Medical Labour Supply and the Production of Healthcare. (17th February 2020)

• Record Type: Journal Article
• Authors: Lee, Tom; Propper, Carol; Stoye, George
• Editors: Banks, James; Cloyne, James; Costa Dias, Monica; Parey, Matthias; Ziliak, James P.
• Is Part Of: Fiscal studies. Volume 40:Number 4(2019)
• Page Start: 621
• Page End: 661
• Publication Date: 2020-02-17
• Subjects: healthcare production -- medical labour force -- regulation -- I11 -- I18 -- J22 -- J24 -- J45; Finance, Public -- Periodicals; Fiscal policy -- Periodicals; Economic policy -- Periodicals; Finance, Public -- Great Britain -- Periodicals; 336.3
• DOI: 10.1111/1475-5890.12198
• Languages: English
• ISSNs: 0143-5671

Abstract

Abstract: Medical labour markets are important because of their size and the importance of medical labour in the production of healthcare and in subsequent patient outcomes. We present a summary of important trends in the UK medical labour market, and we review the latest research on factors that determine medical labour supply and the impact of labour on patient outcomes. The topics examined include: the responsiveness of labour supply to changes in wages, regulation and other incentives; factors that determine the wide variation in physician practice and style; and the effect of teams and management quality on patient outcomes. This literature reveals that while labour supply is relatively unresponsive to changes in wages, medical personnel do react strongly to other incentives, even in the short run. This is likely to have consequences for the quality of care provided to patients. We set out a series of unanswered questions in the UK setting, including: the importance of non‐financial incentives in recruiting and retaining medical staff; how individuals can be incentivised to work in particular specialties and regions; and how medical teams can be best organised to improve care.