Paper #550

Título:

¿Es posible reducir el gasto sanitario a través del subsidio a los seguros sanitarios privados? La doble cobertura sanitaria en Catalunya. Estimación de patrones de utilización de servicios sanitarios y simulación de costes asociados a la asistencia

Autores:

Ángel López Nicolás, Jaume Garcia Villar, Guillem López y Jaume Puig

Fecha:

Diciembre 2000

Resumen:

The objective of this study consists in quantifying in money terms the potential reduction in usage of public health care outlets associated to the tenure of double (public plus private) insurance. In order to address the problem, a probabilistic model for visits to physicians is specified and estimated using data from the Catalonian Health Survey. Also, a model for the marginal cost of a visit to a physician is estimated using data from a representative sample of fee-for-service payments from a major insurer. Combining the estimates from the two models it is possible to quantify in money terms the cost/savings of alternative policies which bear an impact on the adoption of double insurance by the population. The results suggest that the private sector absorbs an important volume of demand which would be re-directed to the public sector if consumers cease to hold double insurance.

Palabras clave:

Insurance, health, care

Códigos JEL:

C5, D12, H3, H51, I11

Área de investigación:

Economía Laboral, Pública, de Desarrollo y de la Salud

Número serie CRES:

21

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