Waiting times for elective treatments according to insurance status: A randomized empirical study in Germany

Lüngen, Markus; Stollenwerk, Björn; Messner, Philipp; Lauterbach, Karl W.; Gerber, Andreas

doi:10.1186/1475-9276-7-1

Cited by 125 publications

(99 citation statements)

References 19 publications

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“…This is sensible because doctors are paid based on the number of treatments, not on the number of visits itself, and receive a higher compensation when they treat privately insured patients. They are time constrained and may thus focus on treating privately insured patients first (Lungen et al, 2008;Jürges, 2009), while spending relatively little time on publicly insured patients (Deveugele et al, 2002).…”

Section: Resultsmentioning

confidence: 99%

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The effect of private health insurance on medical care utilization and self‐assessed health in Germany

Hullegie¹,

Klein²

2010

Health Economics

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Section: Resultsmentioning

confidence: 99%

“…Therefore, doctors have an incentive to treat privately insured patients first, and more intensely, possibly providing better treatment (Jürges, 2009). For example, waiting times for privately insured patients are lower on average (Lungen et al, 2008). This may in turn affect the demand for medical care.…”

Section: Introductionmentioning

confidence: 99%

The effect of private health insurance on medical care utilization and self‐assessed health in Germany

Hullegie¹,

Klein²

2010

Health Economics

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“…Qualitatively better care is increasingly associated with individual resources or access to private health insurance. In the wider society and the media, responses to the recently published study of the Institute for Health Economics at the University of Cologne (Lungen et al 2008) showed the high sensitivity towards topics concerning the health sector. Lungen et al illustrated that patients with statutory health insurance have to wait about three times longer for an appointment in a specialist practice than clients of private insurance companies.…”

Section: Introductionmentioning

confidence: 99%

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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“…Anecdotally, private health insurance is viewed as superior because for one thing, more innovative and costly -and thus supposedly bettertreatments are covered. Additionally, privately insured individuals are treated preferentially by doctors, which manifests, for example, in waiting times that are significantly lower for privately than for publicly insured individuals (Lungen et al, 2008;Kuchinke et al, 2009). 2 However, whether these superior features of private health insurance actually transfer into better health has been examined only inconclusively so far.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Private Health Insurance on Self-Assessed Health Status and Health Satisfaction in Germany

Petilliot

2017

SSRN Journal

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Terms of use: Documents in SOEPpapers on Multidisciplinary Panel Data Research at DIW BerlinThis series presents research findings based either directly on data from the German SocioEconomic Panel study (SOEP) or using SOEP data as part of an internationally comparable data set (e.g. CNEF, ECHP, LIS, LWS, CHER/PACO). SOEP is a truly multidisciplinary household panel study covering a wide range of social and behavioral sciences: economics, sociology, psychology, survey methodology, econometrics and applied statistics, educational science, political science, public health, behavioral genetics, demography, geography, and sport science.The decision to publish a submission in SOEPpapers is made by a board of editors chosen by the DIW Berlin to represent the wide range of disciplines covered by SOEP. There is no external referee process and papers are either accepted or rejected without revision. Papers appear in this series as works in progress and may also appear elsewhere. They often represent preliminary studies and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be requested from the author directly.Any opinions expressed in this series are those of the author(s) and not those of DIW Berlin.Research disseminated by DIW Berlin may include views on public policy issues, but the institute itself takes no institutional policy positions. AbstractIn Germany, private health insurance covers more innovative and costly treatments than public insurance. Moreover, privately insured individuals are treated preferentially by doctors. In this article, I use subjective health data to examine whether these superior features of private insurance actually transfer into better health. I focus on German adolescents who are still in education to control for selection and account for differences in health-conscious behavior between publicly and privately insured individuals. I find that privately and publicly insured individuals do not differ in health, which contrasts with previous research. Hence, doctors appear to be the sole profiteers of the private insurance system and billions of euros could be saved by aligning private and public health insurance.JEL: I11, I12, I13, I18, I31

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Waiting times for elective treatments according to insurance status: A randomized empirical study in Germany

Cited by 125 publications

References 19 publications

The effect of private health insurance on medical care utilization and self‐assessed health in Germany

The effect of private health insurance on medical care utilization and self‐assessed health in Germany

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

The Effect of Private Health Insurance on Self-Assessed Health Status and Health Satisfaction in Germany

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