Title |
The abolition of user charges and the demand for ambulatory visits: evidence from the Czech Republic
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Published in |
Health Economics Review, July 2016
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DOI | 10.1186/s13561-016-0105-7 |
Pubmed ID | |
Authors |
Jana Votapkova, Pavlina Zilova |
Abstract |
This paper estimates the effect of the abolition of user charges for children's outpatient care (30 CZK/1.2 EUR) in 2009 on the demand for ambulatory doctor visits in the Czech Republic. Because the reform applied only to children, we can employ the difference-in-differences approach, where children constitute a treatment group and adults serve as a control group. The dataset covers 1841 observations. Aside from the treatment effect, we control for a number of personal characteristics using micro-level data (European Union Statistics on Income and Living Conditions). Using the zero-inflated negative binomial model, we found no significant effect from the abolition of user charges on doctor visits, suggesting either that user charges are ineffective in the Czech environment or that their value was set too low. On the contrary, personal income, the number of household members and gender have a significant effect. A number of robustness checks using restricted samples confirm the results. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Poland | 1 | 33% |
Unknown | 2 | 67% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 13 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Doctoral Student | 4 | 31% |
Student > Master | 3 | 23% |
Lecturer | 1 | 8% |
Student > Ph. D. Student | 1 | 8% |
Researcher | 1 | 8% |
Other | 0 | 0% |
Unknown | 3 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Business, Management and Accounting | 3 | 23% |
Medicine and Dentistry | 2 | 15% |
Social Sciences | 2 | 15% |
Nursing and Health Professions | 1 | 8% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 8% |
Other | 1 | 8% |
Unknown | 3 | 23% |