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The effect of copayments on primary care utilization: results from a quasi-experiment
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Karlstad Business School. Norwegian Social Res NOVA, Oslo, Norway..
Univ Orebro, Dept Econ, Orebro, Sweden.;Univ Gothenburg, Sahlgrenska Acad, Hlth Metr, S-40530 Gothenburg, Sweden..
2016 (English)In: Applied Economics, ISSN 0003-6846, E-ISSN 1466-4283, Vol. 48, no 39, 3752-3762 p.Article in journal (Refereed) PublishedText
Abstract [en]

This article analyses how health-care utilization is affected by copayments in a tax-financed health-care system. The article utilizes a natural experiment in which a health-care region in Sweden changed the price of healthcare in such a way that primary care general physician prices increased by 33%. We use daily visit data in the treatment region and a neighbouring control region where no price change took place and analyse the effect using differences-in-differences as well as differences-in-differences-in-differences models. The results from the preferred models indicate no effect on health-care utilization due to the price change, a result that also holds across different socio-economic subregions in the treatment region.

Place, publisher, year, edition, pages
2016. Vol. 48, no 39, 3752-3762 p.
Keyword [en]
Copayments, healthcare, demand, moral hazard, natural experiment
National Category
Business Administration
Research subject
Business Administration
Identifiers
URN: urn:nbn:se:kau:diva-44556DOI: 10.1080/00036846.2016.1145346ISI: 000378744900005OAI: oai:DiVA.org:kau-44556DiVA: diva2:951113
Available from: 2016-08-05 Created: 2016-08-05 Last updated: 2016-08-05Bibliographically approved

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Jakobsson, Niklas
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