1516171819202119 of 21
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Effects of primary care cost-sharing among young adults: Varying impact across income groups and gender
University Gothenburg, Sweden.
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Karlstad Business School (from 2013). Norway.ORCID iD: 0000-0002-7143-8793
Gothenburg University, Sweden.
2019 (English)In: European Journal of Health Economics, ISSN 1618-7598, E-ISSN 1618-7601, Vol. 20, no 8, p. 1271-1280Article in journal (Refereed) Published
Abstract [en]

We estimate the price sensitivity in health care among adolescents and young adults, and assess how it varies across income groups and gender, using a regression discontinuity design. We use the age differential cost-sharing in Swedish primary care as our identification strategy. At the 20th birthday, the copayment increases from €0 to approx. €10 per primary care physician visit and close to this threshold the copayment faced by each person is distributed almost as good as if randomized. The analysis is performed using high-quality health care and economic register data of 73,000 individuals aged 18–22. Our results show that the copayment decreases the average number of visits by 7%. Among women visits are reduced by 9%, for low-income individuals by 11%, and for low-income women by 14%. In conclusion, modest copayments have significant utilization effects, and even in a policy context with relatively low income inequalities, the effect is substantially larger in low-income groups and among women.

Place, publisher, year, edition, pages
Springer, 2019. Vol. 20, no 8, p. 1271-1280
Keywords [en]
Health care demand, Income inequality, Patient cost-sharing, Price sensitivity, adult, article, cost, female, gender, health care need, health care quality, human, human experiment, lowest income group, major clinical study, male, primary medical care, young adult
National Category
Economics and Business
Research subject
Economics
Identifiers
URN: urn:nbn:se:kau:diva-75686DOI: 10.1007/s10198-019-01095-6ISI: 000491464400012Scopus ID: 2-s2.0-85070303409OAI: oai:DiVA.org:kau-75686DiVA, id: diva2:1369680
Available from: 2019-11-12 Created: 2019-11-12 Last updated: 2019-11-22

Open Access in DiVA

Johansson_Cost_sharing_2019(1161 kB)8 downloads
File information
File name FULLTEXT01.pdfFile size 1161 kBChecksum SHA-512
e7321292657edc395fb63d401bec80dd3fbfbb434a302df8a273db3483fe08741b079a4274310a224bc84b1c2cc60f14a045afa592714868604b71d07c6f0b2c
Type fulltextMimetype application/pdf

Other links

Publisher's full textScopus

Authority records BETA

Jakobsson, Niklas

Search in DiVA

By author/editor
Jakobsson, Niklas
By organisation
Karlstad Business School (from 2013)
In the same journal
European Journal of Health Economics
Economics and Business

Search outside of DiVA

GoogleGoogle Scholar
Total: 8 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 8 hits
1516171819202119 of 21
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf