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Effect of having private health insurance on the use of health care services: the case of Spain
[journal article]
Abstract Background: Several stakeholders have undertaken initiatives to propose solutions towards a more sustainable health system and Spain, as an example of a European country affected by austerity measures, is looking for ways to cut healthcare budgets. Methods: The aim of this paper is to study the effe... view more
Background: Several stakeholders have undertaken initiatives to propose solutions towards a more sustainable health system and Spain, as an example of a European country affected by austerity measures, is looking for ways to cut healthcare budgets. Methods: The aim of this paper is to study the effect of private health insurance on health care utilization using the latest micro-data from the European Community Household Panel (ECHP), the Spanish National Health Survey (SNHS) and the European Union Statistics on Income and Living Conditions (EU-SILC). We use matching techniques based on propensity score methods: single match, four matches, bias-adjustment and allowing for heteroskedasticity. Results: The results demonstrate that people with a private health insurance, use the public health system less than individuals without double health insurance coverage. Conclusions: Our conclusions are useful when policy makers design public-private partnership policies.... view less
Keywords
public health services; private health insurance; Spain; health care; recourse
Classification
Health Policy
Free Keywords
matching techniques; ECHP; SNHS; EU-SILC
Document language
English
Publication Year
2017
Page/Pages
p. 1-13
Journal
BMC Health Services Research, 17 (2017)
DOI
https://doi.org/10.1186/s12913-017-2667-4
ISSN
1472-6963
Status
Published Version; peer reviewed