An empirical analysis of the demand for physician services across the European Union

The European Journal of Health Economics - Tập 5 - Trang 150-165 - 2004
Sergi Jiménez-Martín1, José M. Labeaga2, Maite Martínez-Granado3
1Department of Economics, Universidad Pompeu Fabra, Barcelona, Spain
2UNED, Madrid, Spain
3Universidad Carlos III de Madrid, Madrid, Spain

Tóm tắt

This paper presents parameter estimates for physician service equations using the “European Community Household Panel” for 12 countries covering the period 1994–1996. The focus is on two specific points: (1) the identification of behavioural similarities and differences in the demand for health services across the 12 countries; (2) the variability in demand for health services represented through a joint model for all countries. We found that there are significant differences among countries, although there are also similarities in the effect of variables such as health stock, labour situation or family structure. An important fraction of the variability in the demand for health services across countries could be explained by differences in age, income and the role of general practitioners as gatekeepers in the public health system. We found some evidence of induced demand in the decision to visit a specialist and in the number of such visits.

Tài liệu tham khảo

Alvarez B (2001) La demanda atendida de consultas médicas y servicios urgentes. Investigaciones Económicas 25:93–138 Anderson K, Burkhauser R (1985) The retirement-health nexus: a new measure of an old puzzle. J Hum Res 20:315–330 Baltagi BH, Bresson G, Pirotte A (2003) Fixed effects, random effects or Hausman-Taylor? A pretest estimator. Econom Lett 79:361–369 Cameron AC, Trivedi PK (1986) Econometric models based on count data: comparisons and applications of some estimators and tests. J Appl Economet 1:29–53 Cameron AC, Trivedi PK (1998) Regression analysis of count data. Cambridge University Press, Cambridge Cameron AC, Trivedi PK, Milne F, Piggot J (1988) A microeconometric model of the demand for health care and health insurance in Australia. Rev Econom Stud 55:85–106 Cromwell J, Michell J (1986) Physician-induced demand for surgery. J Health Econ 1:293–313 Deb P, Holmes AM (2000) Estimates of use and costs of behavioural health care: a comparison of standard and finite mixture models. Health Econ 9:475–489 Deb P, Trivedi PK (1997) Demand for medical care by the elderly in the United States: a finite mixture approach. J Appl Economet 12:313–336 Deb P, Trivedi PK (2002) The structure of demand for health care: latent class versus two-part models. J Health Econ 201:601–625 Grossman M (1972) The demand for health—a theoretical and empirical investigation. Columbia University Press, New York Grytten J, Sørensen RR (2001) Type of contract and supplier-induced demand for supplementary dental insurance. J Health Econ 20:379–398 Heckman JJ, Singer B (1984) A method of minimizing the distributional impact in econometric models for duration data. Econometrica 52:271–320 Jiménez-Martín S, Labeaga JM, Martínez-Granado M (2000) An empirical analysis of the demand for health using the European Community Household Panel, WP 00/67. Universidad Carlos III de Madrid, Madrid Jiménez-Martín S, Labeaga JM, Martínez-Granado M (2002) Latent class versus two-part models in the demand for physician services across the European Union. Health Econ 11:301–321 Kenkel DS (1990) Consumer health information and the demand for medical care. Rev Econ Stat 22:587–595 Moulton BR (1986) Random group effects and the precision of regression estimates. J Economet 32:385–397 Moulton BR (1990) An illustration of a pitfall in estimating the effects of aggregate variables on micro units. Rev Econ Stat 72:334–338 Mullahy J (1986) Specification and testing of some modified count data models. J Economet 33:341–365 Peracchi F (2000) The European Community Household Panel: a review. Empir Econ 27:63–90 Pohlmeier W, Ulrich V (1995) An econometric model of the two-part decision making in the demand for health care. J Hum Res 30:339–361 Propper C (2000) The demand for private health care in the UK. J Health Econ 19:855–876 Santos-Silva JMC, Windmeijer F (1997) Endogeneity in count data models: an application to demand for health care. J Appl Economet 12:281–294 Santos-Silva JMC, Windmeijer F (2001) Two-part multiple spell models for health care demand. J Econom 104:67–89 Sudman S, Bradburn N, Schwarz N (1996) Thinking about answers: the application of cognitive processes to survey methodology. Jossey-Bass, San Francisco Vera-Hernández AM (1999) Duplicate coverage and demand for health care. The case of Catalonia. Health Econ 8:579–598 Wagstaff A (1986) The demand for health. Some new empirical evidence. J Health Econ 5:195–233 Winkelmann R (1998) Count data models with selectivity. Economet Rev 17:339–359 Winkelmann R (2001) Health care reform and the number of doctor visits—an econometric analysis. IZA discussion paper 317 Zweifel P (1981) Demande medical induite par l’offer: Chimere ou realite? Consomation 4:39–62