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An empirical analysis of the demand for physician services across the European Union

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  • Sergi Jiménez-Martín

    ()

  • José Labeaga
  • Maite Martínez-Granado

Abstract

This paper presents parameter estimates for physician services equations using the European Community Household Panel for 12 countries covering the period 1994-1996. The focus is on two specific points: i) the identification of behavioural similarities and differences in the demand for health across the countries; ii) the variability of the demand for health captured through a joint model for all the countries. We find that there are significant differences across countries, although there are also similarities in the effect of variables such as the health stock, labour situation or family structure. An important fraction of the variability of the demand of health services across countries could be explained from differences in age, income, and the role of General Practitioners (GP) as a gatekeepers in the public health system. We also find some evidence of induced demand effects in both the decision to visit and the number of visits to specialists.

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Bibliographic Info

Article provided by Springer in its journal The European Journal of Health Economics, formerly: HEPAC.

Volume (Year): 5 (2004)
Issue (Month): 2 (May)
Pages: 150-165

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Handle: RePEc:spr:eujhec:v:5:y:2004:i:2:p:150-165

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Related research

Keywords: Count data; Demand; Physician services; Latent class model; Two-part model;

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References

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  1. Kathryn H. Anderson & Richard V. Burkhauser, 1985. "The Retirement-Health Nexus: A New Measure of an Old Puzzle," Journal of Human Resources, University of Wisconsin Press, vol. 20(3), pages 315-330.
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  13. Franco Peracchi, 2002. "The European Community Household Panel: A review," Empirical Economics, Springer, vol. 27(1), pages 63-90.
  14. Cameron, A C & P. K. Trivedi & Frank Milne & J. Piggott, 1988. "A Microeconometric Model of the Demand for Health Care and Health Insurance in Australia," Review of Economic Studies, Wiley Blackwell, Wiley Blackwell, vol. 55(1), pages 85-106, January.
  15. Partha Deb & Ann M. Holmes, 2000. "Estimates of use and costs of behavioural health care: a comparison of standard and finite mixture models," Health Economics, John Wiley & Sons, Ltd., vol. 9(6), pages 475-489.
  16. Sergi Jiménez-Mart�n & José M. Labeaga & Maite Mart�nez-Granado, 2002. "Latent class versus two-part models in the demand for physician services across the European Union," Health Economics, John Wiley & Sons, Ltd., vol. 11(4), pages 301-321.
  17. Winfried Pohlmeier & Volker Ulrich, 1995. "An Econometric Model of the Two-Part Decisionmaking Process in the Demand for Health Care," Journal of Human Resources, University of Wisconsin Press, vol. 30(2), pages 339-361.
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Citations

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Cited by:
  1. García-Mainar, Inmaculada & Montuenga-Gómez, Víctor M., 2009. "Education returns of wage earners and self-employed workers: Response," Economics of Education Review, Elsevier, Elsevier, vol. 28(5), pages 645-647, October.
  2. Roberto Montero Granados & José Jesús Martín Martín & Juan de Dios Jiménez Aguilera, 2008. "Horizontal Inequity in Access to Healthcare Services and Educational Level in Spain," FEG Working Paper Series, Faculty of Economics and Business (University of Granada) 08/03, Faculty of Economics and Business (University of Granada).
  3. José-Ignacio Antón & Rafael Muñoz de Bustillo, 2010. "Health care utilisation and immigration in Spain," The European Journal of Health Economics, Springer, Springer, vol. 11(5), pages 487-498, October.
  4. 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.
  5. Eugene Choo & Michael Denny, 2006. "Prior Conditions, Age and the Impact of Insurance," Working Papers tecipa-259, University of Toronto, Department of Economics.
  6. Nolan, Anne & Nolan, Brian, 2007. "Income, Medical Card Eligibility and Access to GP Services in Ireland," Book Chapters, in: Nolan, Brian (ed.), The Provision and Use of Health Services, Health Inequalities and Health and Social Gain Economic and Social Research Institute (ESRI).
  7. Kristian Bolin & Anna Lindgren & Björn Lindgren & Petter Lundborg, 2009. "Utilisation of physician services in the 50+ population: the relative importance of individual versus institutional factors in 10 European countries," International Journal of Health Care Finance and Economics, Springer, vol. 9(1), pages 83-112, March.
  8. Majo, M.C., 2010. "A microeconometric analysis of health care utilization in Europe," Open Access publications from Tilburg University urn:nbn:nl:ui:12-4628426, Tilburg University.
  9. Majo, Maria Cristina & van Soest, Arthur, 2012. "Income and health care utilization among the 50+ in Europe and the US," Applied Econometrics, Publishing House "SINERGIA PRESS", Publishing House "SINERGIA PRESS", vol. 28(4), pages 3-22.
  10. Aïda Solé-Auró & Montserrat Guillén & Eileen Crimmins, 2012. "Health care usage among immigrants and native-born elderly populations in eleven European countries: results from SHARE," The European Journal of Health Economics, Springer, Springer, vol. 13(6), pages 741-754, December.

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