The effect of copayments on primary care utilization: results from a quasi-experiment

Niklas Jakobsson and Mikael Svensson

Applied Economics, 2016, vol. 48, issue 39, 3752-3762

Abstract: This article analyses how health-care utilization is affected by copayments in a tax-financed health-care system. The article utilizes a natural experiment in which a health-care region in Sweden changed the price of healthcare in such a way that primary care general physician prices increased by 33%. We use daily visit data in the treatment region and a neighbouring control region where no price change took place and analyse the effect using differences-in-differences as well as differences-in-differences-in-differences models. The results from the preferred models indicate no effect on health-care utilization due to the price change, a result that also holds across different socio-economic subregions in the treatment region.

Date: 2016
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DOI: 10.1080/00036846.2016.1145346

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