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Copayments and phys...
Copayments and physicians visits: A panel data study of Swedish regions 2003-2012
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- Jakobsson, Niklas, Docent, 1981- (författare)
- Karlstads universitet,Handelshögskolan (from 2013)
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- Svensson, Mikael, 1980 (författare)
- Örebro universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa, enheten för hälsometri,Institute of Medicine, Department of Public Health and Community Medicine, Health Metrics,Handelshögskolan vid Örebro Universitet,Health Metrics, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Acad, Hlth Metr, S-40530 Gothenburg, Sweden.
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(creator_code:org_t)
- Elsevier BV, 2016
- 2016
- Engelska.
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Ingår i: Health Policy. - : Elsevier BV. - 0168-8510 .- 1872-6054. ; 120:9, s. 1095-1099
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Abstract
Ämnesord
Stäng
- Objective: This paper analyzes how primary care physician visits are affected by the level of copayment in Sweden. Data source: We use data between the years 2003-2012 from 21 Swedish health care regions that have the mandate to set their own level of copayment. The copayment per visit varies between 10 and 20 for these years and regions. Study design: Our strategy to identify the causal effect and deal with unobserved endogeneity of price changes on physician visits is based on a panel data model using fixed effects to control for region and time and regional-variation in time trends. Principal finding: We cannot reject that the copayment has no statistical or economic effect of significance, and we estimate the "zero effect" with very high precision. Conclusion: In a setting with sub-national regions with autonomy to set copayments the results points to that the copayment is not an important predictor for the number of health care visits. The result is in line with some previous studies on European data where the range of copayments used tends to be relatively low. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- Copayments
- Health care
- Demand
- Moral hazard
- Panel data
- health-insurance
- natural experiment
- demand
- services
- care
- Copayments
- Economics
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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