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http://hdl.handle.net/10419/18421
  

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dc.contributor.authorJürges, Hendriken_US
dc.coverage.temporal2002en_US
dc.date.accessioned2009-01-28T15:47:02Z-
dc.date.available2009-01-28T15:47:02Z-
dc.date.issued2007en_US
dc.identifier.urihttp://hdl.handle.net/10419/18421-
dc.description.abstractGermany is one of the few OECD countries with a two-tier system of statutory and primary private health insurance. Both types of insurance provide fee-for-service insurance, but chargeable fees for identical services are more than twice as large for privately insured patients than for statutorily insured patients. This price variation creates incentives to induce demand primarily among the privately insured. Using German SOEP 2002 data, I analyze the effects of insurance status and district (Kreis-) level physician density on the individual number of doctor visits. The paper has four main findings. First, I find no evidence that physician density is endogenous. Second, conditional on health, privately insured patients are less likely to contact a physician but more frequently visit a doctor following a first contact. Third, physician density has a significant positive effect on the decision to contact a physician and on the frequency of doctor visits of patients insured in the statutory health care system, whereas, fourth, physician density has no effect on privately insured patients' decisions to contact a physician but an even stronger positive effect on the frequency of doctor visits than the statutorily insured. These findings give indirect evidence for the hypothesis that physicians induce demand among privately insured patients but not among statutorily insured.en_US
dc.language.isoengen_US
dc.publisherDeutsches Institut für Wirtschaftsforschung (DIW) Berlinen_US
dc.relation.ispartofseriesDIW-Diskussionspapiere 689en_US
dc.subject.jelI11en_US
dc.subject.ddc330en_US
dc.subject.keywordsupplier-induced demanden_US
dc.subject.keywordhealth care utilizationen_US
dc.subject.stwGesundheitsversorgungen_US
dc.subject.stwNachfrageen_US
dc.subject.stwGesundheitswesenen_US
dc.subject.stwSchätzungen_US
dc.subject.stwDeutschlanden_US
dc.titleHealth Insurance Status and Physician-Induced Demand for Medical Services in Germany: New Evidence from Combined District and Individual Level Dataen_US
dc.typeWorking Paperen_US
dc.identifier.ppn528421107en_US
dc.rightshttp://www.econstor.eu/dspace/Nutzungsbedingungen-
Appears in Collections:DIW-Diskussionspapiere
Publikationen von Forscherinnen und Forschern des DIW

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