The Demand for Primary Health Care

Gaag, Jacques van der; Ven, Wynand van de

doi:10.1097/00005650-197804000-00003

Cited by 28 publications

(7 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The estimated SPEC elasticity of SPCON equa1.s 0.38. Comparable results are found in macrostudies: 0.39 by Fuchs and Kramer (1972), 0.36 by Van der Gaag (1978) and 0.22 by Rutten (1978).14 The influence of BED availability is even more dramatic: after controlling for predisposing variables, need, distance to hospital, and number of specialist outpatient contacts, the estimated BED elasticity of hospital days equals 0.86. Compare e.g.…”

Section: Health-care Demandmentioning

confidence: 84%

Health as an unobservable

Ven

Gaag

1982

Journal of Health Economics

Self Cite

View full text Add to dashboard Cite

Section: Health-care Demandmentioning

confidence: 84%

Health as an unobservable

Ven

Gaag

1982

Journal of Health Economics

Self Cite

View full text Add to dashboard Cite

“…For example, a clinician working with a patient who presents with multiple somatic complaints may want to explore the patient’s current life events in order to help reassure the patient that the events are not indicators of the patient’s poor performance. Because psychosomatic presentations are highly prevalent in medical patients (Barsky, 1981; Van der Gaag & Van de Ven, 1978), lead to poor doctor-patient interactions (Katon, 1987; Katon, Berg, Robins, & Risse, 1986), and increase medical utilization (Miranda, Pérez-Stable, Muñoz, Hargreaves, & Henke, 1991), future studies addressing these issues could be beneficial to both clinicians and patients.…”

Section: Discussionmentioning

confidence: 99%

“…Patients who present with psychosomatic symptoms account for 40% to 60% of all visits to primary care physicians (Barsky, 1981; Van der Gaag & Van de Ven, 1978). Psychosomatic symptoms or “somatization” is used in the literature to describe several problems, including the somatoform disorders (e.g., somatoform pain disorder, conversion disorder, hypochondrias) listed in DSM-III-R .…”

mentioning

confidence: 99%

Psychosomatic symptoms in medical outpatients: An investigation of self-handicapping theory.

Organista¹,

Miranda²

1991

Health Psychology

View full text Add to dashboard Cite

Investigated self-handicapping theory as it relates to somatization in medical patients. We predicted that medical outpatients (N = 113) would report psychosomatic symptoms in response to events that threaten their self-esteem. As predicted, results of hierarchical multiple regression indicated that high-perfectionism patients reported somatic symptoms positively related to the number of events that jeopardize their sense of accomplishment, whereas low-perfectionism patients' somatic symptoms were not related to these events (p = .005). Contrary to prediction, high-dependency patients did not differ significantly from low-dependency patients in the relationship of somatic symptoms and events that threatened their interpersonal relationships (p = .115). Implications of these findings and the utility of self-handicapping theory for predicting somatization in medical patients are discussed.

show abstract

“…He reports that deductibles between 50 and 800 euro result in a reduction in health expenditures in the range of 8 to 14 percent relative to the average total health costs of 1,072 euro. Other Dutch studies 2 about the effect of insurance on medical expenses among privately insured report similar results (Rutten, 1978; Starmans and Verkooijen, 1990; van der Gaag and van de Ven, 1978; van Vliet and van de Ven, 1986). 3…”

mentioning

confidence: 99%

A Voluntary Deductible in Social Health Insurance with Risk Equalization: “Community‐Rated or Risk‐Rated Premium Rebate?”

Kleef

Ven

Vliet

2006

J of Risk & Insurance

View full text Add to dashboard Cite

On January 1, 2006 a new mandatory basic health insurance will be introduced in the Netherlands. One aspect of the new scheme is that the insured can choose to have a deductible. This option should increase the individual responsibility and reduce moral hazard. In the new scheme, a risk equalization system is aimed at avoiding preferred risk selection and insolvency of insurance companies with a relatively high-risk pool. A crucial issue with respect to a voluntary deductible in this type of social health insurance is whether the premium rebate should be "community rated" or "risk rated". The Dutch government has chosen the former, which means that the premium rebate will be independent of health status and risk. Our analysis shows that, in a situation with "accurate" risk equalization, a community-rated premium rebate could lead to an adverse selection spiral. Over time, this spiral results in none of the insured taking a deductible and thus no reduction in moral hazard. Copyright The Journal of Risk and Insurance, 2006.

show abstract

The Demand for Primary Health Care

Cited by 28 publications

References 18 publications

Health as an unobservable

Health as an unobservable

Psychosomatic symptoms in medical outpatients: An investigation of self-handicapping theory.

A Voluntary Deductible in Social Health Insurance with Risk Equalization: “Community‐Rated or Risk‐Rated Premium Rebate?”

Contact Info

Product

Resources

About