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

Journal of Public Health

Volumn 18, Issue 4, 2010, Pages 351-365

  Gruber, Stefan ^a   Kiesel, Markus ^b  

^a INSTITUTE FOR EMPLOYMENT RESEARCH IAB   (Germany)

^b NONE

Author keywords

Health care utilization; Health insurance; Hurdle regression; Specialist consultation; Supply induced demand

Indexed keywords

ADULT; ARTICLE; CONSULTATION; EDUCATION; FEMALE; GENERAL PRACTITIONER; GERMANY; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HUMAN; LIFESTYLE; MALE; MEDICAL SPECIALIST; SELF EMPLOYMENT; THEORETICAL STUDY;

EID: 77954953725     PISSN: 09431853     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10389-010-0321-2     Document Type: Article

References (51)

1. Abel T, Abraham A, Sommerhalder K (2006) Kulturelles Kapital, kollektive Lebensstile und die soziale Reproduktion gesundheitlicher Ungleichheit. In: Richter M, Hurrelmann K (eds) Gesundheitliche Ungleichheit. VS Verlag für Sozialwissenschaften, Wiesbaden, pp 185-198
2. Allin S, Masseria C, Mossialos E (2009) Measuring socioeconomic differences in use of health care services by Wealth Versus by income. Am J Public Health 0:AJPH.2008.141499v1
3. Andersen HH, Schwarze J (1997) Angebotsinduzierte Nachfrage bei zunehmendem Wettbewerb, Eine empirische Analyse der Inanspruchnahme ambulanter ärztlicher Leistungen. Berliner Zentrum Public Health, Berlin
4. Andersen RM (1995) Revisiting the behavioral model to medical care: does it matter? J Health and Soc Behav 36:1-10
5. Andersen RM, Newman JF (1973) Societal and individual determinants of medical care utilisation in the Unites States. Milbank Meml Fund Q Health Soc 51:95-124
6. Bago d'Uva T (2006) Latent class models for utilization of health care. Health Econ 15:329-343
7. Bergmann E, Kalcklösch A, Tiemann C (2005) Inanspruchnahme des Gesundheitswesens. Bundesgesundheitsblatt-Gesundheitsforschung-Gesundheitsschutz 12
8. Bisig B, Gutzwiller F (2004) Gesundheitssystem Schweiz: Gibt es eine Unter-oder Überversorgung? Rüegger, Zürich/Chur
9. Bolin K, Lindgren B, Lundborg P (2007) Informal and formal care among single-living elderly in Europe. Health Economics 17(3)
10. Börsch-Supan A, Brugiavini A, Jürges H, Mackenbach J, Siegrist J, Weber G (ed). (2005) Health, Ageing and Retirement in Europe-First Results from the Survey of Health, Ageing and Retirement in Europe. Mannheim Research Insitute for the Economics of Aging (MEA)
11. Börsch-Supan A, Jürges H (2005) The Survey of Health, Ageing and Retirement in Europe-Methodology. Mannheim Research Institute for the Economics of Aging (MEA)
12. Bourdieu P (1982) Die feinen Unterschiede. Kritik der gesellschaftlichen Urteilskraft. Suhrkamp, Frankfurt a M
13. Burström B (1990) Increasing inequalities in health care utilisation across income groups in Sweden during the 1990s. Health Policy 62:117-129
14. Breyer F, Zweifel P, Kifmann M (2005) Gesundheitsökonomie. Springer, Berlin
15. Busse R, Riesberg A (2005) Gesundheitssysteme im Wandel: Deutschland. WHO Regionalbüro für Europa im Auftrag des Europäischen Observatoriums für Gesundheitssysteme und Gesundheits-politik, Kopenhagen
16. Cameron AC, Trivedi PK (1986) Econometric models based on count data: comparisons and applications of some estimators and tests. J Appl Econ 1:29-53
17. Cameron AC, Trivedi PK (1998) Regression analysis of count data. Cambridge University Press, Cambridge
18. Cameron AC, Trivedi PK, Milne F, Piggott J (1988) A microeconometric model of the demand for health care and health insurance in Australia. Rev Econ Stud 55:85-106
19. Deb P, Trivedi PK (1997) Demand for medical care by the elderly: a finite mixture approach. J Appl Econ 12:313-336
20. Geil P, Million A, Rotte R, Zimmermann KF (1997) Economic incentitives and hospitalization in Germany. J Appl Econ 12:295-311
21. Gordala J (1981) Schichtspezifische Differenzen bei der Inanspruchnahme ärztlicher Leistungen. In: Bundesministerium für Arbeit und Sozialordnung (ed) Wissenschaftlicher Preis Gesundheitsökonomie 1978/79 und 1979/80, Kurzfassungen der ausgezeichneten Arbeiten. Bonn, pp 105-130
22. Gruber S, Kiesel M (2009) Wer konsultiert den Allgemeinarzt in Deutschland? Eine Analyse zum Einfluss von Versicherung und anderen sozialen Merkmalen auf die Inanspruchnahme allgemeinmedizinischer Leistungen im Alter. In: Engelhardt-Wölfler H (ed) BBzS-Band 1: Altern in Europa-Empirische Analysen mit dem Survey of Health. Ageing and retirement in Europe. University of Bamberg Press, Bamberg, pp 94-143
23. Hagenaars A, de Vos K, Zaidi MA (1994) Poverty statistics in the late 1980s: research based on micro-data. Office for Official Publications of the European Communities, Luxemburg
24. Hradil S (2006) Was prägt das Krankheitsrisiko: Schicht, Lage, Lebensstil? In: Richter M, Hurrelmann K (eds) Gesundheitliche Ungleichheit. VS Verlag für Sozialwissenschaften, Wiesbaden, pp 33-52
25. Jones AM, Koolman X, van Doorslaer E (2004) The impact of supplementary private health insurance on the use of specialists in European countries. Ecuity-Public Papers
26. Long JS, Freese J (2006) Regression models for categorical dependent variables using STATA. Stata Press, Texas
27. Lungen M, Stollenwerk B, Messner P, Lauterbach KW, Gerber A (2008) Waiting times for elective treatments according to insurance status: A randomized empirical study in Germany. International J for Equity in Health 7:1
28. Kohli M, Hank K, Künemund H (2009) The social connectedness of older Europeans: patterns, dynamics and contexts. J Eur Soc Policy 19(4):327-340
29. Mannheim Research Institute for the Economics of Aging (2007) Documentation of generated variables in SHARE 1 release 2.0
30. Mannheim Research Institute for the Economics of Aging (2009) SHARE: Guide to Release 2.3.0, Waves 1 & 2. Retrieved 21/01/10, from http://www.share-project.org
31. Mielck A (2005) Soziale Ungleichheit und Gesundheit. Huber
32. Bern Mielck A, Helmert U (2007) Das Arzt-Patienten-Verhältnis in der ambulanten Versorgung: Unterschiede zwischen GKV-und PKVVersicherten. In: Böcken J, Braun B, Amhof R (eds) Gesundheitsmonitor 2007: Gesundheitsversorgung und Gestaltungsoptionen aus der Perspektive von Bevölkerung und Ärzten. Verl. Bertelsmann Stiftung, Gütersloh, pp 114-132
33. Mielck A, Kiess R, von der Knesebeck O, Stirbu I, Kunst, AE (2009) Association between forgone care and household income among the elderly in five Western European countries-analyses based on survey data from the SHARE-study. BMC Health Services Research 1-8
34. OECD (2009). What are equivalence scales? Retrieved January 21, 2010, from http://www.oecd.org/dataoecd/61/52/35411111.pdf.
35. Pohlmeier W, Ulrich V (1995) An econometric model of the two-part decision-making process in the demand of medical care. J Hum Resour 30:339-361
36. Riphahn RT, Wambach A, Million A (2002) Incentive effects in the demand for health care: a bivariate panel count data estimation. J Appl Econ 18:387-405 (Pubitemid 37282620)
37. Rückert IM, Böcken J, Mielck A (2008) Are German patients burdened by the practice charge for physician visits ('Praxisgebuehr')? A cross sectional analysis of socio-economic and health related factors. BMC Health Serv Res 8(232):1-13
38. Santos Silva JMC, Windmeijer F (2001) Two-part multiple spell models for health care demand. The Institute for Fiscal Studies
39. Schellhorn M (2003) The demand for health care-Swiss evidence. Universität Bern
40. Schneider N, Spellerberg A (1999) Lebensstile, Wohnbedürfnisse und räumliche Mobilität. Leske+Budrich, Opladen
41. Simon M (2005) Das Gesundheitssystem in Deutschland. Huber, Bern
42. Thode N, Bergmann E, Kamtsiuris P, Kurth B-M (2005) Einflussfaktoren auf die ambulante Inanspruchnahme in Deutschland. Bundesgesundheitsblatt- Gesundheitsforschung-Gesundheitsschutz, 3:296-306
43. Thorbecke R (1975) Bewältigung von Krankheitsepisoden in der Familie. In: Ritter-Rohr D (ed) Der Arzt, Sein Patient Und Die Gesellschaft. Suhrkamp, Frankfurt am Main
44. United Nations Educational Scientific and Cultural Organization (2006) International Standard Classification of Education: ISCED 1997. UNESCO-Institute for Statistics
45. Van der Heyden JHA, Demarest S, Tafforeau J, van Oyen H (2003) Socio-economic differences in the utilisation of health services in Belgium. Health Policy 65:153-165
46. Van Doorslaer E, Koolman X, Jones AM (2004a) Explaining incomerelated inequalities in doctor utilisation in Europe: a decomposition approach. Health Econ 13(7):629-647
47. Van Doorslaer E, Koolman X, Puffer F (2002) Equity in the use of physician visits in OECD countries: has equal treatment for equal need been achieved? In: Measuring up: Improving health system performance in OECD countries. OECD, Paris, pp 225-248
48. Van Doorslaer E, Masseria C, the OECD Health Equity Research Group (2004b) Income-related inequality in the use of medical care in 21 OECD countries. In: Lafortune G (ed) The OECD health project: Towards high-performing health systems. Policy Studies. OECD, Paris, pp 109-166
49. Van Doorslaer E, Wagstaff A et al (2000) Equity in the delivery of health care in Europe and the US. J Health Econ 19: 553-583
50. Verbeek M (2004) A guide to modern econometrics. John Wiley & Sons Ltd., West Sussex
51. Weber I (2005) Mehr Patienten, weniger Ärzte und geringere Finanzmittel. Deutsches Ärzteblatt 12:540-541