Local inequality and departures from publicly provided health care in Canada.

Abstract:

:This paper examines the relationship between changes in income inequality and the provision of resources in a health care system (the public-private mix). Specifically, we investigate whether increases in income inequality, as separate from overall income levels and growth, have changed the availability of both private clinics and privately financed physicians in a context where the dominant market player is the public system. Our findings provide reasonable evidence that increases in income inequality have led to substantial increases in both. We find that moving from median level of inequality across neighborhoods to the top 1% level of inequality increases the probably of a private clinic by 40% and the probability of having physicians who have opted out of the public system by 170%.

journal_name

Health Econ

journal_title

Health economics

authors

Isabelle M,Stabile M

doi

10.1002/hec.4117

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

1031-1047

issue

9

eissn

1057-9230

issn

1099-1050

journal_volume

29

pub_type

杂志文章
  • The geography of hospital admission in a national health service with patient choice.

    abstract::Each year about 20% of the 10 million hospital inpatients in Italy get admitted to hospitals outside the Local Health Authority of residence. In this paper we carefully explore this phenomenon and estimate gravity equations for 'trade' in hospital care using a Poisson pseudo-maximum likelihood method. Consistency of t...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1639

    authors: Fabbri D,Robone S

    更新日期:2010-09-01 00:00:00

  • Health effects of reduced workload for older employees.

    abstract::To keep elder employees in the labour force, introducing age-dependent job conditions can be a policy measure. However, we know little about the effect of such initiatives. We investigate the effects of a particular programme in Norway that reduces the workload of teachers at age 55 but maintains the same wage. Evalua...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4002

    authors: Bratberg E,Holmås TH,Monstad K

    更新日期:2020-05-01 00:00:00

  • The effect of health changes and long-term health on the work activity of older Canadians.

    abstract::Using longitudinal data from the Canadian National Population Health Survey (NPHS), we study the relationship between health and employment among older Canadians. We focus on two issues: (1) the possible problems with self-reported health, including endogeneity and measurement error, and (2) the relative importance of...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1051

    authors: Au DW,Crossley TF,Schellhorn M

    更新日期:2005-10-01 00:00:00

  • Reconciling Estimates of the Value to Firms of Reduced Regulatory Delay in the Marketing of Their New Drugs.

    abstract::The prescription drug user fee program provides additional resources to the U.S. Food and Drug Administration at the expense of regulated firms. Those resources accelerate the review of new drugs. Faster approvals allow firms to realize profits sooner, and the program is supported politically by industry. However, pub...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3166

    authors: Wilmoth DR

    更新日期:2015-12-01 00:00:00

  • Does reporting heterogeneity bias the measurement of health disparities?

    abstract::Heterogeneity in reporting of health by socio-economic and demographic characteristics potentially biases the measurement of health disparities. We use anchoring vignettes to identify socio-demographic differences in the reporting of health in Indonesia, India and China. Homogeneous reporting by socio-demographic grou...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1269

    authors: Bago d'Uva T,Van Doorslaer E,Lindeboom M,O'Donnell O

    更新日期:2008-03-01 00:00:00

  • Adjusting life for quality or disability: stylistic difference or substantial dispute?

    abstract::This paper focuses on the contrast between describing the benefit of a healthcare intervention as gain in health (QALY-type ideas) or a disability reduction (DALY-type ideas). The background is an apparent convergence in practice of the work conducted under both traditions. In the light of these methodological develop...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1424

    authors: Airoldi M,Morton A

    更新日期:2009-11-01 00:00:00

  • Do Capitation-based Reimbursement Systems Underfund Tertiary Healthcare Providers? Evidence from New Zealand.

    abstract::One of the main concerns about capitation-based reimbursement systems is that tertiary institutions may be underfunded due to insufficient reimbursements of more complicated cases. We test this hypothesis with a data set from New Zealand that, in 2003, introduced a capitation system where public healthcare provider fu...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3478

    authors: Shin S,Schumacher C,Feess E

    更新日期:2017-12-01 00:00:00

  • Quality of life lost due to non-fatal road traffic injuries.

    abstract::The objective of this paper is to evaluate the effect of a non-fatal road crash on the health-related quality of life of injured people. A new approach based on the cardinalization of categorical Self-Assessed Health valuations is suggested. Health losses have been estimated by using different Time Trade-off and Visua...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1729

    authors: Cubí-Mollá P,Herrero C

    更新日期:2012-05-01 00:00:00

  • Expanding wallets and waistlines: the impact of family income on the BMI of women and men eligible for the Earned Income Tax Credit.

    abstract::The rising rate of obesity has reached epidemic proportions and is now one of the most serious public health challenges facing the US. However, the underlying causes for this increase are unclear. This paper examines the effect of family income changes on body mass index (BMI) and obesity using data from the National ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1430

    authors: Schmeiser MD

    更新日期:2009-11-01 00:00:00

  • Inequality of opportunities in health in France: a first pass.

    abstract::This article analyses the role played by childhood circumstances, especially social and family background in explaining health status among older adults. We explore the hypothesis of an intergenerational transmission of health inequalities using the French part of SHARE. As the impact of both social background and par...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1528

    authors: Trannoy A,Tubeuf S,Jusot F,Devaux M

    更新日期:2010-08-01 00:00:00

  • Public and private health insurance in Germany: the ignored risk selection problem.

    abstract::We investigate risk selection between public and private health insurance in Germany. With risk-rated premiums in the private system and community-rated premiums in the public system, advantageous selection in favor of private insurers is expected. Using 2000 to 2007 data from the German Socio-Economic Panel Study (SO...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.2942

    authors: Grunow M,Nuscheler R

    更新日期:2014-06-01 00:00:00

  • Cost-benefit analysis of a national screening programme for cystic fibrosis in an Israeli population.

    abstract::The recently acquired ability to identify 97% of CF carriers in an Israeli Ashkenazi population, prompts an evaluation of a nationwide screening programme. In 1993, the programme would first screen and counsel 9,261 parents, then 396 spouses of carrier parents and finally screen 16.5 fetuses where both parents are car...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4730030104

    authors: Ginsberg G,Blau H,Kerem E,Springer C,Kerem BS,Akstein E,Greenberg A,Kolumbos A,Abeliovich D,Gazit E

    更新日期:1994-01-01 00:00:00

  • Are increases in cigarette taxation regressive?

    abstract::Using the latest published data from Tobacco Advisory Council surveys, this paper re-evaluates the question of whether or not increases in cigarette taxation are regressive in the United Kingdom. The extended data set shows no evidence of increasing price-elasticity by social class as found in a major previous study. ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4730010406

    authors: Borren P,Sutton M

    更新日期:1992-12-01 00:00:00

  • Effects of NCMS on access to care and financial protection in China.

    abstract::The introduction of the New Cooperative Medical Scheme (NCMS) in rural China has been the most rapid and dramatic extension of health insurance coverage in the developing world in this millennium. The literature to date has mainly used the uneven rollout of NCMS across counties as a way of identifying its effects on a...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.2965

    authors: Hou Z,Van de Poel E,Van Doorslaer E,Yu B,Meng Q

    更新日期:2014-08-01 00:00:00

  • The effect of managed care on use of health care services: results from two contemporaneous household surveys.

    abstract::This paper estimates treatment effects of managed care plans on the utilization of health care services using data from two contemporaneous, nationally representative household surveys from the USA. The paper exploits recent advances in simulation-based econometrics to take the endogeneity of enrollment into managed c...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1096

    authors: Deb P,Li C,Trivedi PK,Zimmer DM

    更新日期:2006-07-01 00:00:00

  • Classical versus relational approaches to understanding controls on a contract with independent GPs in South Africa.

    abstract::Contracts have played a central role in public sector reforms in developed countries over the last decade, and research increasingly highlights their varied nature. In low and middle income countries the use of contracts is encouraged but little attention has been paid to features of the setting that may influence the...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.792

    authors: Palmer N,Mills A

    更新日期:2003-12-01 00:00:00

  • Socioeconomic status and health outcomes in a developing country.

    abstract::Although the relationship between socioeconomic status (SES) and health is well documented for developed countries, less evidence has been presented for developing countries. The aim of this paper is to analyse this relationship at the household level for Fiji, a developing country in the South Pacific, using original...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1703

    authors: Lordan G,Soto EJ,Brown RP,Correa-Valez I

    更新日期:2012-02-01 00:00:00

  • The effect of health care expenditure on patient outcomes: Evidence from English neonatal care.

    abstract::The relationship between health care expenditure and health outcomes has been the subject of recent academic inquiry in order to inform cost-effectiveness thresholds for health technology assessment agencies. Previous studies in public health systems have relied upon data aggregated at the national or regional level; ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3503

    authors: Watson S,Arulampalam W,Petrou S,NESCOP.

    更新日期:2017-12-01 00:00:00

  • Click it or give it: Increased seat belt law enforcement and organ donation.

    abstract::Laws mandating that individuals wear a seat belt have the presumed goal of reducing motor vehicle accident fatalities, but the prevailing view is that they may reduce the number of organs available. I provide a conceptual model identifying mechanisms whereby the law could either increase or decrease organ donation. Ex...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4140

    authors: Brewer B

    更新日期:2020-08-03 00:00:00

  • The dynamic relationships between economic status and health measures among working-age adults in the United States.

    abstract::We examine the dynamic relationships between economic status and health measures using data from 8 waves of the Panel Study of Income Dynamics from 1999 to 2013. Health measures are self-rated health (SRH) and functional limitations; economic status measures are labor income (earnings), family income, and net wealth. ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3664

    authors: Meraya AM,Dwibedi N,Tan X,Innes K,Mitra S,Sambamoorthi U

    更新日期:2018-08-01 00:00:00

  • Discounting in economic evaluations: stepping forward towards optimal decision rules.

    abstract::The National Institute for Clinical Excellence has recently changed its guidelines on discounting costs and effects in economic evaluations. In common with most other regulatory bodies it now requires that health effects should be discounted at the same rate as costs. We show that the guideline leads to sub-optimal de...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1168

    authors: Gravelle H,Brouwer W,Niessen L,Postma M,Rutten F

    更新日期:2007-03-01 00:00:00

  • Does Health Insurance Encourage the Rise in Medical Prices? A Test on Balance Billing in France.

    abstract::We evaluate the causal impact of an improvement in insurance coverage on patients' decisions to consult physicians who charge more than the regulated fee. We use a French panel data set of 43,111 individuals observed from 2010 to 2012. At the beginning of the period, none of them were covered for balance billing; by t...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3347

    authors: Dormont B,Péron M

    更新日期:2016-09-01 00:00:00

  • A game of two halves? Incentive incompatibility, starting point bias and the bidding game contingent valuation method.

    abstract::The bidding game (BG) method of contingent valuation is one way to increase the precision of willingness to pay (WTP) estimates relative to the single dichotomous choice approach. However, there is evidence that the method may lead to incentive incompatible responses and be associated with starting point bias. While p...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1448

    authors: McNamee P,Ternent L,Gbangou A,Newlands D

    更新日期:2010-01-01 00:00:00

  • The Effects of Introducing Mixed Payment Systems for Physicians: Experimental Evidence.

    abstract::Mixed payment systems have become a prominent alternative to paying physicians through fee-for-service and capitation. While theory shows mixed payment systems to be superior, causal effects on physicians' behavior when introducing mixed systems are not well understood empirically. We systematically analyze the influe...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3292

    authors: Brosig-Koch J,Hennig-Schmidt H,Kairies-Schwarz N,Wiesen D

    更新日期:2017-02-01 00:00:00

  • The Lasting Health Impact of Leaving School in a Bad Economy: Britons in the 1970s Recession.

    abstract::This paper investigates whether leaving school in a bad economy deteriorates health in the long run. It focuses on low-educated individuals in England and Wales who entered the labour market immediately after the 1973 oil crisis. Our identification strategy relies on the comparison of individuals who left school at th...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3391

    authors: Garrouste C,Godard M

    更新日期:2016-11-01 00:00:00

  • Sf-6d population norms.

    abstract::The derivation of population norms using simple generic health-related quality of life measures to inform policy has been recommended in the literature. This letter illustrates the derivation of population norms for the SF-6D in the United Kingdom. It uses a sample of 22,166 respondents from the 2010 wave of the study...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1823

    authors: van den Berg B

    更新日期:2012-12-01 00:00:00

  • Physician response to pay-for-performance: evidence from a natural experiment.

    abstract::This study exploits a natural experiment in the province of Ontario, Canada, to identify the impact of pay-for-performance (P4P) incentives on the provision of targeted primary care services and whether physicians' responses differ by age, size of patient population, and baseline compliance level. We use administrativ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.2971

    authors: Li J,Hurley J,DeCicca P,Buckley G

    更新日期:2014-08-01 00:00:00

  • Impact of social accountability monitoring on health facility performance: Evidence from Tanzania.

    abstract::Social accountability programs are increasingly used to improve the performance of public service providers in low-income settings. Despite their growing popularity, evidence on the effectiveness of social accountability programs remains mixed. In this manuscript, we assess the impact of a social accountability interv...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4219

    authors: Francetic I,Fink G,Tediosi F

    更新日期:2021-01-17 00:00:00

  • Pure, White and Deadly… Expensive: A Bitter Sweetness in Health Care Expenditure.

    abstract::This paper analyses the impact of sugar availability/intake on diabetes expenditure and on total health care expenditure. Building this macroeconomic analysis upon the literature on the determinants of health care expenditure, we estimate a dynamic panel data model over a sample of 156 countries for the period 1995-20...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3462

    authors: Castro V

    更新日期:2017-12-01 00:00:00

  • European health policy challenges.

    abstract::Few countries are immune to the international health care 'virus' of reform, with many countries regularly re-cycling changes that shift costs and benefits in ways that are arbitrary, inefficient and offer short term political palliation. Much of this activity has little evidence base and reveals lack of clarity in de...

    journal_title:Health economics

    pub_type: 杂志文章,评审

    doi:10.1002/hec.1048

    authors: Maynard A

    更新日期:2005-09-01 00:00:00