Workforce impacts of subsidised mental healthcare: Evidence on supply, geographic distribution, and earnings

To improve access to affordable mental healthcare, Australia introduced a national, publicly-funded program in 2006 to subsidise psychological services, which were previously privately funded. Theory suggests that by increasing demand, subsidies should incentivise providers to expand supply, either by entering the workforce or by increasing hours. However, expansion depends on supply constraints, particularly in non-metropolitan areas with pronounced workforce shortages. This study examines the program's effects on the size, work hours, demographic composition, location, and earnings of psychologists. Using an event-study design with administrative tax records and census data, we find that the program: (1) increased the supply of psychologists, with minimal effect on average hours worked per psychologist; (2) increased the likelihood of psychologists working in non-metropolitan areas, supporting broader access to mental healthcare; and (3) raised psychologists' annual personal incomes.

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Publication Details

Journal
Journal of Health Economics
Published
2025-12-26
DOI
https://doi.org/10.1016/j.jhealeco.2025.103102
Primary Topic
Occupational and Professional Licensing Regulation
Type
article
Field-Weighted Citation Impact
0.00

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article

Workforce impacts of subsidised mental healthcare: Evidence on supply, geographic distribution, and earnings

Trong-Anh Trinh, David W. Johnston, Nicole Black, Anthony Harris
Journal of Health Economics
Occupational and Professional Licensing Regulation
article

Workforce impacts of subsidised mental healthcare: Evidence on supply, geographic distribution, and earnings

Trong-Anh Trinh, David W. Johnston, Nicole Black, Anthony Harris
article en

Abstract

To improve access to affordable mental healthcare, Australia introduced a national, publicly-funded program in 2006 to subsidise psychological services, which were previously privately funded. Theory suggests that by increasing demand, subsidies should incentivise providers to expand supply, either by entering the workforce or by increasing hours. However, expansion depends on supply constraints, particularly in non-metropolitan areas with pronounced workforce shortages. This study examines the program's effects on the size, work hours, demographic composition, location, and earnings of psychologists. Using an event-study design with administrative tax records and census data, we find that the program: (1) increased the supply of psychologists, with minimal effect on average hours worked per psychologist; (2) increased the likelihood of psychologists working in non-metropolitan areas, supporting broader access to mental healthcare; and (3) raised psychologists' annual personal incomes.

Journal of Health EconomicsVol. 105
Monash Health (AU), Monash University (AU)
Monash University, RMIT University
Openalex Percentile: Top 21%
Occupational and Professional Licensing Regulation
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Workforce impacts of subsidised mental healthcare: Evidence on supply, geographic distribution, and earnings — Trong-Anh Trinh, David W. Johnston, et al. · Journal of Health Economics (2025) | TGRS Research Map | TGRS