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Examining the Structure of Spatial Health Effects in Germany Using Hierarchical Bayes Models

  • Peter Eibich
  • Nicolas R. Ziebarth

This paper uses Hierarchical Bayes Models to model and estimate spatial health effects in Germany. We combine rich individual-level household panel data from the German SOEP with administrative county-level data to estimate spatial county-level health dependencies. As dependent variable we use the generic, continuous, and quasi-objective SF12 health measure. We find strong and highly significant spatial dependencies and clusters. The strong and systematic county-level impact is equivalent to 0.35 standard deviations in health. Even 20 years after German reunification, we detect a clear spatial East-West health pattern that equals an age impact on health of up to 5 life years for a 40-year old.

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File URL: http://www.diw.de/documents/publikationen/73/diw_01.c.436062.de/diw_sp0620.pdf
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Paper provided by DIW Berlin, The German Socio-Economic Panel (SOEP) in its series SOEPpapers on Multidisciplinary Panel Data Research with number 620.

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Length: 44 p.
Date of creation: 2013
Date of revision:
Handle: RePEc:diw:diwsop:diw_sp620
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  1. Riphahn, Regina T. & Zimmermann, Klaus F., 1998. "The Mortality Crisis in East Germany," IZA Discussion Papers 6, Institute for the Study of Labor (IZA).
  2. Frijters, Paul & Haisken-DeNew, John P. & Shields, Michael A., 2005. "The causal effect of income on health: Evidence from German reunification," Journal of Health Economics, Elsevier, vol. 24(5), pages 997-1017, September.
  3. Peter Eibich & Nicolas R. Ziebarth, 2013. "Analyzing Regional Variation in Health Care Utilization Using (Rich) Household Microdata," SOEPpapers on Multidisciplinary Panel Data Research 551, DIW Berlin, The German Socio-Economic Panel (SOEP).
  4. Joachim Frick & Nicolas Ziebarth, 2013. "Welfare-related health inequality: does the choice of measure matter?," The European Journal of Health Economics, Springer, vol. 14(3), pages 431-442, June.
  5. Ziebarth, Nicolas R. & Grabka, Markus M., 2009. "In Vino Pecunia? The Association Between Beverage-Specific Drinking Behavior and Wages," EconStor Open Access Articles, ZBW - German National Library of Economics, pages 219-244.
  6. Nicolas R. Ziebarth, 2009. "Measurement of Health, the Sensitivity of the Concentration Index, and Reporting Heterogeneity," SOEPpapers on Multidisciplinary Panel Data Research 211, DIW Berlin, The German Socio-Economic Panel (SOEP).
  7. Hendrik Jürges, 2007. "True health vs response styles: exploring cross-country differences in self-reported health," Health Economics, John Wiley & Sons, Ltd., vol. 16(2), pages 163-178.
  8. Gindo Tampubolon & S. V. Subramanian & Ichiro Kawachi, 2013. "Neighbourhood Social Capital And Individual Self‐Rated Health In Wales," Health Economics, John Wiley & Sons, Ltd., vol. 22(1), pages 14-21, 01.
  9. Gundi Knies & Simon Burgess & Carol Propper, 2007. "Keeping up with the Schmidts: An Empirical Test of Relative Deprivation Theory in the Neighbourhood Context," Discussion Papers of DIW Berlin 697, DIW Berlin, German Institute for Economic Research.
  10. M. Hashem Pesaran, 2004. "Estimation and Inference in Large Heterogeneous Panels with a Multifactor Error Structure," CESifo Working Paper Series 1331, CESifo Group Munich.
  11. Burchardi, Konrad B. & Hassan, Tarek, 2011. "The Economic Impact of Social Ties: Evidence from German Reunification," CEPR Discussion Papers 8470, C.E.P.R. Discussion Papers.
  12. Jorgen Lauridsen & Mariluz Sánchez & Mickael Bech, 2010. "Public pharmaceutical expenditure: identification of spatial effects," Journal of Geographical Systems, Springer, vol. 12(2), pages 175-188, June.
  13. Boris Augurzky & Thomas Kopetsch & Hendrik Schmitz, 2013. "What accounts for the regional differences in the utilisation of hospitals in Germany?," The European Journal of Health Economics, Springer, vol. 14(4), pages 615-627, August.
  14. SonjaC. Kassenboehmer & JohnP. Haisken-DeNew, 2009. "You're Fired! The Causal Negative Effect of Entry Unemployment on Life Satisfaction," Economic Journal, Royal Economic Society, vol. 119(536), pages 448-462, 03.
  15. Raffaele Lagravinese & Lee Habin & Francesco Moscone & Eliza Tosetti, 2013. "The impact of air pollution on Hospital admissions: evidence from Italy," Departmental Working Papers of Economics - University 'Roma Tre' 0170, Department of Economics - University Roma Tre.
  16. Filippini, M. & Masiero, G. & Moschetti, K., 2009. "Regional consumption of antibiotics: A demand system approach," Economic Modelling, Elsevier, vol. 26(6), pages 1389-1397, November.
  17. John Cawley & Richard V. Burkhauser, 2006. "Beyond BMI: The Value of More Accurate Measures of Fatness and Obesity in Social Science Research," NBER Working Papers 12291, National Bureau of Economic Research, Inc.
  18. Di Matteo, Livio & Di Matteo, Rosanna, 1998. "Evidence on the determinants of Canadian provincial government health expenditures: 1965-1991," Journal of Health Economics, Elsevier, vol. 17(2), pages 211-228, April.
  19. Robert, Christian P. & Gelman, Andrew, 2013. ""Not Only Defended But Also Applied" : The Perceived Absurdity of Bayesian Inference," Economics Papers from University Paris Dauphine 123456789/11069, Paris Dauphine University.
  20. Helmut Rainer & Thomas Siedler, 2006. "Does Democracy Foster Trust?," Discussion Papers of DIW Berlin 609, DIW Berlin, German Institute for Economic Research.
  21. Baltagi, Badi H. & Moscone, Francesco & Tosetti, Elisa, 2011. "Medical Technology and the Production of Health Care," IZA Discussion Papers 5545, Institute for the Study of Labor (IZA).
  22. Jorgen Lauridsen & Mickael Bech & Fernando López & Mariluz Sánchez, 2010. "A spatiotemporal analysis of public pharmaceutical expenditure," The Annals of Regional Science, Springer, vol. 44(2), pages 299-314, April.
  23. Diehl, Katharina & Schneider, Sven, 2011. "How relevant are district characteristics in explaining subjective health in Germany? - A multilevel analysis," Social Science & Medicine, Elsevier, vol. 72(7), pages 1205-1210, April.
  24. Gert G. Wagner & Joachim R. Frick & Jürgen Schupp, 2007. "The German Socio-Economic Panel Study (SOEP) – Scope, Evolution and Enhancements," Schmollers Jahrbuch : Journal of Applied Social Science Studies / Zeitschrift für Wirtschafts- und Sozialwissenschaften, Duncker & Humblot, Berlin, vol. 127(1), pages 139-169.
  25. Heineck, Guido & Süssmuth, Bernd, 2013. "A different look at Lenin’s legacy: Social capital and risk taking in the Two Germanies," Journal of Comparative Economics, Elsevier, vol. 41(3), pages 789-803.
  26. Daniel Sullivan & Till von Wachter, 2009. "Job Displacement and Mortality: An Analysis Using Administrative Data," The Quarterly Journal of Economics, MIT Press, vol. 124(3), pages 1265-1306, August.
  27. Elisa Tosetti & Francesco Moscone, 2007. "Health Expenditure and Income in the United States," Discussion Papers in Economics 07/14, Department of Economics, University of Leicester.
  28. Rainer, Helmut & Siedler, Thomas, 2009. "Does democracy foster trust?," Munich Reprints in Economics 19809, University of Munich, Department of Economics.
  29. M. Filippini & L. Ortiz & G. Masiero, 2013. "Assessing the impact of national antibiotic campaigns in Europe," The European Journal of Health Economics, Springer, vol. 14(4), pages 587-599, August.
  30. Badi H. Baltagi & Francesco Moscone, 2009. "Health Care Expenditure and Income in the OECD Reconsidered: Evidence from Panel Data," Discussion Papers in Economics 09/5, Department of Economics, University of Leicester.
  31. Stefan Felder & Harald Tauchmann, 2013. "Federal state differentials in the efficiency of health production in Germany: an artifact of spatial dependence?," The European Journal of Health Economics, Springer, vol. 14(1), pages 21-39, February.
  32. Andersen, Lotte Bøgh & Bech, Mickael & Lauridsen, Jørgen, 2012. "Political or dental power in private and public service provision: a study of municipal expenditures for child dental care," Health Economics, Policy and Law, Cambridge University Press, vol. 7(03), pages 327-342, July.
  33. Mickael Bech & Jørgen Lauridsen, 2009. "Exploring spatial patterns in general practice expenditure," The European Journal of Health Economics, Springer, vol. 10(3), pages 243-254, July.
  34. Lauridsen, Jorgen & Bech, Mickael & Lopez, Fernando & Mate Sanchez, Mariluz, 2008. "Geographic and Temporal Heterogeneity in Public Prescription Pharmaceutical Expenditures in Spain," The Review of Regional Studies, Southern Regional Science Association, vol. 38(1), pages 89-103.
  35. Gundi Knies & C. Katharina Spieß, 2007. "Regional Data in the German Socio-Economic Panel Study (SOEP)," Data Documentation 17, DIW Berlin, German Institute for Economic Research.
  36. Brosig-Koch, Jeannette & Helbach, Christoph & Ockenfels, Axel & Weimann, Joachim, 2011. "Still different after all these years: Solidarity behavior in East and West Germany," Journal of Public Economics, Elsevier, vol. 95(11), pages 1373-1376.
  37. Moscone, Francesco & Knapp, Martin & Tosetti, Elisa, 2007. "Mental health expenditure in England: A spatial panel approach," Journal of Health Economics, Elsevier, vol. 26(4), pages 842-864, July.
  38. Matthias Nübling & Hanfried H. Andersen & Axel Mühlbacher & Jürgen Schupp & Gert G. Wagner, 2007. "Computation of Standard Values for Physical and Mental Health Scale Scores Using the SOEP Version of SF12v2," Schmollers Jahrbuch : Journal of Applied Social Science Studies / Zeitschrift für Wirtschafts- und Sozialwissenschaften, Duncker & Humblot, Berlin, vol. 127(1), pages 171-182.
  39. Coneus, Katja & Spiess, C. Katharina, 2012. "Pollution exposure and child health: Evidence for infants and toddlers in Germany," Journal of Health Economics, Elsevier, vol. 31(1), pages 180-196.
  40. Sundmacher, Leonie & Busse, Reinhard, 2011. "The impact of physician supply on avoidable cancer deaths in Germany. A spatial analysis," Health Policy, Elsevier, vol. 103(1), pages 53-62.
  41. Drewnowski, Adam & D. Rehm, Colin & Solet, David, 2007. "Disparities in obesity rates: Analysis by ZIP code area," Social Science & Medicine, Elsevier, vol. 65(12), pages 2458-2463, December.
  42. Arnab Bhattacharjee & Taps Maiti & Dennis Petrie, 2014. "Spatial structures of health outcomes and health behaviours in Scotland: Evidence from the Scottish Health Survey," SEEC Discussion Papers 1401, Spatial Economics and Econometrics Centre, Heriot Watt University.
  43. Paul Frijters & John P. Haisken-DeNew & Michael A. Shields, 2004. "Money Does Matter! Evidence from Increasing Real Income and Life Satisfaction in East Germany Following Reunification," American Economic Review, American Economic Association, vol. 94(3), pages 730-740, June.
  44. Michael Frakes, 2013. "The Impact of Medical Liability Standards on Regional Variations in Physician Behavior: Evidence from the Adoption of National-Standard Rules," American Economic Review, American Economic Association, vol. 103(1), pages 257-76, February.
  45. Browning, Christopher R. & Cagney, Kathleen A. & Wen, Ming, 2003. "Explaining variation in health status across space and time: implications for racial and ethnic disparities in self-rated health," Social Science & Medicine, Elsevier, vol. 57(7), pages 1221-1235, October.
  46. Bech, Mickael & Lauridsen, Jørgen, 2008. "Exploring the spatial pattern in hospital admissions," Health Policy, Elsevier, vol. 87(1), pages 50-62, July.
  47. L. G. Gonz�lez Ortiz & G. Masiero, 2013. "Disentangling spillover effects of antibiotic consumption: a spatial panel approach," Applied Economics, Taylor & Francis Journals, vol. 45(8), pages 1041-1054, March.
  48. Di Matteo, Livio, 2005. "The macro determinants of health expenditure in the United States and Canada: assessing the impact of income, age distribution and time," Health Policy, Elsevier, vol. 71(1), pages 23-42, January.
  49. Fuchs-Schundeln, Nicola & Alesina, Alberto, 2007. "Good-Bye Lenin (Or Not?): The Effect of Communism on People's Preferences," Scholarly Articles 4553032, Harvard University Department of Economics.
  50. Jennifer Hunt, 2006. "Staunching Emigration from East Germany: Age and the Determinants of Migration," Journal of the European Economic Association, MIT Press, vol. 4(5), pages 1014-1037, 09.
  51. Sara Ayllón & Cristina Blanco-Perez, 2012. "State Dependence in Self-Assessed Health in Spain," Hacienda Pública Española, IEF, vol. 202(3), pages 9-30, Spetember.
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