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What Drives Individual Health Expenditure in Switzerland?

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  • Marcel Bilger
  • Jean-Paul Chaze
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    Abstract

    The explanatory factors of individual healthcare consumption are studied by means of healthcare expenditures from the 2000–2005 Swiss Household Income and Expenditure Survey (SHIES). In order to tackle the issues of large number of null expenditures and skewed distribution of positive outcomes, the family of Box-Cox censoring models (Chaze, 2005) is applied. The results show that the use of SHIES data makes it possible to reveal many important factors of individual healthcare consumption, and that the role played by healthcare supply density variables is consistent with the theory of induced demand.

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    File URL: http://www.sjes.ch/papers/2008-III-4.pdf
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    Bibliographic Info

    Article provided by Swiss Society of Economics and Statistics (SSES) in its journal Swiss Journal of Economics and Statistics.

    Volume (Year): 144 (2008)
    Issue (Month): III (September)
    Pages: 337-358

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    Handle: RePEc:ses:arsjes:2008-iii-4

    Contact details of provider:
    Postal: c/o SNB/BNS, Börsenstrasse 15, PO Box 2800, CH-8022 Zürich
    Phone: +41 (0)44 631 32 34
    Fax: +41 (0)44 631 39 01
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    Web page: http://www.sjes.ch
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    Related research

    Keywords: healthcare demand; health expenditure; hurdle models; Box-Cox;

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    References

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    1. Alberto HOLLY & Lucien GARDIOL & Gianfranco DOMENIGHETTI & Brigitte BISIG, 1998. "An Econometric Model of Health Care Utilization and Health Insurance in Switzerland," Cahiers de Recherches Economiques du Département d'Econométrie et d'Economie politique (DEEP) 9803, Université de Lausanne, Faculté des HEC, DEEP.
    2. Gardiol, Lucien & Geoffard, Pierre-Yves & Grandchamp, Chantal, 2005. "Separating Selection and Incentive Effects in Health Insurance," CEPR Discussion Papers 5380, C.E.P.R. Discussion Papers.
    3. Lehmann, Hansjorg & Zweifel, Peter, 2004. "Innovation and risk selection in deregulated social health insurance," Journal of Health Economics, Elsevier, vol. 23(5), pages 997-1012, September.
    4. Blough, David K. & Madden, Carolyn W. & Hornbrook, Mark C., 1999. "Modeling risk using generalized linear models," Journal of Health Economics, Elsevier, vol. 18(2), pages 153-171, April.
    5. Yen, Steven & Dellenbarger, Lynn E. & Schupp, Alvin R., 1995. "Determinants of Participation and Consumption: The Case of Crawfish in South Louisiana," Staff General Research Papers 874, Iowa State University, Department of Economics.
    6. Michael Gerfin & Martin Schellhorn, 2006. "Nonparametric bounds on the effect of deductibles in health care insurance on doctor visits - Swiss evidence," Health Economics, John Wiley & Sons, Ltd., vol. 15(9), pages 1011-1020.
    7. 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.
    8. Yen, Steven T. & Dellenbarger, Lynn E. & Schupp, Alvin R., 1995. "Determinants Of Participation And Consumption: The Case Of Crawfish In South Louisiana," Journal of Agricultural and Applied Economics, Southern Agricultural Economics Association, vol. 27(01), July.
    9. Andreas Werblow, 2002. "Alles nur Selektion?: Der Einfluss von Selbstbehalten in der Gesetzlichen Krankenversicherung," Vierteljahrshefte zur Wirtschaftsforschung / Quarterly Journal of Economic Research, DIW Berlin, German Institute for Economic Research, vol. 71(4), pages 427-436.
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    Cited by:
    1. José-Ignacio Antón & Rafael Muñoz de Bustillo, 2010. "Health care utilisation and immigration in Spain," The European Journal of Health Economics, Springer, vol. 11(5), pages 487-498, October.

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