Copayments for doctor visits in Germany and the probability of visiting a physician - Evidence from a natural experiment
The German health care reform of 2004 imposes a charge of 10 Euro for the ﬁrst visit to a doctor in each quarter of the year. At ﬁrst glance, there is no inhibiting effect of this fee on utilization in the German Socio-Economic Panel. However, this study reveals that the true effect is diluted by a special characteristic of the fee. Exploiting random variation in the interview date, this study ﬁnds a substantial effect of the new fee on the probability of visiting a physician. In addition, the identiﬁcation strategy makes it possible to disentangle this effect from the inﬂuence of the contemporaneous increase of copayments for prescription drugs.
|Date of creation:||11 Jul 2009|
|Contact details of provider:|| Postal: Ludwigstr. 28, 80539 Munich, Germany|
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- Rainer Winkelmann, 2004.
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- Jonas Schreyögg & Markus Grabka, 2010.
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- Schreyoegg, Jonas & Grabka, Markus M, 2008. "Copayments for Ambulatory Care in Germany: A Natural Experiment Using a Difference-in-Difference Approach," MPRA Paper 23035, University Library of Munich, Germany.
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- Augurzky, Boris & Bauer, Thomas K. & Schaffner, Sandra, 2006. "Copayments in the German Health System - Do They Work?," RWI Discussion Papers 43, RWI - Leibniz-Institut für Wirtschaftsforschung.
- Carine Van De Voorde & Eddy Van Doorslaer & Erik Schokkaert, 2001. "Effects of cost sharing on physician utilization under favourable conditions for supplier-induced demand," Health Economics, John Wiley & Sons, Ltd., vol. 10(5), pages 457-471.
- Rainer Winkelmann, 2002. "Health Care Reform and the Number of Doctor Visits ï¿½ An Econometric Analysis," SOI - Working Papers 0210, Socioeconomic Institute - University of Zurich.
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