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Health Insurance Status and Physician Behavior in Germany

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  • Hendrik Jürges

Abstract

Germany has a two-tier system of statutory and primary private health insurance. Both insurance types provide fee-for-service insurance, but chargeable fees for identical services are more than twice as large for privately insured as for statutorily insured patients. Using German SOEP 2002 data, I analyze the effect of insurance status on the insured's number of doctor visits. Conditional on health, privately insured patients are less likely to contact a physician than publicly insured but more frequently visit a doctor following a first contact. This is indirect evidence for the hypothesis that physicians over-treat privately insured patients at least relative to the statutorily insured.

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File URL: http://dx.doi.org/10.3790/schm.129.2.297
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Bibliographic Info

Article provided by Duncker & Humblot, Berlin in its journal Schmollers Jahrbuch.

Volume (Year): 129 (2009)
Issue (Month): 2 ()
Pages: 297-307

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Handle: RePEc:aeq:aeqsjb:v129_y2009_i1_q1_p297-307

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Cited by:
  1. Hullegie, P.G.J., 2012. "Essays on health and labor economics," Open Access publications from Tilburg University urn:nbn:nl:ui:12-5637283, Tilburg University.
  2. Hullegie P & Klein TJ, 2009. "The effect of private health insurance on medical care utilization and self-assessed health in Germany," Health, Econometrics and Data Group (HEDG) Working Papers 09/17, HEDG, c/o Department of Economics, University of York.
  3. Christian Bünnings & Harald Tauchmann, 2013. "Who Opts Out of the Statutory Health Insurance? A Discrete Time Hazard Model for Germany," Ruhr Economic Papers 0458, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
  4. Denis Gerstorf & Nilam Ram & Jan Goebel & Jürgen Schupp & Ulman Lindenberger & Gert G. Wagner, 2010. "Where People Live and Die Makes a Difference: Individual and Geographic Disparities in Well-Being Progression at the End of Life," SOEPpapers on Multidisciplinary Panel Data Research 287, DIW Berlin, The German Socio-Economic Panel (SOEP).

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