Latent class models for utilisation of health care

Health Economics
Teresa Bago d'Uva

Abstract

This paper explores different approaches to econometric modelling of count measures of health care utilisation, with an emphasis on latent class models. A new model is proposed that combines the features of the two most common approaches: the hurdle model and the finite mixture negative binomial. Additionally, the panel structure of the data is taken into account. The proposed finite mixture hurdle model is shown to fit the data substantially better than the existing models for a particular application to data from the RAND Health Insurance Experiment. The estimation results indicate a higher price effect for low users of health care. It is furthermore found that this results mainly from the difference of the price effects on the probability to visit a doctor, while the price effect on the conditional number of visits does not differ significantly between high and low users.

References

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Citations

May 12, 2009·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Chungkham Holendro Singh, Laishram Ladusingh
Mar 3, 2010·International Journal of Environmental Research and Public Health·Budi Hidayat, Subhash Pokhrel
Jan 29, 2013·Journal of Health Economics·Bram WouterseJohan J Polder
Jan 9, 2009·Journal of Health Economics·Teresa Bago d'Uva, Andrew M Jones
Dec 2, 2008·Journal of Health Economics·Teresa Bago d'UvaEddy van Doorslaer
Mar 29, 2008·Health Services Research·Robert J ProsserM Anne Smith
Aug 11, 2011·Health Economics·Michael Keane, Olena Stavrunova
Feb 26, 2011·Health Economics·Nabanita Datta Gupta, Jane Greve
Sep 3, 2011·Biometrical Journal. Biometrische Zeitschrift·Antonello Maruotti
Apr 9, 2009·Health Economics·Erik SchokkaertCarine Van de Voorde
Apr 23, 2015·Biometrical Journal. Biometrische Zeitschrift·Antonello MaruottiFrancesco Lagona
Feb 26, 2013·International Journal of Public Health·Sunday AzagbaChristina Xiao Liu
Jul 22, 2016·Accident; Analysis and Prevention·Shamsunnahar Yasmin, Naveen Eluru
Aug 6, 2016·Health Economics·Helmut FarbmacherAmelie Wuppermann
Oct 6, 2017·Health Policy and Planning·Asankha Pallegedara, Michael Grimm
Jun 22, 2014·Maternal and Child Health Journal·Hua Zan, Robert L Scharff
Mar 1, 2015·International Journal of Health Economics and Management·Richard Layte, Anne Nolan
Jul 16, 2019·Statistics in Medicine·Christoph F Kurz, Laura A Hatfield
Feb 1, 2017·Health Economics·Maximilian H M HatzCarl R B Blankart
May 26, 2018·Biometrical Journal. Biometrische Zeitschrift·Yin LiuKam Chuen Yuen

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