We have used panel data (2004-2015) from the Survey of Health, Ageing and Retirement in Europe (SHARE) to examine the impact of social isolation on general practitioner health care use. Socio-demographic, health and social isolation measures are analysed. Differences by welfare regimes have been also considered. Using two definitions of social isolation (Alone and Help), we have found that a sizeable proportion of those aged 50 years and older in Europe reported social isolation. Differences by welfare regimes are highlighted. Our findings provide several implications in current debates on the sustainability of welfare states.
This paper analyzes the main characteristics of European health care decentralization models with special attention to the determinants of health outcomes and expenditures and proposes using panel data models, and data from OECD Health Data, an econometric model explaining their behaviour and evolution. The results show that income is the most important factor in explaining the volume of health expenditure both statically and dynamically, while other factors of demand and supply and the degree of decentralization or type of health system, despite also influence are less important. Instead, in health outcomes fiscal decentralization has a more mixed against other factors.
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