011

Konference

KonferenceSYMPOSIUM I ANVENDT 2011
Land/OmrådeDanmark
ByKøbenhavn
Periode24/01/201126/01/2011

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