IDEAS home Printed from https://ideas.repec.org/a/spr/hecrev/v9y2019i1d10.1186_s13561-019-0226-x.html
   My bibliography  Save this article

Neighborhood characteristics as determinants of healthcare utilization – a theoretical model

Author

Listed:
  • Sigrid M. Mohnen

    (National Institute for Public Health and the Environment (RIVM), Centre for Nutrition, Prevention, and Health Services)

  • Sven Schneider

    (Heidelberg University)

  • Mariël Droomers

    (Utrecht Municipality, Department of Public Health)

Abstract

Background We propose using neighborhood characteristics as demand-related morbidity adjusters to improve prediction models such as the risk equalization model. Results Since the neighborhood has no explicit ‘place’ in healthcare demand models, we have developed the “Neighborhood and healthcare utilization model” to show how neighborhoods matter in healthcare utilization. Neighborhood may affect healthcare utilization via (1) the supply-side, (2) need, and (3) demand for healthcare – irrespective of need. Three pathways are examined in detail to explain how neighborhood characteristics influence healthcare utilization via need: the physiological, psychological and behavioral pathways. We underpin this theoretical model with literature on all relevant neighborhood characteristics relating to health and healthcare utilization. Conclusion Potential neighborhood characteristics for the risk equalization model include the degree of urbanization, public and open space, resources and facilities, green and blue space, environmental noise, air pollution, social capital, crime and violence, socioeconomic status, stability, and ethnic composition. Air pollution has already been successfully tested as an important predictive variable in a healthcare risk equalization model, and it might be opportune to add more neighborhood characteristics.

Suggested Citation

  • Sigrid M. Mohnen & Sven Schneider & Mariël Droomers, 2019. "Neighborhood characteristics as determinants of healthcare utilization – a theoretical model," Health Economics Review, Springer, vol. 9(1), pages 1-9, December.
    • Handle: RePEc:spr:hecrev:v:9:y:2019:i:1:d:10.1186_s13561-019-0226-x
    DOI: 10.1186/s13561-019-0226-x
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1186/s13561-019-0226-x
    File Function: Abstract
    Download Restriction: no
    File URL: https://libkey.io/10.1186/s13561-019-0226-x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. van de Ven, Wynand P.M.M. & Beck, Konstantin & Buchner, Florian & Schokkaert, Erik & Schut, F.T. (Erik) & Shmueli, Amir & Wasem, Juergen, 2013. "Preconditions for efficiency and affordability in competitive healthcare markets: Are they fulfilled in Belgium, Germany, Israel, the Netherlands and Switzerland?," Health Policy, Elsevier, vol. 109(3), pages 226-245.
    2. Macintyre, Sally & Ellaway, Anne & Cummins, Steven, 2002. "Place effects on health: how can we conceptualise, operationalise and measure them?," Social Science & Medicine, Elsevier, vol. 55(1), pages 125-139, July.
    3. Hanming Fang & Michael Keane & Ahmed Khwaja & Martin Salm & Dan Silverman, 2007. "Testing the Mechanisms of Structural Models: The Case of the Mickey Mantle Effect," American Economic Review, American Economic Association, vol. 97(2), pages 53-59, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Mohnen Sigrid M. & Rotteveel Adriënne H. & Doornbos Gerda & Polder Johan J., 2020. "Healthcare Expenditure Prediction with Neighbourhood Variables – A Random Forest Model," Statistics, Politics and Policy, De Gruyter, vol. 11(2), pages 111-138, December.
    2. Palacios, Alfredo & Gabosi, Julia & Williams, Caitlin R. & Rojas-Roque, Carlos, 2022. "Social vulnerability, exposure to environmental risk factors, and accessibility of healthcare services: Evidence from 2,000+ informal settlements in Argentina," Social Science & Medicine, Elsevier, vol. 309(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. David Consolazio & Annemarie Koster & Simone Sarti & Miranda T Schram & Coen D A Stehouwer & Erik J Timmermans & Anke Wesselius & Hans Bosma, 2020. "Neighbourhood property value and type 2 diabetes mellitus in the Maastricht study: A multilevel study," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-13, June.
    2. Bolte, Gabriele, 2018. "Epidemiologische Methoden und Erkenntnisse als eine Grundlage für Stadtplanung und gesundheitsfördernde Stadtentwicklung," Forschungsberichte der ARL: Aufsätze, in: Baumgart, Sabine & Köckler, Heike & Ritzinger, Anne & Rüdiger, Andrea (ed.), Planung für gesundheitsfördernde Städte, volume 8, pages 118-134, ARL – Akademie für Raumentwicklung in der Leibniz-Gemeinschaft.
    3. Mitchell, Richard & Dujardin, Claire & Popham, Frank & Farfan Portet, Maria-Isabel & Thomas, Isabelle & Lorant, Vincent, 2011. "Using matched areas to explore international differences in population health," Social Science & Medicine, Elsevier, vol. 73(8), pages 1113-1122.
    4. Yoon-Sun Jung & Ki-Beom Kim & Seok-Jun Yoon, 2020. "Factors Associated with Regional Years of Life Lost (YLLs) due to Suicide in South Korea," IJERPH, MDPI, vol. 17(14), pages 1-9, July.
    5. Spielman, Seth E. & Yoo, Eun-hye, 2009. "The spatial dimensions of neighborhood effects," Social Science & Medicine, Elsevier, vol. 68(6), pages 1098-1105, March.
    6. Allison Williams & Peter Kitchen, 2012. "Sense of Place and Health in Hamilton, Ontario: A Case Study," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 108(2), pages 257-276, September.
    7. Garthwaite, Kayleigh & Bambra, Clare, 2017. "“How the other half live”: Lay perspectives on health inequalities in an age of austerity," Social Science & Medicine, Elsevier, vol. 187(C), pages 268-275.
    8. Anna-Karin Ivert & Marie Torstensson Levander & Juan Merlo, 2013. "Adolescents' Utilisation of Psychiatric Care, Neighbourhoods and Neighbourhood Socioeconomic Deprivation: A Multilevel Analysis," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-1, November.
    9. Balsam Ahmad & Fouad M. Fouad & Shahaduz Zaman & Peter Phillimore, 2019. "Women’s health and well-being in low-income formal and informal neighbourhoods on the eve of the armed conflict in Aleppo," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(1), pages 75-82, January.
    10. McNeill, Lorna Haughton & Kreuter, Matthew W. & Subramanian, S.V., 2006. "Social Environment and Physical activity: A review of concepts and evidence," Social Science & Medicine, Elsevier, vol. 63(4), pages 1011-1022, August.
    11. Caitlin Robinson & Stefan Bouzarovski & Sarah Lindley, 2018. "Underrepresenting neighbourhood vulnerabilities? The measurement of fuel poverty in England," Environment and Planning A, , vol. 50(5), pages 1109-1127, August.
    12. Dang, Rui, 2015. "Spillover effects of local human capital stock on adult obesity: Evidence from German neighborhoods," Ruhr Economic Papers 585, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    13. Eleonore M Veldhuizen & Karien Stronks & Anton E Kunst, 2013. "Assessing Associations between Socio-Economic Environment and Self-Reported Health in Amsterdam Using Bespoke Environments," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-10, July.
    14. Anna Maria Santiago & Kristen A. Berg & Joffré Leroux, 2021. "Assessing the Impact of Neighborhood Conditions on Neurodevelopmental Disorders during Childhood," IJERPH, MDPI, vol. 18(17), pages 1-14, August.
    15. Stafford, Mai & Cummins, Steven & Ellaway, Anne & Sacker, Amanda & Wiggins, Richard D. & Macintyre, Sally, 2007. "Pathways to obesity: Identifying local, modifiable determinants of physical activity and diet," Social Science & Medicine, Elsevier, vol. 65(9), pages 1882-1897, November.
    16. Rudy Douven & Ron van der Heijden & Thomas McGuire & Erik Schut, 2017. "Premium levels and demand response in health insurance: relative thinking and zero-price effects," CPB Discussion Paper 366, CPB Netherlands Bureau for Economic Policy Analysis.
    17. Steffen Andreas Schüle & Gabriele Bolte, 2015. "Interactive and Independent Associations between the Socioeconomic and Objective Built Environment on the Neighbourhood Level and Individual Health: A Systematic Review of Multilevel Studies," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-31, April.
    18. Bilger, Marcel & Carrieri, Vincenzo, 2013. "Health in the cities: When the neighborhood matters more than income," Journal of Health Economics, Elsevier, vol. 32(1), pages 1-11.
    19. John DiNardo & David S. Lee, 2010. "Program Evaluation and Research Designs," Working Papers 1228, Princeton University, Department of Economics, Industrial Relations Section..
    20. Martin Salm, 2010. "Subjective mortality expectations and consumption and saving behaviours among the elderly," Canadian Journal of Economics, Canadian Economics Association, vol. 43(3), pages 1040-1057, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:hecrev:v:9:y:2019:i:1:d:10.1186_s13561-019-0226-x. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com/economics/journal/13561 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.