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What Drives Individual Health Expenditure in Switzerland?

Author

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  • Marcel Bilger
  • Jean-Paul Chaze

Abstract

The explanatory factors of individual healthcare consumption are studied by means of healthcare expenditures from the 2000–2005 Swiss Household Income and Expenditure Survey (SHIES). In order to tackle the issues of large number of null expenditures and skewed distribution of positive outcomes, the family of Box-Cox censoring models (Chaze, 2005) is applied. The results show that the use of SHIES data makes it possible to reveal many important factors of individual healthcare consumption, and that the role played by healthcare supply density variables is consistent with the theory of induced demand.

Suggested Citation

  • Marcel Bilger & Jean-Paul Chaze, 2008. "What Drives Individual Health Expenditure in Switzerland?," Swiss Journal of Economics and Statistics (SJES), Swiss Society of Economics and Statistics (SSES), vol. 144(III), pages 337-358, September.
  • Handle: RePEc:ses:arsjes:2008-iii-4
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    File URL: http://www.sjes.ch/papers/2008-III-4.pdf
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    References listed on IDEAS

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    1. Yen, Steven & Dellenbarger, Lynn E. & Schupp, Alvin R., 1995. "Determinants of Participation and Consumption: The Case of Crawfish in South Louisiana," Staff General Research Papers Archive 874, Iowa State University, Department of Economics.
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    3. Yen, Steven T. & Dellenbarger, Lynn E. & Schupp, Alvin R., 1995. "Determinants Of Participation And Consumption: The Case Of Crawfish In South Louisiana," Journal of Agricultural and Applied Economics, Southern Agricultural Economics Association, vol. 27(01), July.
    4. Holly, Alberto & Gardiol, Lucien & Domenighetti, Gianfranco & Brigitte Bisig, 1998. "An econometric model of health care utilization and health insurance in Switzerland," European Economic Review, Elsevier, vol. 42(3-5), pages 513-522, May.
    5. Michael Gerfin & Martin Schellhorn, 2006. "Nonparametric bounds on the effect of deductibles in health care insurance on doctor visits - Swiss evidence," Health Economics, John Wiley & Sons, Ltd., vol. 15(9), pages 1011-1020.
    6. Andrew M. Jones, 2012. "health econometrics," The New Palgrave Dictionary of Economics, Palgrave Macmillan.
    7. Lehmann, Hansjorg & Zweifel, Peter, 2004. "Innovation and risk selection in deregulated social health insurance," Journal of Health Economics, Elsevier, vol. 23(5), pages 997-1012, September.
    8. Yen, S. T. & Dellenbarger, L. E. & Schupp, A. R., 1995. "Determinants of Participation and Consumption: The Case of Crawfish in South Louisiana," Journal of Agricultural and Applied Economics, Cambridge University Press, vol. 27(01), pages 253-262, July.
    9. Andreas Werblow, 2002. "Alles nur Selektion?: Der Einfluss von Selbstbehalten in der Gesetzlichen Krankenversicherung," Vierteljahrshefte zur Wirtschaftsforschung / Quarterly Journal of Economic Research, DIW Berlin, German Institute for Economic Research, vol. 71(4), pages 427-436.
    10. Blough, David K. & Madden, Carolyn W. & Hornbrook, Mark C., 1999. "Modeling risk using generalized linear models," Journal of Health Economics, Elsevier, vol. 18(2), pages 153-171, April.
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    Citations

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    Cited by:

    1. Alice Sanwald & Engelbert Theurl, 2016. "Out-of-pocket expenditure by private households for dental services – empirical evidence from Austria," Health Economics Review, Springer, vol. 6(1), pages 1-9, December.
    2. Alice Sanwald & Engelbert Theurl, 2017. "Out-of-pocket expenditures for pharmaceuticals: lessons from the Austrian household budget survey," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(4), pages 435-447, May.
    3. Alice sanwald & Engelbert Theurl, 2014. "What drives out-of pocket health expenditures of private households? - Empirical evidence from the Austrian household budget survey," Working Papers 2014-04, Faculty of Economics and Statistics, University of Innsbruck.
    4. José-Ignacio Antón & Rafael Muñoz de Bustillo, 2010. "Health care utilisation and immigration in Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(5), pages 487-498, October.
    5. Alice Sanwald & Engelbert Theurl, 2015. "Out-of-pocket expenditures for pharmaceuticals: Lessons from the Austrian household budget survey," Working Papers 2015-01, Faculty of Economics and Statistics, University of Innsbruck.
    6. Alice Sanwald & Engelbert Theurl, 2014. "Out-of-pocket expenditures of private households for dental services - Empirical evidence from Austria," Working Papers 2014-30, Faculty of Economics and Statistics, University of Innsbruck.

    More about this item

    Keywords

    healthcare demand; health expenditure; hurdle models; Box-Cox;

    JEL classification:

    • C24 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Truncated and Censored Models; Switching Regression Models; Threshold Regression Models
    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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