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Endogenous switching of insurance regime and the demand for health care services among the insured and uninsured

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TLDR
Bir kisinin saglik sigortasinin olmasi sadece saglik hizmetlerine harcadigi parayi degil ayni zamanda saglik hybridine ulasabilmesini de etkiler.
Abstract
Bir kisinin saglik sigortasinin olmasi sadece saglik hizmetlerine harcadigi parayi degil ayni zamanda saglik hizmetlerine ulasabilmesini de etkiler. Bu calisma sigortalilar ile sigortali olmayanlar arasindaki saglik hizmetleri talebinin belirleyicilerini incelemek icin saglik hizmetleri talebini sigorta rejimleri ile tahmin etmektedir. Sigortanin icselligi ve bagimli degiskenin pozitifligi ve kesikli degisken olmasindan dolayi bu tur bir analiz geleneksel tahmin yontemleri ile yapilamamaktadir. Bundan dolayi bu calismada 1993 Milli Saglik Arastirma Anketi kullanilarak type-5 Tobit modeli olarak da bilinen icsel switching model kullanilmistir. Saglik statuleri arasinda belli anlamli iliskiler gorulmustur. Ornegin, calisan bireyler daha az ameliyat ve hastanede daha az gece yatma talebinde bulunmaktadirlar. Bazi anlamli iliskiler ise sadece bir sigorta turunde gorunmektedir. Ornegin, sigortalilar arasinda daha yuksek egitimli bireylerin daha fazla uzman vizitesi talep ettikleri gozlemlenmistir. Doktor hizmetleri talebinde ise saglik statusunun sigortali olmayanlar arasinda sigortalilara gore daha etkili oldugu gozlemlenmistir. Hastane hizmetleri talebi acisindan ise bu iliskinin ters oldugu gozlemlenmistir. Bu sonuclar gostermektedir ki sigorta bagimsiz degiskenler ile saglik hizmetlerinden faydalanma arasindaki iliskiye etkileyebilmektedir.

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References
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Journal ArticleDOI

Estimating count data models with endogenous switching: Sample selection and endogenous treatment effects

TL;DR: In this paper, a two-stage method of moments (TSM) estimator and a nonlinear weighted least-squares estimator are proposed for the fully parametric case.
Book ChapterDOI

Chapter 12 - Health Insurance and the Labor Market*

TL;DR: The authors reviewed the large literature that has emerged in recent years to assess the impact of health insurance on the labor market, focusing on the methodological issues that have been raised, and highlighting the unanswered questions which can be the focus of future work.
ReportDOI

Health insurance and the labor market

TL;DR: This paper reviewed the large literature that has emerged in recent years to assess the impact of health insurance on the labor market, focusing on the methodological issues that have been raised, and highlighting the unanswered questions which can be the focus of future work.
Journal ArticleDOI

Duplicate coverage and demand for health care. The case of Catalonia.

TL;DR: Results are consistent with the idea that heads of household that buy private insurance are the ones with poor unobservable health conditions and it is argued that this last result is related to the existence of a compulsory public insurance.
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Illicit drug use and emergency room utilization.

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