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Federalism and regional health care expenditures: an empirical analysis for the Swiss cantons

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  • Luca Crivelli
  • Massimo Filippini
  • Ilaria Mosca

    (Faculty of Economics, University of Lugano (USI), Lugano, Switzerland)

Abstract

Switzerland (7.2 million inhabitants) is a federal state composed of 26 cantons. The autonomy of cantons and a particular health insurance system create strong heterogeneity in terms of regulation and organisation of health care services. In this study we use a single-equation approach to model the per capita cantonal expenditures on health care services and postulate that per capita health expenditures depend on some economic, demographic and structural factors. The empirical analysis demonstrates that a larger share of old people tends to increase health costs and that physicians paid on a fee-for-service basis swell expenditures, thus highlighting a possible phenomenon of supply-induced demand. Copyright © 2005 John Wiley & Sons, Ltd.

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Bibliographic Info

Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.

Volume (Year): 15 (2006)
Issue (Month): 5 ()
Pages: 535-541

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Handle: RePEc:wly:hlthec:v:15:y:2006:i:5:p:535-541

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Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749

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  1. Wagstaff, Adam & van Doorslaer, Eddy & van der Burg, Hattem & Calonge, Samuel & Christiansen, Terkel & Citoni, Guido & Gerdtham, Ulf-G & Gerfin, Mike & Gross, Lorna & Hakinnen, Unto, 1999. "Equity in the finance of health care: some further international comparisons1," Journal of Health Economics, Elsevier, Elsevier, vol. 18(3), pages 263-290, June.
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  4. McGuire, Thomas G., 2000. "Physician agency," Handbook of Health Economics, Elsevier, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 9, pages 461-536 Elsevier.
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  7. Manning, Willard G, et al, 1987. "Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment," American Economic Review, American Economic Association, American Economic Association, vol. 77(3), pages 251-77, June.
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Citations

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Cited by:
  1. Luca Crivelli & Paola Salari, 2012. "Fiscal federalism and income redistribution through healthcare financing: An empirical analysis for the Swiss cantons," CEPRA working paper, USI Università della Svizzera italiana 1204, USI Università della Svizzera italiana.
  2. Costa-Font, J & Gemmill M & Rubert G, 2009. "Re-visiting the Health Care Luxury Good Hypothesis: Aggregation, Precision, and Publication Biases?," Health, Econometrics and Data Group (HEDG) Working Papers, HEDG, c/o Department of Economics, University of York 09/02, HEDG, c/o Department of Economics, University of York.
  3. André Martínez & Carolina Rodríguez-Zamora, 2011. "An Evaluation of the 1997 Fiscal Decentralization Reform in Mexico: The Case of the Health Sector," Working Papers, Banco de México 2011-16, Banco de México.
  4. Oliver Reich & Cornelia Weins & Claudia Schusterschitz & Magdalena Thöni, 2012. "Exploring the disparities of regional health care expenditures in Switzerland: some empirical evidence," The European Journal of Health Economics, Springer, Springer, vol. 13(2), pages 193-202, April.
  5. David Prieto & Santiago Lago-Peñas, 2012. "Decomposing the determinants of health care expenditure: the case of Spain," The European Journal of Health Economics, Springer, Springer, vol. 13(1), pages 19-27, February.
  6. Eva Luthi & Kurt Schmidheiny, 2011. "The Effect of Agglomeration Size on Local Taxes," CESifo Working Paper Series 3426, CESifo Group Munich.
  7. Ehtisham Ahmad & Giorgio Brosio, 2009. "Decentralization and local service provision: what do we know?," LSE Research Online Documents on Economics, London School of Economics and Political Science, LSE Library 38347, London School of Economics and Political Science, LSE Library.
  8. Boris Kaiser & Christian Schmid, 2013. "Does Physician Dispensing Increase Drug Expenditures?," Diskussionsschriften, Universitaet Bern, Departement Volkswirtschaft dp1303, Universitaet Bern, Departement Volkswirtschaft.
  9. Masayoshi Hayashi, 2011. "The Effects of Medical Factors on Transfer Deficits in Public Assistance in Japan: A Quantile Regression Analysis," CIRJE F-Series, CIRJE, Faculty of Economics, University of Tokyo CIRJE-F-816, CIRJE, Faculty of Economics, University of Tokyo.
  10. Hai Zhong, 2010. "The impact of decentralization of health care administration on equity in health and health care in Canada," International Journal of Health Care Finance and Economics, Springer, Springer, vol. 10(3), pages 219-237, September.
  11. Okma, Kieke G.H. & Crivelli, Luca, 2013. "Swiss and Dutch “consumer-driven health care”: Ideal model or reality?," Health Policy, Elsevier, Elsevier, vol. 109(2), pages 105-112.
  12. Andree Ehlert & Dirk Oberschachtsiek & Stefan Prawda, 2013. "Cost Containment and Managed Care: Evidence from German Macro Data," Working Paper Series in Economics, University of Lüneburg, Institute of Economics 284, University of Lüneburg, Institute of Economics.
  13. Massimiliano Piacenza & Gilberto Turati, 2010. "Does Fiscal Discipline towards Sub-national Governments Affect Citizens’ Well-being? Evidence on Health," Working papers, Former Department of Economics and Public Finance "G. Prato", University of Torino 12, Former Department of Economics and Public Finance "G. Prato", University of Torino.
  14. Di Matteo, Livio, 2014. "Physician numbers as a driver of provincial government health spending in Canadian health policy," Health Policy, Elsevier, Elsevier, vol. 115(1), pages 18-35.
  15. Ehtisham Ahmad & Giorgio Brosio & Vito Tanzi, 2008. "Local Service Provision in Selected Oecd Countries," IMF Working Papers 08/67, International Monetary Fund.
  16. Moscone, Francesco & Knapp, Martin & Tosetti, Elisa, 2007. "Mental health expenditure in England: A spatial panel approach," Journal of Health Economics, Elsevier, Elsevier, vol. 26(4), pages 842-864, July.
  17. Jochen Hartwig & Jan-Egbert Sturm, 2012. "An outlier-robust extreme bounds analysis of the determinants of health-care expenditure growth," KOF Working papers, KOF Swiss Economic Institute, ETH Zurich 12-307, KOF Swiss Economic Institute, ETH Zurich.
  18. Giardina, Emilio & Cavalieri, Marina & Guccio, Calogero & Mazza, Isidoro, 2009. "Federalism, Party Competition and Budget Outcome: Empirical Findings on Regional Health Expenditure in Italy," MPRA Paper 16437, University Library of Munich, Germany.
  19. Lagravinese, Raffaele & Paradiso, Massimo, 2012. "Corruption and health expenditure in Italy," MPRA Paper 43215, University Library of Munich, Germany.

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