{"title":"医疗保健偏好对参保和医疗支出行为的影响","authors":"S. Cohen","doi":"10.3233/JEM-140381","DOIUrl":null,"url":null,"abstract":"Individual attitudes and opinions may visibly impact upon an individual's decisions on how and when to use health care services and associated decisions with respect to medical expenditures. These health care preferences also serve as important inputs in helping to predict health insurance coverage take-up decisions. This paper considers the degree of concordance over time in health care attitudes regarding the need and value of health insurance coverage based on national data from the Medical Expenditure Panel Survey. It demonstrates that individuals who consistently indicated they were healthy and did not need coverage were substantially less likely to have a medical expense in both years, relative to their counterparts who consistently disagreed with that classification. The paper also finds that adults under the age of 65 who consistently indicated that health insurance was not worth the cost were at nearly three times as likely to be continuously uninsured relative to those who consistently disagreed.","PeriodicalId":53705,"journal":{"name":"Journal of Economic and Social Measurement","volume":"38 1","pages":"325-345"},"PeriodicalIF":0.0000,"publicationDate":"2013-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/JEM-140381","citationCount":"3","resultStr":"{\"title\":\"The influence of health care preferences on insurance enrollment and medical expenditure behaviors\",\"authors\":\"S. Cohen\",\"doi\":\"10.3233/JEM-140381\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Individual attitudes and opinions may visibly impact upon an individual's decisions on how and when to use health care services and associated decisions with respect to medical expenditures. These health care preferences also serve as important inputs in helping to predict health insurance coverage take-up decisions. This paper considers the degree of concordance over time in health care attitudes regarding the need and value of health insurance coverage based on national data from the Medical Expenditure Panel Survey. It demonstrates that individuals who consistently indicated they were healthy and did not need coverage were substantially less likely to have a medical expense in both years, relative to their counterparts who consistently disagreed with that classification. The paper also finds that adults under the age of 65 who consistently indicated that health insurance was not worth the cost were at nearly three times as likely to be continuously uninsured relative to those who consistently disagreed.\",\"PeriodicalId\":53705,\"journal\":{\"name\":\"Journal of Economic and Social Measurement\",\"volume\":\"38 1\",\"pages\":\"325-345\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2013-11-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.3233/JEM-140381\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Economic and Social Measurement\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3233/JEM-140381\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Social Sciences\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Economic and Social Measurement","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3233/JEM-140381","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Social Sciences","Score":null,"Total":0}
The influence of health care preferences on insurance enrollment and medical expenditure behaviors
Individual attitudes and opinions may visibly impact upon an individual's decisions on how and when to use health care services and associated decisions with respect to medical expenditures. These health care preferences also serve as important inputs in helping to predict health insurance coverage take-up decisions. This paper considers the degree of concordance over time in health care attitudes regarding the need and value of health insurance coverage based on national data from the Medical Expenditure Panel Survey. It demonstrates that individuals who consistently indicated they were healthy and did not need coverage were substantially less likely to have a medical expense in both years, relative to their counterparts who consistently disagreed with that classification. The paper also finds that adults under the age of 65 who consistently indicated that health insurance was not worth the cost were at nearly three times as likely to be continuously uninsured relative to those who consistently disagreed.
期刊介绍:
The Journal of Economic and Social Measurement (JESM) is a quarterly journal that is concerned with the investigation of all aspects of production, distribution and use of economic and other societal statistical data, and with the use of computers in that context. JESM publishes articles that consider the statistical methodology of economic and social science measurements. It is concerned with the methods and problems of data distribution, including the design and implementation of data base systems and, more generally, computer software and hardware for distributing and accessing statistical data files. Its focus on computer software also includes the valuation of algorithms and their implementation, assessing the degree to which particular algorithms may yield more or less accurate computed results. It addresses the technical and even legal problems of the collection and use of data, legislation and administrative actions affecting government produced or distributed data files, and similar topics. The journal serves as a forum for the exchange of information and views between data producers and users. In addition, it considers the various uses to which statistical data may be put, particularly to the degree that these uses illustrate or affect the properties of the data. The data considered in JESM are usually economic or social, as mentioned, but this is not a requirement; the editorial policies of JESM do not place a priori restrictions upon the data that might be considered within individual articles. Furthermore, there are no limitations concerning the source of the data.