How to Attract Physicians to Underserved Areas? Policy Recommendations from a Structural Model

• 成果类型: Article
• 署名作者: Costa, Francisco; Nunes, Leticia; Sanches, Fabio Miessi
• 署名单位: University of Delaware; Getulio Vargas Foundation; Insper; BI Norwegian Business School
• 刊物名称: REVIEW OF ECONOMICS AND STATISTICS
• ISSN/ISSBN: 0034-6535
• DOI: 10.1162/rest_a_01155
• 发表日期: 2024-01
• 页码: 36-52
• 关键词: financial incentives; affirmative-action; HEALTH; determinants; preferences; migration; location; doctors; demand; BRAZIL

摘要

This paper exploits location choices of all generalist physicians who graduated in Brazil between 2001 and 2013 to study policies aimed at increasing the supply of physicians in underserved areas. We set up and estimate a supply and demand model for physicians. We estimate physicians' locational preferences using a random coefficients discrete choice model. The demand has private establishments competing for physicians with private and public facilities around the country. Policy counterfactuals indicate that quotas in medical schools for students born in underserved areas and the opening of vacancies in medical schools in deprived areas are more cost-effective than financial incentives.