Equity in the delivery of health care in Europe and the US

Doorslaer, Eddy van; Wagstaff, Adam; Burg, Hattem Van Der; Christiansen, Terkel; Graeve, Diana De; Duchesne, I.; Gerdtham, Ulf G.; Gerfin, Michael; Geurts, J. J. M.; Gross, Lorna; Häkkinen, Unto; John, Jürgen; Klavus, Jan; Leu, Robert E.; Nolan, Brian; O’Donnell, Owen; Propper, Carol; Puffer, Frank W.; Stevens, Martin; Sundberg, Gun; Winkelhake, Olaf

doi:10.1016/s0167-6296(00)00050-3

Cited by 467 publications

(358 citation statements)

References 21 publications

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“…It is supposed to be connected positively with health lifestyle and knowledge about symptoms and the health care system. Thus, a positive effect of education is expected, which has already been confirmed for most of the Western European countries and the USA (Bisig and Gutzwiller 2004: 73;Van Doorslaer et al 2000). Riphahn et al (2002: 20) point to the fact that the selfemployed suffer income losses as a consequence of doctor visits in contrast to employees.…”

Section: Hypothesesmentioning

confidence: 78%

Inequality in health care utilization in Germany? Theoretical and empirical evidence for specialist consultation

Gruber

Kiesel²

2010

J Public Health

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Aim In view of increasing concern about a two-class system in the German health care sector, this study investigates the relevance of health insurance schemes and other socioeconomic characteristics to the level of specialist health care provision. Subjects and Methods Referring to Ronald M. Andersen's model of health care utilization and more content-based approaches, we implement a negative binomial hurdle regression to estimate the number of specialist visits within the last 12 months. Our data source is the German sample of the first wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) in 2004.Results The results show that men's number of specialist visits is markedly sensitive to predisposing and enabling factors, whereas women's health care utilization depends less on such socioeconomic characteristics. With reference to previous findings concerning general practitioner consultation, the assumption of a bipolar health care system providing general practitioner care primarily to the statutory insured and specialist care to the privately insured is supported empirically as to men. Education, which is considered to be highly correlated with health lifestyles, has a positive effect on medical health care. Every additional year of education increases by about 10% the probability of men seeking specialist consultation. Furthermore, the results indicate an unfavorable situation for the self-employed concerning health care because of their specific employment situation and health insurance coverage. Discussion The research results suggest the existence of relevant differences in the amount of specialist consultation according to health insurance and other socioeconomic features. Further research could concentrate on the question of whether these inequalities in utilization levels indicate overprovision or underprovision of ambulant health care. Moreover, we recommend longitudinal research that is particularly suited to detangle age and cohort effects.

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Section: Hypothesesmentioning

confidence: 78%

Inequality in health care utilization in Germany? Theoretical and empirical evidence for specialist consultation

Gruber

Kiesel²

2010

J Public Health

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“…Indirect standardization using a nonlinear logistic regression was applied to standardize dental care needs (ŷ i IS ). The aim of standardization was to determine what the distribution of dental care utilization would look like in the absence of differences in the distribution of certain standardized need determinants, here age and gender (Van Doorslaer et al 2000;Ohkusa and Honda 2003;Somkotra and Detsomboonrat 2008). The age and gender combination used can be seen in Table 1.…”

Section: Methodsmentioning

confidence: 99%

Inequity in Dental Care Utilization in the Indonesian Population with a Self-Assessed Need for Dental Treatment

Maharani

2009

Tohoku J. Exp. Med.

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“…In principle, receiving care must not be influenced by the ability to pay since most medical service expenses in Sweden are covered by taxes. There is, however, evidence that there exists pro-rich inequity in the utilization of health care (Van Doorslaer et al 2000;Van Doorslaer et al 2004). I diminish this risk by studying both the purchase of prescription drugs, where such inequity is likely to play a role, and outcomes severe enough to require hospital inpatient care.…”

Section: Data On Health Care Utilization and Mortalitymentioning

confidence: 99%

The effects of increasing the normal retirement age on health care utilization and mortality

Hagen

2017

J Popul Econ

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This essay estimates the health effects of increasing the normal retirement age using Swedish administrative data on drug prescriptions, hospitalizations, and mortality. To this end, I use a reform that raised the age at which broad categories of Swedish local government workers were entitled to retire with full pension benefits from 63 to 65. Estimating the effect of the reform on individuals' health within the age range 65-69, the results show no evidence that the reform impacted mortality or health care utilization. Increasing the normal retirement age may thus have positive government income effects without seriously affecting short to medium run government health care expenditures.

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Equity in the delivery of health care in Europe and the US

Cited by 467 publications

References 21 publications

Inequality in health care utilization in Germany? Theoretical and empirical evidence for specialist consultation

Inequality in health care utilization in Germany? Theoretical and empirical evidence for specialist consultation

Inequity in Dental Care Utilization in the Indonesian Population with a Self-Assessed Need for Dental Treatment

The effects of increasing the normal retirement age on health care utilization and mortality

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