Primary care utilisation and workers’ opportunity costs. Evidence from Italy
AbstractThis paper analyses the effects of employment condition and work hours on the utilisation of primary care services in Italy. Although the Italian NHS provides free and equitable access to primary care, type of occupation and labour contracts may still deter workers to attend medical appointments. The hypothesis is that the higher the workers’ opportunity cost in terms of earning forgone, the less the demand for General Practitioner (GP) visits. Using survey data provided by the Italian National Institute of Statistics (ISTAT), we estimate a negative binomial model of GP visits as a function of employment related variables, individual characteristics, supply factors and geographical effects. We find that selfemployed workers, managers and cadres have relatively low demand compared to white and blue collars. We conclude that the former, bearing higher opportunity costs, suffer more from the loss of earnings related to the absence from work than the latter.
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Bibliographic InfoPaper provided by University Library of Munich, Germany in its series MPRA Paper with number 25486.
Date of creation: 2010
Date of revision:
Opportunity cost; hours of work; utilisation of GP; employment status.;
Other versions of this item:
- De Luca, Giuliana & Ponzo, Michela, 2009. "Primary care utilisation and workers’ opportunity costs. Evidence from Italy," MPRA Paper 24201, University Library of Munich, Germany.
- J10 - Labor and Demographic Economics - - Demographic Economics - - - General
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
- J21 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Labor Force and Employment, Size, and Structure
- J20 - Labor and Demographic Economics - - Demand and Supply of Labor - - - General
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- Cameron,A. Colin & Trivedi,Pravin K., 1998.
"Regression Analysis of Count Data,"
Cambridge University Press, number 9780521635677.
- Janssen, Richard, 1992. "Time prices and the demand for GP services," Social Science & Medicine, Elsevier, vol. 34(7), pages 725-733, April.
- Fernandez-Olano, C. & Hidalgo, J.D. Lopez-Torres & Cerda-Diaz, R. & Requena-Gallego, M. & Sanchez-Castano, C. & Urbistondo-Cascales, L. & Otero-Puime, A., 2006. "Factors associated with health care utilization by the elderly in a public health care system," Health Policy, Elsevier, vol. 75(2), pages 131-139, January.
- Winfried Pohlmeier & Volker Ulrich, 1995. "An Econometric Model of the Two-Part Decisionmaking Process in the Demand for Health Care," Journal of Human Resources, University of Wisconsin Press, vol. 30(2), pages 339-361.
- Ai, Chunrong & Norton, Edward C., 2003. "Interaction terms in logit and probit models," Economics Letters, Elsevier, vol. 80(1), pages 123-129, July.
- Eddy van Doorslaer & Xander Koolman & Andrew M. Jones, 2004. "Explaining income-related inequalities in doctor utilisation in Europe," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 629-647.
- Grossman, Michael, 1982. "The demand for health after a decade," Journal of Health Economics, Elsevier, vol. 1(1), pages 1-3, May.
- Phelps, Charles E & Newhouse, Joseph P, 1974. "Coinsurance, the Price of Time, and the Demand for Medical Services," The Review of Economics and Statistics, MIT Press, vol. 56(3), pages 334-42, August.
- Duan, Naihua, et al, 1983. "A Comparison of Alternative Models for the Demand for Medical Care," Journal of Business & Economic Statistics, American Statistical Association, vol. 1(2), pages 115-26, April.
- Mullahy, John, 1986. "Specification and testing of some modified count data models," Journal of Econometrics, Elsevier, vol. 33(3), pages 341-365, December.
- Vincenzo Scoppa, 2010.
"Worker absenteeism and incentives: evidence from Italy,"
Managerial and Decision Economics,
John Wiley & Sons, Ltd., vol. 31(8), pages 503-515, December.
- Scoppa, Vincenzo, 2008. "Worker Absenteeism and Incentives: Evidence from Italy," MPRA Paper 16858, University Library of Munich, Germany.
- Hugh Gravelle & Matthew Sutton & Stephen Morris & Frank Windmeijer & Alastair Leyland & Chris Dibben & Mike Muirhead, 2003. "Modelling supply and demand influences on the use of health care: implications for deriving a needs-based capitation formula," Health Economics, John Wiley & Sons, Ltd., vol. 12(12), pages 985-1004.
- Cameron, A C & P. K. Trivedi & Frank Milne & J. Piggott, 1988. "A Microeconometric Model of the Demand for Health Care and Health Insurance in Australia," Review of Economic Studies, Wiley Blackwell, vol. 55(1), pages 85-106, January.
- Greene, William, 2008. "Functional forms for the negative binomial model for count data," Economics Letters, Elsevier, vol. 99(3), pages 585-590, June.
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