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Modeling Usage of Medical Care Services: The Medical Expenditure Panel Survey Data, 1996-2000

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Author Info
Michael Creel ()
Montserrat Farell ()

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Abstract

We explore the determinants of usage of six different types of health careservices, using the Medical Expenditure Panel Survey data, years 1996-2000.We apply a number of models for univariate count data, including semiparametric, semi-nonparametric and finite mixture models.We find that the complexity of the model that is required to fit the datawell depends upon the way in which the data is pooled across sexes andover time, and upon the characteristics of the usage measure.Pooling across time and sexes is almost always favored, but when more heterogeneous data is pooled it is often the case that a more complex statisticalmodel is required.

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Paper provided by Unitat de Fonaments de l'Anàlisi Econòmica (UAB) and Institut d'Anàlisi Econòmica (CSIC) in its series UFAE and IAE Working Papers with number 646.05.

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Length: 32
Date of creation: 21 Apr 2005
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Handle: RePEc:aub:autbar:646.05

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Related research
Keywords: medical care; count data; maximum likelihood;

Find related papers by JEL classification:
C25 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Discrete Regression and Qualitative Choice Models
I10 - Health, Education, and Welfare - - Health - - - General

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  1. Mullahy, John, 1986. "Specification and testing of some modified count data models," Journal of Econometrics, Elsevier, vol. 33(3), pages 341-365, December. [Downloadable!] (restricted)
  2. Million, Andreas & Rotte, Ralph & Zimmermann, Klaus F, 1996. "Economic Incentives and Hospitalization in Germany," CEPR Discussion Papers 1516, C.E.P.R. Discussion Papers. [Downloadable!] (restricted)
  3. Guo, Jie Q & Trivedi, Pravin K, 2002. " Flexible Parametric Models for Long-Tailed Patent Count Distributions," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 64(1), pages 63-82, February. [Downloadable!] (restricted)
  4. Cameron, A Colin & Johansson, Per, 1997. "Count Data Regression Using Series Expansions: With Applications," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 12(3), pages 203-23, May-June. [Downloadable!]
  5. Gurmu, Shiferaw & Rilstone, Paul & Stern, Steven, 1998. "Semiparametric estimation of count regression models1," Journal of Econometrics, Elsevier, vol. 88(1), pages 123-150, November. [Downloadable!] (restricted)
  6. Gerdtham, Ulf-G. & Trivedi, Pravin K., 2000. "Equity in Swedish Health Care Reconsidered: New Results based on the Finite Mixture Model," Working Paper Series in Economics and Finance 365, Stockholm School of Economics. [Downloadable!]
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  7. Deb, Partha & Trivedi, Pravin K, 1997. "Demand for Medical Care by the Elderly: A Finite Mixture Approach," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 12(3), pages 313-36, May-June. [Downloadable!]
  8. Gurmu, Shiferaw & Trivedi, Pravin K, 1996. "Excess Zeros in Count Models for Recreational Trips," Journal of Business & Economic Statistics, American Statistical Association, vol. 14(4), pages 469-77, October.
  9. Windmeijer, F A G & Silva, J M C Santos, 1997. "Endogeneity in Count Data Models: An Application to Demand for Health Care," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 12(3), pages 281-94, May-June. [Downloadable!]
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