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An Empirical Analysis of the Demand for Physician Services Across the European Union

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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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Paper provided by Centro de Estudios Andaluces in its series Economic Working Papers at Centro de Estudios Andaluces with number E2003/45.

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Length: 34 pages
Date of creation: 2003
Date of revision:
Handle: RePEc:cea:doctra:e2003_45

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Keywords: count data; demand; physician services; latent class model; two-part model;

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References

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  1. Rainer Winkelmann, 2004. "Health care reform and the number of doctor visits-an econometric analysis," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 19(4), pages 455-472.
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  7. Baltagi, Badi H. & Bresson, Georges & Pirotte, Alain, 2003. "Fixed effects, random effects or Hausman-Taylor?: A pretest estimator," Economics Letters, Elsevier, vol. 79(3), pages 361-369, June.
  8. Deb, Partha & Trivedi, Pravin K., 2002. "The structure of demand for health care: latent class versus two-part models," Journal of Health Economics, Elsevier, vol. 21(4), pages 601-625, July.
  9. R. Winkelmann, 1998. "Count data models with selectivity," Econometric Reviews, Taylor & Francis Journals, vol. 17(4), pages 339-359.
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  13. Kenkel, Don, 1990. "Consumer Health Information and the Demand for Medical Care," The Review of Economics and Statistics, MIT Press, vol. 72(4), pages 587-95, November.
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  15. 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.
  16. Wagstaff, Adam, 1986. "The demand for health : Some new empirical evidence," Journal of Health Economics, Elsevier, vol. 5(3), pages 195-233, September.
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  18. 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.
  19. Franco Peracchi, 2002. "The European Community Household Panel: A review," Empirical Economics, Springer, vol. 27(1), pages 63-90.
  20. 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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Cited by:
  1. 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.
  2. José-Ignacio Antón & Rafael Muñoz de Bustillo, 2010. "Health care utilisation and immigration in Spain," The European Journal of Health Economics, Springer, vol. 11(5), pages 487-498, October.
  3. García-Mainar, Inmaculada & Montuenga-Gómez, Víctor M., 2009. "Education returns of wage earners and self-employed workers: Response," Economics of Education Review, Elsevier, vol. 28(5), pages 645-647, October.
  4. 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, vol. 13(6), pages 741-754, December.
  5. 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", vol. 28(4), pages 3-22.
  6. 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.
  7. Eugene Choo & Michael Denny, 2006. "Prior Conditions, Age and the Impact of Insurance," Working Papers tecipa-259, University of Toronto, Department of Economics.
  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. 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).
  10. 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 08/03, Faculty of Economics and Business (University of Granada).

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