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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. Gert G. Wagner & Joachim R. Frick & Jürgen Schupp, 2007. "The German Socio-Economic Panel Study (SOEP): Scope, Evolution and Enhancements," SOEPpapers on Multidisciplinary Panel Data Research 1, DIW Berlin, The German Socio-Economic Panel (SOEP).
  2. 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.
  3. Baltagi, Badi H. & Moscone, Francesco, 2010. "Health Care Expenditure and Income in the OECD Reconsidered: Evidence from Panel Data," IZA Discussion Papers 4851, Institute for the Study of Labor (IZA).
  4. Konrad B. Burchardi & Tarek A. Hassan, 2011. "The Economic Impact of Social Ties: Evidence from German Reunification," SOEPpapers on Multidisciplinary Panel Data Research 405, DIW Berlin, The German Socio-Economic Panel (SOEP).
  5. Andrew Gelman & Christian P. Robert, 2013. ""Not Only Defended But Also Applied": The Perceived Absurdity of Bayesian Inference," The American Statistician, Taylor & Francis Journals, vol. 67(1), pages 1-5, February.
  6. Paul Frijters, 2005. "The causal effect of income on health: Evidence from German reunification," Paul Frijters Discussion Papers 2005-2, School of Economics and Finance, Queensland University of Technology.
  7. 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.
  8. 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.
  9. 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.
  10. Eibich, Peter & Ziebarth, Nicolas R., 2014. "Analyzing regional variation in health care utilization using (rich) household microdata," Health Policy, Elsevier, vol. 114(1), pages 41-53.
  11. F. Moscone & E. Tosetti, 2010. "Health expenditure and income in the United States," Health Economics, John Wiley & Sons, Ltd., vol. 19(12), pages 1385-1403, December.
  12. 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.
  13. 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.
  14. Marco Passarella, 2012. "Systemic financial fragility and the monetary circuit: a stock-flow consistent Minskian approach," Working Papers 1202, Department of Economics and Technology Management, University of Bergamo.
  15. 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.
  16. Lagravinese, R. & Moscone, F. & Tosetti, E. & Lee, H., 2014. "The impact of air pollution on hospital admissions: Evidence from Italy," Regional Science and Urban Economics, Elsevier, vol. 49(C), pages 278-285.
  17. 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.
  18. 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.
  19. 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.
  20. Bech, Mickael & Lauridsen, Jørgen, 2008. "Exploring the spatial pattern in hospital admissions," Health Policy, Elsevier, vol. 87(1), pages 50-62, July.
  21. Heineck, Guido & Süssmuth, Bernd, 2012. "A different look at Lenin's legacy: Social capital and risk taking in the two Germanies," Working Papers 118, University of Leipzig, Faculty of Economics and Management Science.
  22. Badi H. Baltagi & Francesco Moscone & Elisa Tosetti, 2011. "Medical Technology And The Production Of Health Care," Center for Policy Research Working Papers 130, Center for Policy Research, Maxwell School, Syracuse University.
  23. Gundi Knies & Simon Burgess & Carol Propper, 2007. "Keeping up with the Schmidts: An Empirical Test of Relative Deprivation Theory in the Neighbourhood Context," SOEPpapers on Multidisciplinary Panel Data Research 24, DIW Berlin, The German Socio-Economic Panel (SOEP).
  24. 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.
  25. David J. Spiegelhalter & Nicola G. Best & Bradley P. Carlin & Angelika van der Linde, 2002. "Bayesian measures of model complexity and fit," Journal of the Royal Statistical Society Series B, Royal Statistical Society, vol. 64(4), pages 583-639.
  26. 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.
  27. 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.
  28. 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.
  29. 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.
  30. M. Hashem Pesaran, 2006. "Estimation and Inference in Large Heterogeneous Panels with a Multifactor Error Structure," Econometrica, Econometric Society, vol. 74(4), pages 967-1012, 07.
  31. 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.
  32. Julian Besag & Jeremy York & Annie Mollié, 1991. "Bayesian image restoration, with two applications in spatial statistics," Annals of the Institute of Statistical Mathematics, Springer, vol. 43(1), pages 1-20, March.
  33. 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.
  34. 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.
  35. 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.
  36. Hendrik Jürges, 2006. "True Health vs. Response Styles: Exploring Cross-country Differences in Self-reported Health," Discussion Papers of DIW Berlin 588, DIW Berlin, German Institute for Economic Research.
  37. 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).
  38. 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.
  39. Burkhauser, Richard V. & Cawley, John, 2008. "Beyond BMI: The value of more accurate measures of fatness and obesity in social science research," Journal of Health Economics, Elsevier, vol. 27(2), pages 519-529, March.
  40. 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.
  41. Rainer, Helmut & Siedler, Thomas, 2006. "Does democracy foster trust?," ISER Working Paper Series 2006-31, Institute for Social and Economic Research.
  42. 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.
  43. Rainer, Helmut & Siedler, Thomas, 2009. "Does democracy foster trust?," Journal of Comparative Economics, Elsevier, vol. 37(2), pages 251-269, June.
  44. Knies, Gundi & Burgess, Simon & Propper, Carol, 2007. "Keeping up with the Schmidts: an empirical test of relative deprivation theory in the neighbourhood context," ISER Working Paper Series 2007-19, Institute for Social and Economic Research.
  45. 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.
  46. 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.
  47. 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.
  48. 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.
  49. Joan Costa-Font & Jordi Pons-Novell, 2007. "Public health expenditure and spatial interactions in a decentralized national health system," Health Economics, John Wiley & Sons, Ltd., vol. 16(3), pages 291-306.
  50. 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.
  51. 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.
  52. Alberto Alesina & Nicola Fuchs-Schündeln, 2007. "Goodbye Lenin (or Not?): The Effect of Communism on People," American Economic Review, American Economic Association, vol. 97(4), pages 1507-1528, September.
  53. 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.
  54. 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.
  55. 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.
  56. Riphahn, Regina T. & Zimmermann, Klaus F., 1998. "The Mortality Crisis in East Germany," IZA Discussion Papers 6, Institute for the Study of Labor (IZA).
  57. 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.
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