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Health care utilisation in Europe: New evidence from the ECHP

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  • Bago d'Uva, Teresa
  • Jones, Andrew M.

Abstract

The ECHP is used to analyse health care utilisation care in Europe. We estimate a new latent class hurdle model for panel data and compare it with the latent class NegBin model and the standard hurdle model. Latent class specifications outperform the standard hurdle model and the latent class hurdle model reveals income effects that are masked in the NegBin model. For specialist visits, low users are more income elastic than high users and the probability of using care is more income elastic than the conditional number of visits. The effects of income on total use of GPs are mostly negative or insignificant but positive elasticities are found for Austria, Greece and, to a greater extent, Portugal. On the whole, richer individuals tend to use more specialist care, especially in Portugal, Ireland, Finland, Greece and Austria. Features of the health care systems of these countries may contribute to the observed inequities.

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Bibliographic Info

Article provided by Elsevier in its journal Journal of Health Economics.

Volume (Year): 28 (2009)
Issue (Month): 2 (March)
Pages: 265-279

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Handle: RePEc:eee:jhecon:v:28:y:2009:i:2:p:265-279

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Web page: http://www.elsevier.com/locate/inca/505560

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Keywords: Inequity Health care utilisation Latent class models Hurdle models Panel data;

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Citations

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Cited by:
  1. Luca Stella, 2014. "Living Arrangements in Europe: Whether and Why Paternal Retirement Matters," "Marco Fanno" Working Papers 0177, Dipartimento di Scienze Economiche "Marco Fanno".
  2. Paul Joustra & Reinier Meester & Hans Ophem, 2013. "Can statisticians beat surgeons at the planning of operations?," Empirical Economics, Springer, Springer, vol. 44(3), pages 1697-1718, June.
  3. Bíró, Anikó, 2013. "Copayments, gatekeeping, and the utilization of outpatient public and private care at age 50 and above in Europe," Health Policy, Elsevier, vol. 111(1), pages 24-33.
  4. Fiva, Jon H. & Hægeland, Torbjørn & Rønning, Marte & Syse, Astri, 2014. "Access to treatment and educational inequalities in cancer survival," Journal of Health Economics, Elsevier, Elsevier, vol. 36(C), pages 98-111.
  5. Jusot, Florence & Bricard, Damien, 2012. "Intergenerational transmission of health care habits in France," Economics Papers from University Paris Dauphine 123456789/10720, Paris Dauphine University.
  6. Teresa Bago d'Uva & Andrew M. Jones & Eddy van Doorslaer, 2007. "Measurement of Horizontal Inequity in Health Care Utilisation using European Panel Data," Tinbergen Institute Discussion Papers 07-059/3, Tinbergen Institute.
  7. Teresa Bago d’Uva & Andrew M. Jones, 2006. "Health care utilisation in Europe: new evidence from the ECHP," Health, Econometrics and Data Group (HEDG) Working Papers, HEDG, c/o Department of Economics, University of York 06/09, HEDG, c/o Department of Economics, University of York.
  8. Guthmuller, Sophie & Jusot, Florence & Wittwer, Jérôme, 2014. "Improving take-up of health insurance program: a social experiment in France," Economics Papers from University Paris Dauphine 123456789/9715, Paris Dauphine University.
  9. Anikó Bíró, 2014. "Supplementary private health insurance and health care utilization of people aged 50+," Empirical Economics, Springer, Springer, vol. 46(2), pages 501-524, March.
  10. Wouterse, Bram & Huisman, Martijn & Meijboom, Bert R. & Deeg, Dorly J.H. & Polder, Johan J., 2013. "Modeling the relationship between health and health care expenditures using a latent Markov model," Journal of Health Economics, Elsevier, Elsevier, vol. 32(2), pages 423-439.
  11. Brown, Sarah & Greene, William H. & Harris, Mark N., 2014. "A New Formulation for Latent Class Models," IZA Discussion Papers 8283, Institute for the Study of Labor (IZA).
  12. Sara Moreira & Pedro Pita Barros, 2009. "Impact of Double Coverage on the Utilisation of Health Care," Economic Bulletin and Financial Stability Report Articles, Banco de Portugal, Economics and Research Department, Banco de Portugal, Economics and Research Department.
  13. Sara Moreira & Pedro Pita Barros, 2009. "Double Coverage and Health Care Utilisation:Evidence from Quantile Regression," Working Papers, Banco de Portugal, Economics and Research Department w200911, Banco de Portugal, Economics and Research Department.
  14. Moreira S & Pita Barros P, 2009. "Double coverage and demand for health care: Evidence from quantile regression," Health, Econometrics and Data Group (HEDG) Working Papers, HEDG, c/o Department of Economics, University of York 09/21, HEDG, c/o Department of Economics, University of York.

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