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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. Frank Windmeijer & Joao Santos Silva, 1996. "Endogeneity in count data models; an application to demand for health care," IFS Working Papers, Institute for Fiscal Studies W96/15, Institute for Fiscal Studies.
  2. 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.
  3. Pilar García Gómez & Ángel López Nicolás, 2005. "Socio-economic inequalities in health in Catalonia," Hacienda Pública Española, IEF, IEF, vol. 175(4), pages 103-121, december.
  4. 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.
  5. Winkelmann, Rainer, 2006. "Reforming health care: Evidence from quantile regressions for counts," Journal of Health Economics, Elsevier, vol. 25(1), pages 131-145, January.
  6. Sitzia, John & Wood, Neil, 1997. "Patient satisfaction: A review of issues and concepts," Social Science & Medicine, Elsevier, vol. 45(12), pages 1829-1843, December.
  7. 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.
  8. 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.
  9. Andrés Romeu & Marcos Vera-Hernández, 2004. "Counts With An Endogenous Binary Regressor: A Series Expansion Approach," Working Papers. Serie AD 2004-36, Instituto Valenciano de Investigaciones Económicas, S.A. (Ivie).
  10. 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., John Wiley & Sons, Ltd., vol. 19(4), pages 473-503.
  11. �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.
  12. 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.
  13. J.A.F. Machado & J. M. C. Santos Silva, 2003. "Quantiles for Counts," Econometrics, EconWPA 0303001, EconWPA.
  14. 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.
  15. 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.
  16. 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.
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