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dc.contributor.authorKuhn, Michaelen_US
dc.contributor.authorOchsen, Carstenen_US
dc.description.abstractAgainst the backdrop of an ongoing debate in most countries about the geographic (mal-)distribution of physician practices, we develop a theoretical and empirical framework to analyze how physician supply at regional level depends on demographic (population size, age structure, fertility and migration) and geographic determinants. Particular attention is given (i) to local population change as a predictor of future demand for physician services, (ii) to the way in which the age-structure of the (potential patient) population and regional structure interact in shaping the profitability of treating the local population, and (iii) to cross-regional correlations in physician supply. Using regional data for Germany, we examine econometrically the determinants of regional physician supply. We find it to be negatively related to both the population share 60+ and the population share 20- in rural areas. While both population shares tend to have a less negative impact in urban areas, a pronounced positive effect arises only for the share 20- in regions with agglomeration character. Net migration and natural balance turn out to be significant positive as long-run determinants only, indicating thus their role as predictors of future demand. On average, cross-regional spillovers in demand do not seem to be important determinants of regional supply.en_US
dc.publisherUniv., Wirtschafts- und Sozialwiss. Fak. Rostocken_US
dc.relation.ispartofseriesThünen-series of applied economic theory 105en_US
dc.subject.keywordage structureen_US
dc.subject.keywordphysician supplyen_US
dc.subject.keywordregional population ageingen_US
dc.subject.keywordregional migrationen_US
dc.subject.keywordoverlapping generationsen_US
dc.subject.keywordpanel dataen_US
dc.subject.keywordspatial modelen_US
dc.subject.stwRäumliche Verteilungen_US
dc.subject.stwAlternde Bevölkerungen_US
dc.subject.stwRegionale Bevölkerungsentwicklungen_US
dc.titleDemographic and geographic determinants of regional physician supplyen_US
dc.typeWorking Paperen_US
Appears in Collections:Thünen Series of Applied Economic Theory, Universität Rostock

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