Economies of scope in Danish primary care practices

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearch

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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.
Original languageEnglish
Title of host publicationSympositum i anvendt Statistik 2011
EditorsPeter Linde
Number of pages13
Place of PublicationKøbenhavns Universitet & Danmarks Statistik
Publication date2011
Pages141-53
ISBN (Print)978-87-501-1914-2
Publication statusPublished - 2011
EventSYMPOSIUM I ANVENDT 2011 - København, Denmark
Duration: 24. Jan 201126. Jan 2011

Conference

ConferenceSYMPOSIUM I ANVENDT 2011
CountryDenmark
CityKøbenhavn
Period24/01/201126/01/2011

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Primary care
Economies of scope
Cost complementarities
Electronic mail
Cross section
General practice
Joint production
Cost function
Operating costs
Complementarity
Stochastic frontier analysis

Cite this

Kristensen, T., & Rose Olsen, K. (2011). Economies of scope in Danish primary care practices. In P. Linde (Ed.), Sympositum i anvendt Statistik 2011 (pp. 141-53). Københavns Universitet & Danmarks Statistik.
Kristensen, Troels ; Rose Olsen, Kim. / Economies of scope in Danish primary care practices. Sympositum i anvendt Statistik 2011. editor / Peter Linde. Københavns Universitet & Danmarks Statistik, 2011. pp. 141-53
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Kristensen, T & Rose Olsen, K 2011, Economies of scope in Danish primary care practices. in P Linde (ed.), Sympositum i anvendt Statistik 2011. Københavns Universitet & Danmarks Statistik, pp. 141-53, SYMPOSIUM I ANVENDT 2011, København, Denmark, 24/01/2011.

Economies of scope in Danish primary care practices. / Kristensen, Troels; Rose Olsen, Kim.

Sympositum i anvendt Statistik 2011. ed. / Peter Linde. Københavns Universitet & Danmarks Statistik, 2011. p. 141-53.

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearch

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AU - Rose Olsen, Kim

PY - 2011

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N2 - 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.

AB - 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.

M3 - Article in proceedings

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Kristensen T, Rose Olsen K. Economies of scope in Danish primary care practices. In Linde P, editor, Sympositum i anvendt Statistik 2011. Københavns Universitet & Danmarks Statistik. 2011. p. 141-53