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The effect of copayments on primary care utilization: results from a quasi-experiment
Department of Economics, Karlstad University, Karlstad, Sweden; Norwegian Social Research (NOVA), Oslo, Norway.
Örebro University, Orebro University School of Business, Örebro University, Sweden. Health Metrics, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0003-1113-7478
2016 (English)In: Applied Economics, ISSN 0003-6846, E-ISSN 1466-4283, Vol. 48, no 39, 3752-3762 p.Article in journal (Refereed) Published
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Text
Abstract [en]

This article analyses how health-care utilization is affected by copayments in a tax-financed health-care system. The article utilizes a natural experiment in which a health-care region in Sweden changed the price of healthcare in such a way that primary care general physician prices increased by 33%. We use daily visit data in the treatment region and a neighbouring control region where no price change took place and analyse the effect using differences-in-differences as well as differences-in-differences-in-differences models. The results from the preferred models indicate no effect on health-care utilization due to the price change, a result that also holds across different socio-economic subregions in the treatment region.

Place, publisher, year, edition, pages
Routledge, 2016. Vol. 48, no 39, 3752-3762 p.
Keyword [en]
Copayments, healthcare, demand, moral hazard, natural experiment
National Category
Economics and Business
Identifiers
URN: urn:nbn:se:oru:diva-51445DOI: 10.1080/00036846.2016.1145346ISI: 000378744900005Scopus ID: 2-s2.0-84959065354OAI: oai:DiVA.org:oru-51445DiVA: diva2:950190
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-0573
Available from: 2016-07-28 Created: 2016-07-28 Last updated: 2016-07-28Bibliographically approved

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Orebro University School of Business, Örebro University, Sweden
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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf