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|
|Date of revision:|
|Contact details of provider:|| Postal: Ludwigstr. 28, 80539 Munich, Germany|
Web page: http://www.vwl.uni-muenchen.de
More information through EDIRC
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.:
- Jonas Schreyögg & Markus M. Grabka, 2008.
"Copayments for Ambulatory Care in Germany: A Natural Experiment Using a Difference-in-Difference Approach,"
SOEPpapers on Multidisciplinary Panel Data Research
96, DIW Berlin, The German Socio-Economic Panel (SOEP).
- Schreyögg, Jonas & Grabka, Markus M., 2010. "Copayments for Ambulatory Care in Germany: A Natural Experiment Using a Difference-in-Difference Approach," EconStor Open Access Articles, ZBW - German National Library of Economics, pages 331-341.
- Jonas Schreyögg & Markus Grabka, 2010. "Copayments for ambulatory care in Germany: a natural experiment using a difference-in-difference approach," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(3), pages 331-341, June.
- Jonas Schreyögg & Markus M. Grabka, 2008. "Copayments for Ambulatory Care in Germany: A Natural Experiment Using a Difference-in-Difference Approach," Discussion Papers of DIW Berlin 777, DIW Berlin, German Institute for Economic Research.
- 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.
- Rainer Winkelmann, 2004.
"Co-payments for prescription drugs and the demand for doctor visits - Evidence from a natural experiment,"
John Wiley & Sons, Ltd., vol. 13(11), pages 1081-1089.
- Rainer Winkelmann, 2003. "Co-Payments for Prescription Drugs and the Demand for Doctor Visits - Evidence from a Natural Experiment," SOI - Working Papers 0307, Socioeconomic Institute - University of Zurich.
- Besley, Timothy & Case, Anne, 2000.
"Unnatural Experiments? Estimating the Incidence of Endogenous Policies,"
Royal Economic Society, vol. 110(467), pages F672-94, November.
- Timothy Besley & Anne Case, 1994. "Unnatural Experiments? Estimating the Incidence of Endogenous Policies," NBER Working Papers 4956, National Bureau of Economic Research, Inc.
- 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.
- 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.
- 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.
When requesting a correction, please mention this item's handle: RePEc:lmu:muenec:10951. 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: (Tamilla Benkelberg)
If references are entirely missing, you can add them using this form.