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Winkelmann

Fakultäten » Wirtschaftswissenschaftliche Fakultät » Volkswirtschaftslehre, Institut für » Prof. Dr. Rainer Winkelmann » Winkelmann

Completed research project

Title / Titel Health Care Reform and Health Care Utilization: Evidence for Germany
PDF Abstract (PDF, 14 KB)
Summary / Zusammenfassung This research project deals with methods for evaluating the effects of a specific health care reform in Germany - where co-payments for prescription drugs were increased by up to 200 percent - on health care utilization. The data are from the German Socio-Economic Panel for the years 1995-1999 and the individual number of doctor visits is the outcome measure. The main purpose of the project is to extend the analysis beyond the usual estimation on average effects, and focus on the full distribution instead. This approach is motivated by the question whether the reform possibly had different effects in different parts of the distribution. Conceivably, for instance, the demand elasticity for doctor visits could be larger among rare users than among more frequent users (including the chronically sick). To identify such effects, more general methods than the ones used so far (Negative Binomial regressions, Poisson regressions) are required. These include a new probit-Poisson-log-normal model and the use of quantile regressions for counts.
Publications / Publikationen Winkelmann, R. (2006) Reforming Health Care: Evidence from Quantile Regression for Counts, Journal of Health Economics, 25, 131-145.

Winkelmann, R. (2004) Co-payments for prescription drugs and the demand for doctor visits - Evidence from a natural experiment, Health Economics, 13, 1081-1089.

Winkelmann, R. (2004) Health Care Reform and the Number of Doctor Visits - An Econometric Analysis, Journal of Applied Econometrics, 19, 455-472.

Winkelmann, R., How Did the German Health Care Reform of 1997 Change the Distribution of the Demand for Health Services? University of Zurich, SOI Working Paper 0314.

Keywords / Suchbegriffe health economics, econometrics, public policy, count data, Poisson model
Project leadership and contacts /
Projektleitung und Kontakte
Prof. Dr. Rainer Winkelmann (Project Leader)  
Funding source(s) /
Unterstützt durch
Universität Zürich (position pursuing an academic career)
 
Duration of Project / Projektdauer Oct 2001 to Oct 2006