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Effect of having private health insurance on the use of health care services: the case of Spain
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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684766/ https://www.ncbi.nlm.nih.gov/pubmed/29132423 http://dx.doi.org/10.1186/s12913-017-2667-4 |
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author | Cantarero-Prieto, David Pascual-Sáez, Marta Gonzalez-Prieto, Noelia |
author_facet | Cantarero-Prieto, David Pascual-Sáez, Marta Gonzalez-Prieto, Noelia |
author_sort | Cantarero-Prieto, David |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5684766 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-56847662017-11-20 Effect of having private health insurance on the use of health care services: the case of Spain Cantarero-Prieto, David Pascual-Sáez, Marta Gonzalez-Prieto, Noelia BMC Health Serv Res Research Article 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. BioMed Central 2017-11-13 /pmc/articles/PMC5684766/ /pubmed/29132423 http://dx.doi.org/10.1186/s12913-017-2667-4 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Cantarero-Prieto, David Pascual-Sáez, Marta Gonzalez-Prieto, Noelia Effect of having private health insurance on the use of health care services: the case of Spain |
title | Effect of having private health insurance on the use of health care services: the case of Spain |
title_full | Effect of having private health insurance on the use of health care services: the case of Spain |
title_fullStr | Effect of having private health insurance on the use of health care services: the case of Spain |
title_full_unstemmed | Effect of having private health insurance on the use of health care services: the case of Spain |
title_short | Effect of having private health insurance on the use of health care services: the case of Spain |
title_sort | effect of having private health insurance on the use of health care services: the case of spain |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684766/ https://www.ncbi.nlm.nih.gov/pubmed/29132423 http://dx.doi.org/10.1186/s12913-017-2667-4 |
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