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Socio-Economic and Macro-Financial Determinants and Spatial Effects on European Private Health Insurance Markets

Author

Listed:
  • Gabriela Mihaela Mure?an

    (Babe?-Bolyai University, Cluj Napoca, România)

  • Cristian Mihai Dragos

    (Babe?-Bolyai University, Cluj Napoca, România)

  • Codru?a Mare

    (Babe?-Bolyai University, Cluj Napoca, România)

  • Simona Laura Dragos

    (Babe?-Bolyai University, Cluj Napoca, România)

  • Alexandra Pintea

    (Babe?-Bolyai University, Cluj Napoca, România)

Abstract

There is a great variation in the development of private health insurance (PHI) between European countries. Using data provided by Insurance Europe, World Bank and Standard and Poor's for 30 European countries, our research investigates the main factors influencing the size of these markets. In addition to some classical economic and social factors, the role of the size of national macrofinancial aggregates is also highlighted. In order to relax the constraints due to the multicollinearity phenomenon, we use as explanatory variables aggregated indicators, both calculated by financial institutions and by us, based on component items, used as proxy variables for different components of the financial system at national level. Using cross-section regressions with White corrections for heteroskedasticity and elements of spatial econometrics, we also analyze the possible phenomena of clustering and behavioural contagion between the countries in the sample.

Suggested Citation

  • Gabriela Mihaela Mure?an & Cristian Mihai Dragos & Codru?a Mare & Simona Laura Dragos & Alexandra Pintea, 2021. "Socio-Economic and Macro-Financial Determinants and Spatial Effects on European Private Health Insurance Markets," The AMFITEATRU ECONOMIC journal, Academy of Economic Studies - Bucharest, Romania, vol. 23(56), pages 290-290, February.
  • Handle: RePEc:aes:amfeco:v:23:y:2021:i:56:p:290
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    References listed on IDEAS

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    1. Tam Trinh & Xuan Nguyen & Pasquale Sgro, 2016. "Determinants of non-life insurance expenditure in developed and developing countries: an empirical investigation," Applied Economics, Taylor & Francis Journals, vol. 48(58), pages 5639-5653, December.
    2. Bolhaar, Jonneke & Lindeboom, Maarten & van der Klaauw, Bas, 2012. "A dynamic analysis of the demand for health insurance and health care," European Economic Review, Elsevier, vol. 56(4), pages 669-690.
    3. Kiil, Astrid, 2012. "What characterises the privately insured in universal health care systems? A review of the empirical evidence," Health Policy, Elsevier, vol. 106(1), pages 60-75.
    4. Gaganis, Chrysovalantis & Hasan, Iftekhar & Pasiouras, Fotios, 2020. "Cross-country evidence on the relationship between regulations and the development of the life insurance sector," Economic Modelling, Elsevier, vol. 89(C), pages 256-272.
    5. Robert D. Lieberthal, 2016. "What Is Health Insurance (Good) For?," Springer Books, Springer, number 978-3-319-43796-5, December.
    6. Mehmet Balcilar & Rangan Gupta & Chien-Chiang Lee & Godwin Olasehinde-Williams, 2020. "Insurance-growth nexus in Africa," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 45(2), pages 335-360, April.
    7. Innocenti, Stefania & Clark, Gordon L. & McGill, Sarah & Cuñado, Juncal, 2019. "The effect of past health events on intentions to purchase insurance: Evidence from 11 countries," Journal of Economic Psychology, Elsevier, vol. 74(C).
    8. Chui, Andy C.W. & Kwok, Chuck C.Y., 2009. "Cultural practices and life insurance consumption: An international analysis using GLOBE scores," Journal of Multinational Financial Management, Elsevier, vol. 19(4), pages 273-290, October.
    9. Finn, Claire & Harmon, Colm, 2006. "A dynamic model of demand for private health insurance in Ireland," Papers HRBWP17, Economic and Social Research Institute (ESRI).
    10. Codruta Mare & Simona Laura Dragoș & Ingrid-Mihaela Dragotă & Cristian Mihai Dragoș, 2019. "Insurance Literacy and Spatial Diffusion in the Life Insurance Market: A Subnational Approach in Romania," Eastern European Economics, Taylor & Francis Journals, vol. 57(5), pages 375-396, September.
    11. Rudolf Enz, 2000. "The S-Curve Relation Between Per-Capita Income and Insurance Penetration," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 25(3), pages 396-406, July.
    12. Claire Finn & Colm Harmon, 2006. "A dynamic model of demand for private health insurance in Ireland by and," Working Papers 200612, Geary Institute, University College Dublin.
    13. Codruța Mare & Simona Laura Dragoș & Ingrid-Mihaela Dragotă, 2019. "The impact of human development on the Romanian life insurance market: A county spatial econometric analysis," Cogent Business & Management, Taylor & Francis Journals, vol. 6(1), pages 1707609-170, January.
    14. Jonas Pendzialek & Dusan Simic & Stephanie Stock, 2016. "Differences in price elasticities of demand for health insurance: a systematic review," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 17(1), pages 5-21, January.
    15. Y. Machnes, 2006. "The demand for private health care under national health insurance," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 7(4), pages 265-269, December.
    16. Yang, Miaoqing, 2018. "Demand for social health insurance: Evidence from the Chinese New Rural Cooperative Medical Scheme," China Economic Review, Elsevier, vol. 52(C), pages 126-135.
    17. White, Halbert, 1980. "A Heteroskedasticity-Consistent Covariance Matrix Estimator and a Direct Test for Heteroskedasticity," Econometrica, Econometric Society, vol. 48(4), pages 817-838, May.
    18. Liu, Tsai-Ching & Chen, Chin-Shyan, 2002. "An analysis of private health insurance purchasing decisions with national health insurance in Taiwan," Social Science & Medicine, Elsevier, vol. 55(5), pages 755-774, September.
    19. Thorsten Beck & Ian Webb, 2003. "Economic, Demographic, and Institutional Determinants of Life Insurance Consumption across Countries," The World Bank Economic Review, World Bank, vol. 17(1), pages 51-88, June.
    20. Chi-Hung Chang & Chien-Chiang Lee, 2012. "Non-Linearity Between Life Insurance and Economic Development: A Revisited Approach," The Geneva Risk and Insurance Review, Palgrave Macmillan;International Association for the Study of Insurance Economics (The Geneva Association), vol. 37(2), pages 223-257, September.
    21. Aida Isabel Tavares, 2020. "Voluntary private health insurance demand determinants and risk preferences: Evidence from SHARE," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(3), pages 685-703, May.
    22. Codruța MARE & Simona Laura DRAGOȘ & Ingrid-Mihaela DRAGOTĂ & Gabriela Mihaela MUREȘAN & Claudia Andreea UREAN, 2016. "Spatial Convergence Processes On The European Union’S Life Insurance Market," ECONOMIC COMPUTATION AND ECONOMIC CYBERNETICS STUDIES AND RESEARCH, Faculty of Economic Cybernetics, Statistics and Informatics, vol. 50(4), pages 93-107.
    23. Olasehinde-Williams, Godwin & Balcilar, Mehmet, 2020. "Examining the Effect of Globalization on Insurance Activities in Large Emerging Market Economies," Research in International Business and Finance, Elsevier, vol. 53(C).
    24. Lin, Chaonan & Hsiao, Yu-Jen & Yeh, Cheng-Yung, 2017. "Financial literacy, financial advisors, and information sources on demand for life insurance," Pacific-Basin Finance Journal, Elsevier, vol. 43(C), pages 218-237.
    25. Adam Śliwiński & Iwona Borkowska, 2020. "Private Voluntary Health Insurance: Market in Poland and Determinants of Demand—Review of Literature," Springer Proceedings in Business and Economics, in: Marietta Janowicz-Lomott & Krzysztof Łyskawa & Persefoni Polychronidou & Anastasios Karasavvoglou (ed.), Economic and Financial Challenges for Balkan and Eastern European Countries, pages 177-192, Springer.
    26. Propper, Carol, 1993. "Constrained choice sets in the U.K. demand for private medical insurance," Journal of Public Economics, Elsevier, vol. 51(3), pages 287-307, July.
    27. repec:ucn:wpaper:10197/1109 is not listed on IDEAS
    28. Nguyen, Ha & Knowles, James, 2010. "Demand for voluntary health insurance in developing countries: The case of Vietnam's school-age children and adolescent student health insurance program," Social Science & Medicine, Elsevier, vol. 71(12), pages 2074-2082, December.
    29. Donghui Li & Fariborz Moshirian & Pascal Nguyen & Timothy Wee, 2007. "The Demand for Life Insurance in OECD Countries," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 74(3), pages 637-652, September.
    30. Mouna Zerriaa & Hedi Noubbigh, 2016. "Determinants of Life Insurance Demand in the MENA Region," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 41(3), pages 491-511, July.
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    More about this item

    Keywords

    private health insurance; White OLS; spatial econometrics; spatial contagion; clusterization;
    All these keywords.

    JEL classification:

    • G22 - Financial Economics - - Financial Institutions and Services - - - Insurance; Insurance Companies; Actuarial Studies
    • C21 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Cross-Sectional Models; Spatial Models; Treatment Effect Models

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