Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Regional variation in health care utilization in Sweden: The importance of demand-side factors
Health Metrics, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Karlstads universitet, Fakulteten för ekonomi, kommunikation och IT, Avdelningen för nationalekonomi och statistik. Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Handelshögskolan (from 2013). Norwegian Social Res NOVA, Oslo, Norway.ORCID-id: 0000-0002-7143-8793
Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Handelshögskolan (from 2013). Karlstads universitet, Fakulteten för ekonomi, kommunikation och IT, Avdelningen för nationalekonomi och statistik. Williams Coll, Dept Econ, Williamstown, MA 01267 USA.ORCID-id: 0000-0003-1113-7478
2018 (engelsk)Inngår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 18, nr 1, artikkel-id 403Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Differences in health care utilization across geographical areas are well documented within several countries. If the variation across areas cannot be explained by differences in medical need, it can be a sign of inefficiency or misallocation of public health care resources. Methods: In this observational, longitudinal panel study we use regional level data covering the 21 Swedish regions (county councils) over 13 years and a random effects model to assess to what degree regional variation in outpatient physician visits is explained by observed demand factors such as health, demography and socio-economic factors. Results: The results show that regional mortality, as a proxy for population health, and demography do not explain regional variation in visits to primary care physicians, but explain about 50% of regional variation in visits to outpatient specialists. Adjusting for socio-economic and basic supply-side factors explains 33% of the regional variation in primary physician visits, but adds nothing to explaining the variation in specialist visits. Conclusion: 50-67% of regional variation remains unexplained by a large number of observable regional characteristics, indicating that omitted and possibly unobserved factors contribute substantially to the regional variation. We conclude that variations in health care utilization across regions is not very well explained by underlying medical need and demand, measured by mortality, demographic and socio-economic factors.

sted, utgiver, år, opplag, sider
London, UK: BioMed Central, 2018. Vol. 18, nr 1, artikkel-id 403
Emneord [en]
Demand, Health care utilization, Panel data, Random effects, Regional variation, adult, article, demography, general practitioner, human, mortality, outpatient, panel study, population health, socioeconomics, Sweden
HSV kategori
Forskningsprogram
Nationalekonomi
Identifikatorer
URN: urn:nbn:se:kau:diva-68061DOI: 10.1186/s12913-018-3210-yISI: 000434085000004Scopus ID: 2-s2.0-85048002649OAI: oai:DiVA.org:kau-68061DiVA, id: diva2:1223988
Tilgjengelig fra: 2018-06-26 Laget: 2018-06-26 Sist oppdatert: 2019-08-14bibliografisk kontrollert

Open Access i DiVA

fulltext(678 kB)16 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 678 kBChecksum SHA-512
71a97943dc22846964879af35ffb2f06c3aa687da62dbc5f8ca78a3cc0fb892e6348f2ee9ca4d187c88817465991b14a0e89b320ec2072c0a913523c2732538a
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekstScopus

Personposter BETA

Jakobsson, NiklasSvensson, Mikael

Søk i DiVA

Av forfatter/redaktør
Jakobsson, NiklasSvensson, Mikael
Av organisasjonen
I samme tidsskrift
BMC Health Services Research

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 16 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
urn-nbn

Altmetric

doi
urn-nbn
Totalt: 47 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf