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Economic Incentives and Hospitalization in Germany

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  • Million, Andreas
  • Rotte, Ralph
  • Zimmermann, Klaus F

Abstract

The determinants of the dramatically rising expenditures on health care in general, and on hospital care in particular, have been of prior concern to policy and to research. Using a rich panel data set this paper contributes to this literature by investigating factors determining the demand for hospitalization in Germany. While most previous studies have found a significant impact of social insurance on the demand for hospital trips, the empirical results presented here cast doubts on the propelling role of those economic incentives in the German case. There are also important differences in the hospitalization behaviour of men and women and between the full sample and those who are chronically ill, which have been neglected by the literature. The analysis relies on various count data models including Poisson, NEGBIN, ZIP (/), hurdle Poisson and NEGBIN panel models, and the findings are rather robust.

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Bibliographic Info

Paper provided by C.E.P.R. Discussion Papers in its series CEPR Discussion Papers with number 1516.

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Date of creation: Nov 1996
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Handle: RePEc:cpr:ceprdp:1516

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Related research

Keywords: Count Data Analysis; Health Care; Hospital Trips; Migration;

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Cited by:
  1. Bauer, Thomas K. & Million, Andreas & Rotte, Ralph & Zimmermann, Klaus F., 1998. "Immigration Labor and Workplace Safety," IZA Discussion Papers 16, Institute for the Study of Labor (IZA).
  2. Hendrik Schmitz, 2008. "Do Optional Deductibles Reduce the Number of Doctor Visits? – Empirical Evidence with German Data," Ruhr Economic Papers 0076, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
  3. Christian Dustmann & Frank Windmeijer, 2000. "Wages and the demand for health - a life cycle analysis," IFS Working Papers W99/20, Institute for Fiscal Studies.
  4. Michael Creel & Montserrat Farell, 2005. "Modeling Usage of Medical Care Services: The Medical Expenditure Panel Survey Data, 1996-2000," UFAE and IAE Working Papers 646.05, Unitat de Fonaments de l'Anàlisi Econòmica (UAB) and Institut d'Anàlisi Econòmica (CSIC).

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