The Relationship Between Economic Conditions, Access to Health Care, and Health Outcomes
AbstractThis paper analyses the impact of access to health care and economic conditions on health outcomes. Fixed-effects models are estimated using municipality data from 1996 to 2002. Health is proxied by total mortality rates divided into three different causes of death. Access to health care is proxied by number of physicians, and other medical personnel. We find an insignificant effect of per capital number of GPs on mortality. However, the number of vacant positions (unmet demand) in municipalities increases mortality rates significantly. Unemployment, which has been an important determinant of mortality in many studies, is found to have no effect on health outcomes in our data. However, other economic factors, such as the level of spending on health and social policy, has a significant effect on reduced mortality rates. In a policy simulation, we find that mortality rates can be reduced on average by 0.8 per cent by eliminating all (around 500) vacant GP positions
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by Econometric Society in its series Econometric Society 2004 Australasian Meetings with number 34.
Date of creation: 11 Aug 2004
Date of revision:
Contact details of provider:
Phone: 1 212 998 3820
Fax: 1 212 995 4487
Web page: http://www.econometricsociety.org/pastmeetings.asp
More information through EDIRC
GPs; mortality rates; municipalities; fixed-effect models; mortality; morbidity;
Other versions of this item:
- Aakvik, Arild & Holmås, Tor Helge, 2004. "The Relationship Between Economic Conditions, Access to Health Care, and Health Outcomes," Working Papers in Economics 06/04, University of Bergen, Department of Economics.
- I12 - Health, Education, and Welfare - - Health - - - Health Production
- J63 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - Turnover; Vacancies; Layoffs
This paper has been announced in the following NEP Reports:
- NEP-ALL-2004-10-30 (All new papers)
- NEP-EDU-2004-10-30 (Education)
- NEP-HEA-2004-10-30 (Health Economics)
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Daniel P. Kessler & Mark B. McClellan, 2000. "Is Hospital Competition Socially Wasteful?," The Quarterly Journal of Economics, MIT Press, vol. 115(2), pages 577-615, May.
- John Robst, 2001. "A note on the relationship between medical care resources and mortality," Applied Economics Letters, Taylor & Francis Journals, vol. 8(11), pages 737-739.
- Angus Deaton & Christina Paxson, 2001.
"Mortality, Income, And Income Inequality Over Time In Britain And The United States,"
267, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
- Angus S. Deaton & Christina Paxson, 2004. "Mortality, Income, and Income Inequality over Time in Britain and the United States," NBER Chapters, in: Perspectives on the Economics of Aging, pages 247-286 National Bureau of Economic Research, Inc.
- Angus Deaton & Christina Paxson, 2001. "Mortality, Income, and Income Inequality Over Time in Britain and the United States," NBER Working Papers 8534, National Bureau of Economic Research, Inc.
- Forbes, John F. & McGregor, Alan, 1984. "Unemployment and mortality in post-war Scotland," Journal of Health Economics, Elsevier, vol. 3(3), pages 239-257, December.
- Cutler, David M, 1995.
"The Incidence of Adverse Medical Outcomes under Prospective Payment,"
Econometric Society, vol. 63(1), pages 29-50, January.
- Cutler, D.M., 1992. "The Incidence of Adverse Medical Outcome Under Prospective Payment," Harvard Institute of Economic Research Working Papers 1603, Harvard - Institute of Economic Research.
- David M. Cutler, 1993. "The Incidence of Adverse Medical Outcomes Under Prospective Payments," NBER Working Papers 4300, National Bureau of Economic Research, Inc.
- Paul van den Noord & Terje Hagen & Tor Iversen, 1998. "The Norwegian Health Care System," OECD Economics Department Working Papers 198, OECD Publishing.
- Hitiris, Theo & Posnett, John, 1992. "The determinants and effects of health expenditure in developed countries," Journal of Health Economics, Elsevier, vol. 11(2), pages 173-181, August.
- Michael Greenstone & Kenneth Y. Chay, 2000. "The Convergence in Black-White Infant Mortality Rates during the 1960's," American Economic Review, American Economic Association, vol. 90(2), pages 326-332, May.
- Christopher J. Ruhm, 2000.
"Are Recessions Good For Your Health?,"
The Quarterly Journal of Economics,
MIT Press, vol. 115(2), pages 617-650, May.
- John Geweke & Gautam Gowrisankaran & Robert J. Town, 2002.
"Bayesian inference for hospital quality in a selection model,"
Working Paper Series
2002-18, Federal Reserve Bank of San Francisco.
- John Geweke & Gautam Gowrisankaran & Robert J. Town, 2003. "Bayesian Inference for Hospital Quality in a Selection Model," Econometrica, Econometric Society, vol. 71(4), pages 1215-1238, 07.
- John Geweke & Gautam Gowrisankaran & Robert J. Town, 2001. "Bayesian Inference for Hospital Quality in a Selection Model," NBER Working Papers 8497, National Bureau of Economic Research, Inc.
- Maarten Lindeboom & France Portrait & Gerard J. van den Berg, 2003.
"Individual Mortality and Macro Economic Conditions from Birth to Death,"
CEIS Research Paper
42, Tor Vergata University, CEIS.
- Lindeboom, Maarten & Portrait, France & van den Berg, Gerard J., 2003. "Individual Mortality and Macro-Economic Conditions from Birth to Death," IZA Discussion Papers 930, Institute for the Study of Labor (IZA).
- Maarten Lindeboom & France Portrait & Gerard J. van den Berg, 2003. "Individual Mortality and Macro-Economic Conditions from Birth to Death," Tinbergen Institute Discussion Papers 03-072/3, Tinbergen Institute, revised 14 Oct 2003.
- Lindeboom, Maarten & Portrait, France & van den Berg, Gerard J, 2004. "Individual Mortality and Macroeconomic Conditions from Birth to Death," CEPR Discussion Papers 4200, C.E.P.R. Discussion Papers.
- Kemna, Harrie J. M. I., 1987. "Working conditions and the relationship between schooling and health," Journal of Health Economics, Elsevier, vol. 6(3), pages 189-210, September.
- John Robst & Glenn Graham, 1997. "Access to health care and current health status: do physicians matter?," Applied Economics Letters, Taylor & Francis Journals, vol. 4(1), pages 45-48.
- Gravelle, Hugh S. E., 1984. "Time series analysis of mortality and unemployment," Journal of Health Economics, Elsevier, vol. 3(3), pages 297-305, December.
- Ruhm, Christopher J., 2003. "Good times make you sick," Journal of Health Economics, Elsevier, vol. 22(4), pages 637-658, July.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Christopher F. Baum).
If references are entirely missing, you can add them using this form.