Does federal health care policy influence switching between the public and private sectors in individuals?

Health Policy
Rachael Elizabeth Moorin, Cashel D'Arcy J Holman

Abstract

The aim of this study was to determine if changes in Australian Federal health policy have influenced individual behaviour regarding utilisation of private health insurance in Western Australia. The WA Data Linkage System was used to extract all hospital morbidity records in Western Australia from 1980 to 2001. For each individual, episodes were grouped into hospital couplets classified according to the mix of public and privately insured events. Logistic regression was used to estimate the likelihood of switching towards or away from the private sector, according to the time between episodes in each of five health care policy eras. The odds of a switch away from the private sector increased by 29% with each additional year between episodes, while the odds of a switch towards the private sector increased by 15% per intra-couplet year. In those with a private first episode the odds of switching decreased approximately exponentially across the five eras whereas the odds of switching in those with a public first episode stabilised after 1985. In the last era (1999-2001) the odds of switching away from the private sector reduced substantially. Our analysis suggests that the recent policies supporting PHI (30% rebate and Lifetime He...Continue Reading

References

Nov 27, 1999·Australian and New Zealand Journal of Public Health·C D HolmanM S Hobbs
Oct 5, 2001·Health Affairs·S Willcox
Jun 6, 2002·Australian Health Review : a Publication of the Australian Hospital Association·Mark Cormack
Jul 26, 2002·Australian Health Review : a Publication of the Australian Hospital Association·Natalie SullivanAnthony O'Donnell
Jan 23, 2003·Australian Health Review : a Publication of the Australian Hospital Association·John Deeble
Jan 23, 2003·Australian Health Review : a Publication of the Australian Hospital Association·James R G Butler
Jan 23, 2003·Australian Health Review : a Publication of the Australian Hospital Association·Johannes U Stoelwinder

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Citations

Jul 1, 2010·Patient Related Outcome Measures·Paul A BourneChristopher Ad Charles
Feb 23, 2021·The Cochrane Database of Systematic Reviews·Nkengafac Villyen MotazeCharles S Wiysonge

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