患者费用分担对低收入儿童医疗保健利用的影响

IF 0.2 4区 经济学 Q4 ECONOMICS Hitotsubashi Journal of Economics Pub Date : 2017-06-01 DOI:10.15057/28614
R. Takaku
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引用次数: 4

摘要

本文研究了低收入儿童的医疗保健利用如何受到共同保险费率降低的影响,利用儿童和婴儿医疗补贴(MSCI)系统的制度变化,作为一个自然实验。2004年,北海道县MSCI受助人的最大年龄从3岁提高到包括所有学龄前儿童。门诊服务利用的隐含弧价格弹性为- 0.23,与RAND健康保险实验中常用的引用值(- 0.2)一致。
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THE EFFECT OF PATIENT COST SHARING ON HEALTH CARE UTILIZATION AMONG LOW-INCOME CHILDREN
This paper examines how health care utilization among low-income children is affected by a reduction of the coinsurance rate, exploiting an institutional change in the Medical Subsidy for Children and Infants (MSCI) system, as a natural experiment. In 2004, the maximum age for MSCI recipients in Hokkaido Prefecture was raised from 3 years to include all children of preschool age. The implied arc price elasticity of outpatient care utilization is −0.23, which is congruent with the commonly cited value (−0.2) presented in the RAND health insurance experiment.
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