Gilt Romers's Law auch in Deutschland?, Eine empirische Untersuchung zur Überprüfung der These der Angebotsinduzierung im stationären Sektor des deutschen Gesundheitswesens
This article tests the thesis of supply-induced demand in the German hospital sector. The empirical investigation described makes use of comprehensive data and represents the first time this has been done for Germany. A cross-section analysis is performed at the level of geographical planning regions. At this level the hospital date encompass the whole population and distinguish ten different medical specialities. 13 different economic and social variables are analysed in a system of simultaneous equations. The result shows that the supply of treatment capacity has a positive influence on the demand for hospital treatments, the number of patients treated per 100,000 population rising with bed density. Alternative explanations for this phenomenon are also checked, without result. No correlation can be found between morbidity and the number of hospital cases in any given region. Although hospital bed density is found to depend on the number of hospital cases per head of population, this is no proof of the reverse causality, as this result can be traced back to the strategy behind the existing hospital planning. The validity of Roemer's Law in Germany is likely to be (at least partially) due to this existing hospital planning. This is because the prevailing hospital planning procedure is distorted, inidcating a higher need for hospital beds where bed density is already high. Given this situation, and the results of the regression analysis, it would seem appropriate to consider abolishing the hospital planning system and radically reducing the density of hospital beds.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 226 (2006)
Issue (Month): 6 (November)
|Contact details of provider:|| Postal: |
Phone: +49 (0)641 99 22 001
Fax: +49 (0)641 99 22 009
Web page: http://wiwi.uni-giessen.de/home/oekonometrie/Jahrbuecher/
More information through EDIRC
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Acton, Jan Paul, 1975. "Nonmonetary Factors in the Demand for Medical Services: Some Empirical Evidence," Journal of Political Economy, University of Chicago Press, vol. 83(3), pages 595-614, June.
- 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.
- Feldstein, Martin S, 1971. "Hospital Cost Inflation: A Study of Nonprofit Price Dynamics," American Economic Review, American Economic Association, vol. 61(5), pages 853-72, December.
- Joseph P. Newhouse & Charles E. Phelps, 1976. "New Estimates of Price and Income Elasticities of Medical Care Services," NBER Chapters, in: The Role of Health Insurance in the Health Services Sector, pages 261-320 National Bureau of Economic Research, Inc.
When requesting a correction, please mention this item's handle: RePEc:jns:jbstat:v:226:y:2006:i:6:p:646-669. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Peter Winker)
If references are entirely missing, you can add them using this form.