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Viden om effekten af brugerbetaling i almen praksis og lægevagten

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  • Pedersen, Kjeld Møller

    ()
    (COHERE, Deparetment of Business and Economics, University of Southern Denmark)

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    Abstract

    In Denmark GP services are free at the point of use. A looming conflict between GPs and the payor, the Danish Regions, has raised the possibility of copayment during a possible upcoming conflict. Danish empirical evidence on the demand effect of copayment is largely nonexisting. However, from October 1st 1984 to January 5th 1985 there was period with about 40% copayment. Results from the few analyses of the demand effects during this period are summarized. The average copayment for the period was 40% the remaing 60% was reimbursed if an invoice was presented to the municipal office. The total number of contacts decreased with between 4050%. The demand for outofhours service decreased with about the same percentage. The demand for services from a hospital A&E department increased with about 24%. Demand for services from office based specialist decreased with about 10% due to a reduced number of referrals. For office based specialists where referral from GP was not needed the demand was largely unaffected, if anything a slight increase. The 4050% decrease in quantity demanded is not, however, an equilibrium level, in that that the income level of GPs is reduced and most likely will lead to a price adjustment.

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    Bibliographic Info

    Paper provided by COHERE - Centre of Health Economics Research, University of Southern Denmark in its series COHERE Working Paper with number 2013:3.

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    Length: 9 pages
    Date of creation: 17 May 2013
    Date of revision:
    Handle: RePEc:hhs:sduhec:2013_003

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    Postal: COHERE - Center for Sundhedsøkonomisk Forskning, Institut for Virksomhedsledelse og Økonomi, Syddansk Universitet, Campusvej 55, DK-5230 Odense M, Denmark
    Phone: (+45) 6550 3081
    Fax: (+45) 6550 3880
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    Web page: http://www.sdu.dk/Om_SDU/Institutter_centre/cCohere
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    Keywords: co-payment; demand for health services;

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