Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/173055
Authors: 
Costa-i-Font, Joan
Ferrer-i-Carbonell, Ada
Year of Publication: 
2017
Series/Report no.: 
CESifo Working Paper 6779
Abstract: 
Uniform health care delivered by a mainstream public insurer - such as the National Health Service (NHS), seldom satisfies heterogeneous demands for care, and some unsatisfied share of the population either use private health care, or purchase private insurance (PHI). One potential mechanism to partially satisfy heterogeneous preferences for health care, and discourage the use of private health care, is regional health care decentralisation. We find robust estimates suggesting that the development of regional health services shifted both perceptions of, and preferences for, using the NHS, making it more likely individuals would use public health care and, consequently, reducing the uptake of PHI. These results are heterogeneous by income, education, and age groups; and are robust to placebo and other robustness and falsification checks.
Subjects: 
National Health Service (NHS)
political decentralization
use of private health care
private health insurance
health system satisfaction
demand for private health care
JEL: 
H70
I18
Document Type: 
Working Paper

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