Physician-induced demand by Irish GPs

A Scoping Review of Components of Physician-induced Demand for Designing a Conceptual Framework

“…Induced demand is a way to fill the gap between current and target income, up to the point that the disutility that arises from induced demand becomes equal to the utility of the higher income. Therefore, personal benefit is a major incentive for inducing demand, and various studies have considered this through different lenses, such as medical ethics indicators [6,7,25].…”

A Scoping Review of Components of Physician-induced Demand for Designing a Conceptual Framework

“…Induced demand is a way to fill the gap between current and target income, up to the point that the disutility that arises from induced demand becomes equal to the utility of the higher income. Therefore, personal benefit is a major incentive for inducing demand, and various studies have considered this through different lenses, such as medical ethics indicators [6,7,25].…”

Association between physician density and health care consumption: A systematic review of the evidence

“…First, study designs differed. Whereas most studies used billing data to measure healthcare consumption, a specific survey to assess who, from the patient or the physician, initiated the next medical consultation was organized in four countries: Australia [34], Ireland [35,36], Norway [37] and USA [38][39][40]. In all these studies, patients were interviewed except in Australia, where doctors themselves were surveyed [34].…”

“…For instance, in Ireland, the probability of patients getting a return visit was 0.91 in the area characterized by the highest physician density, whereas it was 0.08 in the area with the lowest density [36]. In some studies, the association was significant only for some of the outcomes, as in France (increase at the county, not district, level) [50] or in Michigan (increase for internal medicine doctors but not for family doctors or general surgeon) [52].…”

The impact of physician supply on avoidable cancer deaths in Germany. A spatial analysis

“…Physicians may, for example, have increased the number of follow-up appointments and/or the demand for preventive procedures in order to keep patients. Tussing and Wojtowycz [43] conducted a national survey of Irish medical care utilization in 1981 and showed that followup appointments were significantly associated with the ratio of GPs to population. Furthermore, Continelli et al [44] examined the effect of physician supply on the probability of having a primary care physician, and receiving preventive health services checks.…”

A Scoping Review of Components of Physician-induced Demand for Designing a Conceptual Framework

“…Induced demand is a way to fill the gap between current and target income, up to the point that the disutility that arises from induced demand becomes equal to the utility of the higher income. Therefore, personal benefit is a major incentive for inducing demand, and various studies have considered this through different lenses, such as medical ethics indicators [6,7,25].…”

Association between physician density and health care consumption: A systematic review of the evidence

“…First, study designs differed. Whereas most studies used billing data to measure healthcare consumption, a specific survey to assess who, from the patient or the physician, initiated the next medical consultation was organized in four countries: Australia [34], Ireland [35,36], Norway [37] and USA [38][39][40]. In all these studies, patients were interviewed except in Australia, where doctors themselves were surveyed [34].…”

“…For instance, in Ireland, the probability of patients getting a return visit was 0.91 in the area characterized by the highest physician density, whereas it was 0.08 in the area with the lowest density [36]. In some studies, the association was significant only for some of the outcomes, as in France (increase at the county, not district, level) [50] or in Michigan (increase for internal medicine doctors but not for family doctors or general surgeon) [52].…”

The impact of physician supply on avoidable cancer deaths in Germany. A spatial analysis

“…Physicians may, for example, have increased the number of follow-up appointments and/or the demand for preventive procedures in order to keep patients. Tussing and Wojtowycz [43] conducted a national survey of Irish medical care utilization in 1981 and showed that followup appointments were significantly associated with the ratio of GPs to population. Furthermore, Continelli et al [44] examined the effect of physician supply on the probability of having a primary care physician, and receiving preventive health services checks.…”

A Scoping Review of Components of Physician-induced Demand for Designing a Conceptual Framework

“…Induced demand is a way to fill the gap between current and target income, up to the point that the disutility that arises from induced demand becomes equal to the utility of the higher income. Therefore, personal benefit is a major incentive for inducing demand, and various studies have considered this through different lenses, such as medical ethics indicators [6,7,25].…”

Association between physician density and health care consumption: A systematic review of the evidence

“…First, study designs differed. Whereas most studies used billing data to measure healthcare consumption, a specific survey to assess who, from the patient or the physician, initiated the next medical consultation was organized in four countries: Australia [34], Ireland [35,36], Norway [37] and USA [38][39][40]. In all these studies, patients were interviewed except in Australia, where doctors themselves were surveyed [34].…”

“…For instance, in Ireland, the probability of patients getting a return visit was 0.91 in the area characterized by the highest physician density, whereas it was 0.08 in the area with the lowest density [36]. In some studies, the association was significant only for some of the outcomes, as in France (increase at the county, not district, level) [50] or in Michigan (increase for internal medicine doctors but not for family doctors or general surgeon) [52].…”

The impact of physician supply on avoidable cancer deaths in Germany. A spatial analysis

“…Physicians may, for example, have increased the number of follow-up appointments and/or the demand for preventive procedures in order to keep patients. Tussing and Wojtowycz [43] conducted a national survey of Irish medical care utilization in 1981 and showed that followup appointments were significantly associated with the ratio of GPs to population. Furthermore, Continelli et al [44] examined the effect of physician supply on the probability of having a primary care physician, and receiving preventive health services checks.…”