Although there is a substantial literature on the determinants of demand for primary care, few studies have been able to examine how these determinants respond to higher supply. Some demand studies include supply variables or regional dummy variables to allow for different supply conditions. A few have tested for marginal effects of supply variables attributed at a highly aggregated geographic level. However, relatively little is known about whether there is a supply constraint and how demand responses differ across population groups. We used information from a household survey of 60'806 individuals for whom we had detailed information on supply and access conditions. As in many surveys, the annual measure of utilisation is a grouped count and we estimate a grouped negative binomial model (NegBin2) of the determinants of demand for general practitioner (GP) visits by Maximum Likelihood. We exploit a variable on which respondents were asked to report the convenience with which they were able to access GP services. We demonstrate the significance of this variable in determining the number of GP visits. We then examine which demand determinants are correlated with reported convenience. Finally, we compare the demand equations for respondents reporting unconstrained access to GPs with respondents reporting constrained access. We find that being unemployed has a significant positive effect on GP visits for individuals who reported poor access. People who own a car and reported a good access to GPs have significantly higher visits.
Download Info
To download:
If you experience problems downloading a file, check if you have the
proper application to
view it first. Information about this may be contained
in the File-Format links below. In case of further problems read
the IDEAS help
page. Note that these files are not on the IDEAS
site. Please be patient as the files may be large.
Volume (Year): 144 (2008) Issue (Month): III (September) Pages: 495-513 Download reference. The following formats are available: HTML
(with abstract),
plain text
(with abstract),
BibTeX,
RIS (EndNote, RefMan, ProCite),
ReDIF
Find related papers by JEL classification: C51 - Mathematical and Quantitative Methods - - Econometric Modeling - - - Model Construction and Estimation C42 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods: Special Topics - - - Survey Methods I10 - Health, Education, and Welfare - - Health - - - General
References listed on IDEAS Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
Jones, Andrew M., 2000.
"Health econometrics,"
Handbook of Health Economics,
in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 6, pages 265-344
Elsevier.
[Downloadable!] (restricted)