IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v7y1998i4p347-361.html
   My bibliography  Save this article

Substitution of physicians and other providers in outpatient mental health care

Author

Listed:
  • Partha Deb
  • Ann M. Holmes

Abstract

This paper evaluates the extent to which patients may substitute physician and non‐physician outpatient mental health services in response to insurance coverage which differs by provider type. Using data from the National Medical Expenditure Survey, a semi‐flexible two‐stage demand specification is used to estimate substitution elasticities. Our results indicate that insurance coverage significantly affects the choice of provider from whom care is sought and, for individuals who seek care from both provider types, that physician and non‐physician services are substitutes. Our elasticity estimates provide a welfare economic argument supporting coverage parity of physician and non‐physician mental health services. © 1998 John Wiley & Sons, Ltd.

Suggested Citation

  • Partha Deb & Ann M. Holmes, 1998. "Substitution of physicians and other providers in outpatient mental health care," Health Economics, John Wiley & Sons, Ltd., vol. 7(4), pages 347-361, June.
    • Handle: RePEc:wly:hlthec:v:7:y:1998:i:4:p:347-361
    DOI: 10.1002/(SICI)1099-1050(199806)7:4<347::AID-HEC354>3.0.CO;2-L
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/(SICI)1099-1050(199806)7:43.0.CO;2-L
    Download Restriction: no
    File URL: https://libkey.io/10.1002/(SICI)1099-1050(199806)7:4<347::AID-HEC354>3.0.CO;2-L?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. Hunt-McCool, Janet & Kiker, B F & Ng, Ying Chu, 1994. "Estimates of the Demand for Medical Care under Different Functional Forms," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 9(2), pages 201-218, April-Jun.
    2. Pollak, Robert A & Wales, Terence J, 1981. "Demographic Variables in Demand Analysis," Econometrica, Econometric Society, vol. 49(6), pages 1533-1551, November.
    3. Pollak, Robert A & Wales, Terence J, 1980. "Comparison of the Quadratic Expenditure System and Translog Demand Systems with Alternative Specifications of Demographic Effects," Econometrica, Econometric Society, vol. 48(3), pages 595-612, April.
    4. Haas-Wilson, Deborah & Scheffler, Richard & Cheadle, A, 1989. "Demand for Mental Health Services: An Episode of Treatment Approach," MPRA Paper 19862, University Library of Munich, Germany.
    5. Elizabeth Savoca, 1995. "Controlling for mental health in earnings equations: What do we gain and what do we lose?," Health Economics, John Wiley & Sons, Ltd., vol. 4(5), pages 399-410, September.
    6. Christensen, Laurits R & Jorgenson, Dale W & Lau, Lawrence J, 1975. "Transcendental Logarithmic Utility Functions," American Economic Review, American Economic Association, vol. 65(3), pages 367-383, June.
    7. Thomas G. McGuire, 1981. "Financing and Demand for Mental Health Services," Journal of Human Resources, University of Wisconsin Press, vol. 16(4), pages 501-522.
    8. Besley, Timothy J., 1988. "Optimal reimbursement health insurance and the theory of Ramsey taxation," Journal of Health Economics, Elsevier, vol. 7(4), pages 321-336, December.
    9. Deaton,Angus & Muellbauer,John, 1980. "Economics and Consumer Behavior," Cambridge Books, Cambridge University Press, number 9780521296762.
    10. Muurinen, Jaana-Marja, 1982. "Demand for health: A generalised Grossman model," Journal of Health Economics, Elsevier, vol. 1(1), pages 5-28, May.
    11. Duan, Naihua, et al, 1983. "A Comparison of Alternative Models for the Demand for Medical Care," Journal of Business & Economic Statistics, American Statistical Association, vol. 1(2), pages 115-126, April.
    12. Manski, Charles F & Lerman, Steven R, 1977. "The Estimation of Choice Probabilities from Choice Based Samples," Econometrica, Econometric Society, vol. 45(8), pages 1977-1988, November.
    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. van Campen, Cretien & Woittiez, Isolde B., 2003. "Client demands and the allocation of home care in the Netherlands. A multinomial logit model of client types, care needs and referrals," Health Policy, Elsevier, vol. 64(2), pages 229-241, May.
    2. Chad D. Meyerhoefer & Samuel H. Zuvekas, 2010. "New estimates of the demand for physical and mental health treatment," Health Economics, John Wiley & Sons, Ltd., vol. 19(3), pages 297-315, March.
    3. Theodore Stefos & James Burgess & Jeffrey Cohen & Laura Lehner & Eileen Moran, 2012. "Dynamics of the mental health workforce: investigating the composition of physicians and other health providers," Health Care Management Science, Springer, vol. 15(4), pages 373-384, December.
    4. Albert Okunade & Vasudeva Murthy, 2008. "Are physician and non-physician providers of outpatient mental healthcare substitutes or complements? a conceptual clarification," Health Care Management Science, Springer, vol. 11(4), pages 393-398, December.

    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. Chern, Wen S. & Lee, Hwang Jaw, 1989. "Nonparametric and Parametric Analyses of Demand for Food at Home and Away from Home," 1989 Annual Meeting, July 30-August 2, Baton Rouge, Louisiana 270706, American Agricultural Economics Association (New Name 2008: Agricultural and Applied Economics Association).
    2. Marsh, Thomas L. & Piggott, Nicholas E., 2013. "Measuring Pre-Commited Quantities Through Consumer Price Formation," 2013 Conference (57th), February 5-8, 2013, Sydney, Australia 152165, Australian Agricultural and Resource Economics Society.
    3. Chen, Shu-Ling & Chern, Wen S. & Lin, Yi-Ru & Liu, Kang Ernest, 2015. "Effects of food safety and health risk information on demand for food in Taiwan," 2015 AAEA & WAEA Joint Annual Meeting, July 26-28, San Francisco, California 205452, Agricultural and Applied Economics Association.
    4. Helen Jensen & Justo Manrique, 1998. "Demand for food commodities by income groups in Indonesia," Applied Economics, Taylor & Francis Journals, vol. 30(4), pages 491-501.
    5. Trevon D. Logan, 2011. "Economies Of Scale In The Household: Puzzles And Patterns From The American Past," Economic Inquiry, Western Economic Association International, vol. 49(4), pages 1008-1028, October.
    6. Gozalo, Pedro L., 1997. "Nonparametric bootstrap analysis with applications to demographic effects in demand functions," Journal of Econometrics, Elsevier, vol. 81(2), pages 357-393, December.
    7. Kockelman, Kara Maria & Krishnamurthy, Sriram, 2004. "A new approach for travel demand modeling: linking Roy's Identity to discrete choice," Transportation Research Part B: Methodological, Elsevier, vol. 38(5), pages 459-475, June.
    8. Molnár, György & Cseres-Gergely, Zsombor, 2008. "Háztartási fogyasztói magatartás és jólét Magyarországon a rendszerváltás után [Household consumer behaviour and welfare in Hungary since the change of system]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(2), pages 107-135.
    9. Ping Wang & Nhuong Tran & Dolapo Enahoro & Chin Yee Chan & Kelvin Mashisia Shikuku & Karl M. Rich & Kendra Byrd & Shakuntala H. Thilsted, 2022. "Spatial and temporal patterns of consumption of animal‐source foods in Tanzania," Agribusiness, John Wiley & Sons, Ltd., vol. 38(2), pages 328-348, April.
    10. Sanvi Avouyi-Dovi & Christian Pfister & Franck Sédillot, 2019. "French Households’ Portfolio: The Financial Almost Ideal Demand System Appraisal," Working papers 728, Banque de France.
    11. Brown, Mark G. & Lee, Jonq-Ying, 1992. "A Dynamic Differential Demand System: An Application Of Translation," Southern Journal of Agricultural Economics, Southern Agricultural Economics Association, vol. 24(2), pages 1-10, December.
    12. Thomas, Alastair, 2019. "Who Would Win from a Multi-rate GST in New Zealand: Evidence from a QUAIDS Model," Working Paper Series 20932, Victoria University of Wellington, Chair in Public Finance.
    13. Thomas, Alastair, 2019. "Who Would Win from a Multi-rate GST in New Zealand: Evidence from a QUAIDS Model," Working Paper Series 8127, Victoria University of Wellington, Chair in Public Finance.
    14. Barnett, William A. & Serletis, Apostolos, 2008. "Consumer preferences and demand systems," Journal of Econometrics, Elsevier, vol. 147(2), pages 210-224, December.
    15. Marie-Estelle Binet, 2013. "The Linear Expenditure System and the Demand for Municipal Public Services: The Median Voter Specification Revisited," Urban Studies, Urban Studies Journal Limited, vol. 50(9), pages 1689-1703, July.
    16. Korir, Lilian & Rizov, Marian & Ruto, Eric, 2020. "Food security in Kenya: Insights from a household food demand model," Economic Modelling, Elsevier, vol. 92(C), pages 99-108.
    17. Richards, Timothy J. & Patterson, Paul M., 2000. "New Varieties And The Returns To Commodity Promotion: The Case Of Fuji Apples," Agricultural and Resource Economics Review, Northeastern Agricultural and Resource Economics Association, vol. 29(1), pages 1-14, April.
    18. Xiangdan Piao, 2021. "Marriage Stability and Private Versus Shared Expenditures Within Families: Evidence from Japanese Families," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 153(2), pages 533-559, January.
    19. Shawna Grosskopf & Kathy Hayes, 1983. "Do Local Governments Maximize Anything?," Public Finance Review, , vol. 11(2), pages 202-216, April.
    20. Paula Carvalho Pereda & Denisard Cneio de Oliveira Alves, 2008. "Demand for Nutrients in Brazil," Anais do XXXVI Encontro Nacional de Economia [Proceedings of the 36th Brazilian Economics Meeting] 200807211136590, ANPEC - Associação Nacional dos Centros de Pós-Graduação em Economia [Brazilian Association of Graduate Programs in Economics].

    More about this item

    Statistics

    Access and download statistics

    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:wly:hlthec:v:7:y:1998:i:4:p:347-361. 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: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    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.