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The relevance of satisfaction with coverage for health care utilization: evidence from Catalonia

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  • Toni Mora

    ()
    (Universitat Internacional de Catalunya)

Abstract

This paper discloses satisfaction with medical coverage as a key determinant factor of heath care utilization in Catalonia (Spain). We use data from the 2002 Catalan Health Interview Survey for exploring its relevance either for the event of the visit or the number of visits. In the two cases we account for endogeneity derived from the availability of duplicate coverage and underreporting bias in health self-reported status. We evidence that those who are more satisfied will take more use of the health care services like it succeeds in other consumer events.

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Bibliographic Info

Article provided by IEF in its journal Hacienda Pública Española/Revista de Economía Pública.

Volume (Year): 184 (2008)
Issue (Month): 1 (April)
Pages: 99-116

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Handle: RePEc:hpe:journl:y:2008:v:184:i:1:p:99-116

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Keywords: consumer satisfaction; health care services utilization; duplicate coverage.;

References

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  1. Pilar García Gómez & Ángel López, 2004. "Socio-economic inequalities in health in Catalonia," Economics Working Papers 758, Department of Economics and Business, Universitat Pompeu Fabra, revised Oct 2005.
  2. John Mullahy, 1997. "Instrumental-Variable Estimation Of Count Data Models: Applications To Models Of Cigarette Smoking Behavior," The Review of Economics and Statistics, MIT Press, vol. 79(4), pages 586-593, November.
  3. Wagstaff, Adam & Paci, Pierella & van Doorslaer, Eddy, 1991. "On the measurement of inequalities in health," Social Science & Medicine, Elsevier, vol. 33(5), pages 545-557, January.
  4. Winkelmann, Rainer, 2006. "Reforming health care: Evidence from quantile regressions for counts," Journal of Health Economics, Elsevier, vol. 25(1), pages 131-145, January.
  5. Paul Contoyannis & Andrew M. Jones & Nigel Rice, 2004. "The dynamics of health in the British Household Panel Survey," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 19(4), pages 473-503.
  6. Wagstaff, Adam & Van Doorslaer, Eddy & Watanabe, Naoko, 2001. "On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam," Policy Research Working Paper Series 2714, The World Bank.
  7. Machado, Jose A.F. & Silva, J. M. C. Santos, 2005. "Quantiles for Counts," Journal of the American Statistical Association, American Statistical Association, vol. 100, pages 1226-1237, December.
  8. Borrell, Carme & Muntaner, Carles & Benach, Joan & Artazcoz, Lucía, 2004. "Social class and self-reported health status among men and women: what is the role of work organisation, household material standards and household labour?," Social Science & Medicine, Elsevier, vol. 58(10), pages 1869-1887, May.
  9. Andrés Romeu & Marcos Vera-Hern�ndez, 2005. "Counts with an endogenous binary regressor: A series expansion approach," Econometrics Journal, Royal Economic Society, vol. 8(1), pages 1-22, 03.
  10. Frank Windmeijer & Joao Santos Silva, 1996. "Endogeneity in count data models; an application to demand for health care," IFS Working Papers W96/15, Institute for Fiscal Studies.
  11. Terza, Joseph V., 1998. "Estimating count data models with endogenous switching: Sample selection and endogenous treatment effects," Journal of Econometrics, Elsevier, vol. 84(1), pages 129-154, May.
  12. Sitzia, John & Wood, Neil, 1997. "Patient satisfaction: A review of issues and concepts," Social Science & Medicine, Elsevier, vol. 45(12), pages 1829-1843, December.
  13. �ngel Marcos Vera-Hernández, 1999. "Duplicate coverage and demand for health care. The case of Catalonia," Health Economics, John Wiley & Sons, Ltd., vol. 8(7), pages 579-598.
  14. Doorslaer, Eddy van & Jones, Andrew M., 2003. "Inequalities in self-reported health: validation of a new approach to measurement," Journal of Health Economics, Elsevier, vol. 22(1), pages 61-87, January.
  15. Chernozhukov, Victor & Hansen, Christian, 2006. "Instrumental quantile regression inference for structural and treatment effect models," Journal of Econometrics, Elsevier, vol. 132(2), pages 491-525, June.
  16. Artazcoz, L.Lucía & Borrell, Carme & Benach, Joan & Cortès, Imma & Rohlfs, Izabella, 2004. "Women, family demands and health: the importance of employment status and socio-economic position," Social Science & Medicine, Elsevier, vol. 59(2), pages 263-274, July.
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