Detail publikace

The Effect of the Abolition of User Charges on the Demand for Ambulatory Doctor Visits

Autor: PhDr. Jana Votápková , Pavlína Žílová
Typ: IES Working Papers
Rok: 2012
Číslo: 30
ISSN / ISBN:
Publikováno v: IES Working Papers 30/2012
Místo vydání: Prague
Klíčová slova: co-payments, outpatient care, Czech Republic, natural experiment, Zero-inflated negative binomial (ZINB) model, Multinomial logit (MNL) model
JEL kódy: D04, I18
Citace: Žílová, P., Votápková, J. (2012). “ The Effect of the Abolition of User Charges on the Demand for Ambulatory Doctor Visits ” IES Working Paper 30/2012. IES FSV. Charles University.
Abstrakt: The paper estimates the effect of the abolition of user charges for outpatient care (30
CZK/1.2 EUR) in 2009 on the demand for ambulatory doctor visits in the Czech
Republic. The r eform a pplied only to children, which enabled us to take the
difference-in-differences approach. Children constitute a treatment group, whereas
adults serve as a control group. Besides the treatment effect, we control also for a
number of personal characteristics using a micro-level data (EU-SILC). We estimate
two models: Multinomial logit (MNL) and Zero-inflated negative binomial (ZINB).
The effect of the abolition of user charges on the number of doctor visits proved
insignificant suggesting that either the demand for this type of care is indeed
inelastic, user charges were set too low or the people have not changed their
behavior yet. On the contrary, we found that personal income, the number of
household members and sex significantly influence the number of visits to the
doctor. Two robustness checks using restricted samples confirms the results.
Ke stažení: WP_2012_30_Zilova_Votapkova
VO Martina Jasova

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