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Modelling socioeconomic and health determinants of health care use: A semiparametric approach

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Author Info
Jürgen Maurer () (Mannheim Research Institute for the Economics of Aging (MEA))
Abstract

This paper suggests bivariate semiparametric index models as a tool for modelling the interplay of socioeconomic and health characteristics in determining health care utilisation. These models allow for a fully nonparametric relationship between socioeconomic status, health care need and care utilisation. The only parametric restriction imposed is that multiple socioeconomic and health indicators can be aggregated into two distinct indices that measure the broader concepts of socioeconomic status and health care need, respectively. We demonstrate the usefulness of this class of models based on an illustrative empirical example. The estimations highlight complex interactions of socioeconomic status and health care need in determining care use, which may be difficult to grasp via standard parametric modelling approaches.

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Paper provided by Mannheim Research Institute for the Economics of Aging (MEA), University of Mannheim in its series MEA discussion paper series with number 07145.

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Date of creation: 17 Jul 2007
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Handle: RePEc:mea:meawpa:07145

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  1. Abasolo, Ignacio & Manning, Rob & Jones, Andrew M, 2001. "Equity in Utilization of and Access to Public-Sector GPs in Spain," Applied Economics, Taylor and Francis Journals, vol. 33(3), pages 349-64, February. [Downloadable!] (restricted)
  2. James P. Smith, 2003. "Consequences and Predictors of New Health Events," NBER Working Papers 10063, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  3. Jones, Andrew M., 2000. "Health econometrics," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 6, pages 265-344 Elsevier. [Downloadable!] (restricted)
  4. James P. Smith, 2005. "Unraveling the SES-Health Connection," Labor and Demography 0505018, EconWPA. [Downloadable!]
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  5. Stern, Steven, 1996. "Semiparametric estimates of the supply and demand effects of disability on labor force participation," Journal of Econometrics, Elsevier, vol. 71(1-2), pages 49-70. [Downloadable!] (restricted)
  6. Ichimura, H., 1991. "Semiparametric Least Squares (sls) and Weighted SLS Estimation of Single- Index Models," Papers 264, Minnesota - Center for Economic Research.
  7. Lídia Farré-Olalla & Francis Vella, 2006. "Macroeconomic Conditions and the Distribution of Income in Spain," IZA Discussion Papers 2512, Institute for the Study of Labor (IZA). [Downloadable!]
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