In this paper, we examine the relationships between health care visits to general practitioners, public and private sector specialists using data from Italy, which has a mixed public-private health care system. We develop a simultaneous equations model that allows for the discreteness of measures of utilization and estimate this model using maximum simulated likelihood. Once common unobserved heterogeneity is properly accounted for, general practitioners, public and private specialists are found to be substitute sources of medical care. In contrast, a naive model finds they are complements

Atella, V., Deb, P. (2008). Are primary care physicians, public and private sector specialists substitutes or complements? Evidence from a simultaneous equations model for count data. JOURNAL OF HEALTH ECONOMICS, 27(3), 770-785 [10.1016/j.jhealeco.2007.10.006].

Are primary care physicians, public and private sector specialists substitutes or complements? Evidence from a simultaneous equations model for count data

ATELLA, VINCENZO;
2008-01-01

Abstract

In this paper, we examine the relationships between health care visits to general practitioners, public and private sector specialists using data from Italy, which has a mixed public-private health care system. We develop a simultaneous equations model that allows for the discreteness of measures of utilization and estimate this model using maximum simulated likelihood. Once common unobserved heterogeneity is properly accounted for, general practitioners, public and private specialists are found to be substitute sources of medical care. In contrast, a naive model finds they are complements
2008
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore SECS-P/02 - POLITICA ECONOMICA
English
Con Impact Factor ISI
demand for health care; endogeneity; negative binomial
estimation method; modeling; primary health care; private sector; public sector; article; general practitioner; health visitor; Italy; model; organization and management; physician; primary medical care; humans; likelihood functions; models, econometric; national Health programs; physicians; primary health care; private sector; public sector; salaries and fringe benefits; specialties, medical; Eurasia; Europe; Italy; Southern Europe
Atella, V., Deb, P. (2008). Are primary care physicians, public and private sector specialists substitutes or complements? Evidence from a simultaneous equations model for count data. JOURNAL OF HEALTH ECONOMICS, 27(3), 770-785 [10.1016/j.jhealeco.2007.10.006].
Atella, V; Deb, P
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/48570
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