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Unmet Health Care and Health Care Utilization

Author

Listed:
  • Vicky Barham

    (University of Ottawa, ON, Canada)

  • Hana Bataineh

    (University of Ottawa, ON, Canada)

  • Rose Anne Devlin

    (University of Ottawa, ON, Canada)

Abstract

Objective; To examine the causal effect of health care utilization on unmet health care needs. Methods; An instrumental variables approach deals with the endogeneity between the use of health care services and unmet health care. The presence of drug insurance and the number of physicians in each health region are used to identify the causal effect. The reasons for unmet health care needs are grouped into system and personal ones. We use four biennial confidential master files (2001-2010) of the Canadian Community Health Survey. Results; We find a clear and robustly negative relationship between health care use and unmet health care needs; a higher probability of unmet health care needs is attributable to a low use of health care services. One more visit to a medical doctor on average decreases the probability of having unmet health care needs by 0.028 points. If the unmet need is due to accessibility related reasons, this effect is 0.02 compared to only 0.015 point for personal related reasons. Conclusion; Health care use reduces the likelihood of reporting unmet health care. That the link between health care utilization and unmet health care needs is stronger for accessibility related reasons than for personal reasons, suggests that policies like increasing the coverage of public drug insurance, and increasing the number of physicians can reduce the likelihood of unmet health care.

Suggested Citation

  • Vicky Barham & Hana Bataineh & Rose Anne Devlin, 2017. "Unmet Health Care and Health Care Utilization," Working Papers 1716E, University of Ottawa, Department of Economics.
    • Handle: RePEc:ott:wpaper:1716e
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    References listed on IDEAS

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    1. Thomas C. Buchmueller & Agnès Couffinhal & Michel Grignon & Marc Perronnin, 2004. "Access to physician services: does supplemental insurance matter? Evidence from France," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 669-687, July.
    2. Nelson, Connie Holmes & Park, Jungwee, 2006. "The nature and correlates of unmet health care needs in Ontario, Canada," Social Science & Medicine, Elsevier, vol. 62(9), pages 2291-2300, May.
    3. Pierre Brochu & Catherine Armstrong & Louis-Philippe Morin, 2012. "The ‘trendiness’ of sleep: an empirical investigation into the cyclical nature of sleep time," Empirical Economics, Springer, vol. 43(2), pages 891-913, October.
    4. Jeffrey M Wooldridge, 2010. "Econometric Analysis of Cross Section and Panel Data," MIT Press Books, The MIT Press, edition 2, volume 1, number 0262232588, December.
    5. Terza, Joseph V. & Basu, Anirban & Rathouz, Paul J., 2008. "Two-stage residual inclusion estimation: Addressing endogeneity in health econometric modeling," Journal of Health Economics, Elsevier, vol. 27(3), pages 531-543, May.
    6. Westin, Marcus & Ahs, Annika & Brand Persson, Kristina & Westerling, Ragnar, 2004. "A large proportion of Swedish citizens refrain from seeking medical care--lack of confidence in the medical services a plausible explanation?," Health Policy, Elsevier, vol. 68(3), pages 333-344, June.
    7. Neil J. Buckley & Frank T. Denton & A. Leslie Robb & Byron G. Spencer, 2004. "Healthy Aging at Older Ages: Are Income and Education Important?," Social and Economic Dimensions of an Aging Population Research Papers 123, McMaster University.
    8. Finkelstein, Amy, 2004. "The interaction of partial public insurance programs and residual private insurance markets: evidence from the US Medicare program," Journal of Health Economics, Elsevier, vol. 23(1), pages 1-24, January.
    9. Bryant, Toba & Leaver, Chad & Dunn, James, 2009. "Unmet healthcare need, gender, and health inequalities in Canada," Health Policy, Elsevier, vol. 91(1), pages 24-32, June.
    10. Devlin, Rose Anne & Sarma, Sisira & Zhang, Qi, 2011. "The role of supplemental coverage in a universal health insurance system: Some Canadian evidence," Health Policy, Elsevier, vol. 100(1), pages 81-90, April.
    11. Elofsson, Stig & Undén, Anna-Lena & Krakau, Ingvar, 1998. "Patient charges -- a hindrance to financially and psychosocially disadvantage groups seeking care," Social Science & Medicine, Elsevier, vol. 46(10), pages 1375-1380, March.
    12. Sara Allin & Jeremiah Hurley, 2009. "Inequity in publicly funded physician care: what is the role of private prescription drug insurance?," Health Economics, John Wiley & Sons, Ltd., vol. 18(10), pages 1218-1232, October.
    13. Allin, Sara & Grignon, Michel & Le Grand, Julian, 2010. "Subjective unmet need and utilization of health care services in Canada: What are the equity implications?," Social Science & Medicine, Elsevier, vol. 70(3), pages 465-472, February.
    14. Sarma, Sisira & Basu, Kisalaya & Gupta, Anil, 2007. "The influence of prescription drug insurance on psychotropic and non-psychotropic drug utilization in Canada," Social Science & Medicine, Elsevier, vol. 65(12), pages 2553-2565, December.
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    Cited by:

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    2. Carnazza, Giovanni & Liberati, Paolo & Resce, Giuliano, 2023. "Income-related unmet needs in the European countries," Socio-Economic Planning Sciences, Elsevier, vol. 87(PA).
    3. Ramos, Luís Moura & Quintal, Carlota & Lourenço, Óscar & Antunes, Micaela, 2019. "Unmet needs across Europe: Disclosing knowledge beyond the ordinary measure," Health Policy, Elsevier, vol. 123(12), pages 1155-1162.

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    Keywords

    Unmet health care needs; Health care utilization; Instrumental Variables (IV); Canada.;
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