nep-hea New Economics Papers
on Health Economics
Issue of 2006‒02‒19
two papers chosen by
Yong Yin
SUNY at Buffalo, USA

  1. Air Quality and Infant Mortality During Indonesia's Massive Wildfires in 1997 By Seema Jayachandran
  2. Moral Hazard and the Demand for Health Services: A Matching Estimator Approach By de Galdeano, Anna Sanz; Machado, Matilde; Pita Barros, Pedro Luis

  1. By: Seema Jayachandran
    Date: 2005–05–11
  2. By: de Galdeano, Anna Sanz; Machado, Matilde; Pita Barros, Pedro Luis
    Abstract: We estimate the impact of health insurance coverage beyond National Health Insurance on the demand for several health services. Traditionally, the literature has tried to deal with the endogeneity of the private (extra) insurance decision by finding instrumental variables. Since a priori instrumental variables are hard to find we take a different approach. We focus on the most common health insurance plan in Portugal, ADSE, which is given to all civil servants and their dependants. We argue this insurance is exogenous i.e. not correlated with beneficiaries’ health status. This identifying assumption allows us to estimate the impact of having ADSE coverage on three different health services using a matching estimator technique. The health services used are: number of visits, number of blood and urine tests, and the probability of visiting a dentist. Results show large positive effects of ADSE for number of visits and tests among the young (18 to 30 years old) but only the latter is statistically significantly different from zero. The effects represent 21.8 and 30% of the average number of visits and tests for the young. On the contrary, we find no evidence of moral hazard on the probability of visiting a dentist.
    Keywords: demand for health services; matching estimator; moral hazard; Portuguese health system
    JEL: C31 I11
    Date: 2006–02

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