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Zugangsregulierung und die Nutzung medizinischer Versorgungsdienste
[working paper]

dc.contributor.authorReibling, Nadinede
dc.contributor.authorWendt, Clausde
dc.date.accessioned2010-10-14T12:02:00Zde
dc.date.accessioned2012-08-29T23:13:28Z
dc.date.available2012-08-29T23:13:28Z
dc.date.issued2008de
dc.identifier.urihttp://www.ssoar.info/ssoar/handle/document/19549
dc.description.abstract"Regulating patients' access to healthcare has been used in several countries as a way of controlling patients' consumption levels. In some countries, provider choice is directly limited through legal regulations such as gatekeeping, whereas in other countries patients' behavior is primarily governed by financial incentives like co-payments to doctor visits. However, empirical studies, mostly conducted in the United States, do not provide a clear answer whether institutional access regulations actually accomplish a reduction of used health services. The objective of this paper is to assess the impact of access regulations on healthcare utilization in a cross-national framework comparing eleven European countries. While access restrictions are assumed to have an effect on the overall level of utilization, they can also have an impact on the equity of utilization between different socio-economic groups. Our analyses combine institutional indicators on the country level and number of doctor visits on the micro-level from the first wave of SHARE. The results show that access regulations and especially gatekeeping systems are associated with a lower level of overall service usage. Gatekeeping systems also reduce inequity in specialist visits across groups with different levels of education. Contrary to theoretical expectations but in line with earlier studies cost sharing could not be related to inequity patterns across income groups." (author's abstract)en
dc.languageende
dc.subject.ddcSozialwissenschaften, Soziologiede
dc.subject.ddcSocial sciences, sociology, anthropologyen
dc.titleAccess regulation and utilization of healthcare servicesen
dc.title.alternativeZugangsregulierung und die Nutzung medizinischer Versorgungsdienstede
dc.identifier.urlhttp://www.mzes.uni-mannheim.de/publications/wp/wp-113.pdfde
dc.source.volume113de
dc.publisher.countryDEU
dc.publisher.cityMannheimde
dc.source.seriesArbeitspapiere / Mannheimer Zentrum für Europäische Sozialforschungde
dc.subject.classozHealth Policyen
dc.subject.classozGesundheitspolitikde
dc.subject.thesozhealth care delivery systemen
dc.subject.thesozGesundheitswesende
dc.subject.thesozEffektivitätde
dc.subject.thesozGesundheitspolitikde
dc.subject.thesozEuropade
dc.subject.thesozKostende
dc.subject.thesozregulationen
dc.subject.thesozZugangsvoraussetzungde
dc.subject.thesozhealth policyen
dc.subject.thesozGesundheitsfürsorgede
dc.subject.thesozjusticeen
dc.subject.thesozEuropeen
dc.subject.thesozincomeen
dc.subject.thesozsocial indicatorsen
dc.subject.thesozinternational comparisonen
dc.subject.thesozhealth careen
dc.subject.thesozRegulierungde
dc.subject.thesozGesundheitsversorgungde
dc.subject.thesozeffectivenessen
dc.subject.thesozhealth care servicesen
dc.subject.thesozEinkommende
dc.subject.thesozinternationaler Vergleichde
dc.subject.thesozGerechtigkeitde
dc.subject.thesozsoziale Indikatorende
dc.subject.thesozcostsen
dc.subject.thesozentrance requirementsen
dc.identifier.urnurn:nbn:de:0168-ssoar-195492de
dc.date.modified2010-11-26T12:35:00Zde
dc.rights.licenceDeposit Licence - Keine Weiterverbreitung, keine Bearbeitungde
dc.rights.licenceDeposit Licence - No Redistribution, No Modificationsen
ssoar.greylittde
ssoar.gesis.collectionSOLIS;ADISde
ssoar.contributor.institutionUSB Kölnde
internal.status3de
internal.identifier.thesoz10042879
internal.identifier.thesoz10044502
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dc.type.stockmonographde
dc.type.documentArbeitspapierde
dc.type.documentworking paperen
dc.rights.copyrightfde
dc.source.pageinfo36
internal.identifier.classoz11006
internal.identifier.document3
dc.contributor.corporateeditorUniversität Mannheim, Mannheimer Zentrum für Europäische Sozialforschung (MZES)de
internal.identifier.corporateeditor352de
internal.identifier.ddc300
dc.subject.methodsempirischde
dc.subject.methodsempirisch-quantitativde
dc.subject.methodsempiricalen
dc.subject.methodsquantitative empiricalen
dc.description.pubstatusPublished Versionen
dc.description.pubstatusVeröffentlichungsversionde
internal.identifier.licence3
internal.identifier.methods4
internal.identifier.methods6
internal.identifier.pubstatus1
internal.identifier.series58de
internal.check.abstractlanguageharmonizerCERTAIN
internal.check.languageharmonizerCERTAIN_RETAINED


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