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Getting the balance right between generalism and specialisation - does remuneration matter?
1PhD, ARC Future Fellow and Professorial Research Fellow, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne, VIC.
Background:
Remuneration has been cited as a factor influencing the distribution of doctors between generalist and specialist roles.
Objective:
To review the evidence on earnings differentials between specialists and GPs, and suggest possible policy responses.
Discussion:
Specialists earn almost twice as much as GPs but only half of this difference can be explained by differences in their characteristics. Evidence suggests that expected future earnings, together with a range of other factors, influence specialty choice. Directly altering relative earnings may be difficult, but greater targeted investment in primary care is more achievable to help shift the balance.
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