The Effectiveness of Health Screening
AbstractUsing a matched insurant-general practitioner panel data set, we estimated the effect of a general health-screening program on individuals’ health status and health care cost. To account for selection into treatment, we used regional variations in the intensity of exposure to supply-determined screening recommendations as an instrumental variable. We found that screening participation substantially increased inpatient and outpatient health care costs for up to two years after treatment. In the medium term, we found cost savings in the outpatient sector, whereas in the long run, no statistically significant effects of screening on either health care cost component could be discerned. In summary, screening participation increases health care costs. Since we did not find any statistically significant effect of screening participation on insurants’ health status at any point in time, we do not recommend a general health-screening program. However, given that we found some evidence for cost-saving potentials for the sub-sample of younger insurants, we suggest more targeted screening programs.
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Bibliographic InfoPaper provided by Department of Economics, Johannes Kepler University Linz, Austria in its series Economics working papers with number 2012-01.
Length: 34 pages
Date of creation: Jan 2012
Date of revision:
Health screening; health care costs; sick leave; mortality;
Other versions of this item:
- Hackl, Franz & Halla, Martin & Hummer, Michael & Pruckner, Gerald J., 2012. "The Effectiveness of Health Screening," IZA Discussion Papers 6310, Institute for the Study of Labor (IZA).
- Franz Hackl & Martin Halla & Michael Hummer & Gerald J. Pruckner, 2012. "The Effectiveness of Health Screening," NRN working papers 2012-01, The Austrian Center for Labor Economics and the Analysis of the Welfare State, Johannes Kepler University Linz, Austria.
- I10 - Health, Education, and Welfare - - Health - - - General
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
This paper has been announced in the following NEP Reports:
- NEP-ALL-2012-02-01 (All new papers)
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