The Demand for Pediatric Care: An Hedonic Approach

Goldman, Fred; Grossman, Michael

doi:10.1086/260666

Cited by 63 publications

(36 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They are the worse off, with less economic power, and thus with less capacity to seek care outside the public system. Coffey [3] found similar results on ambulatory female medical care services and other authors have come to similar conclusions [49,50]. Concerning the positive travel time elasticity in both latent classes, this result also contradicts other empirical findings [1,2,5,51], although some other studies report that the utilization does not respond to travel time [52].…”

Section: Time Costsmentioning

confidence: 64%

Utilization of public health centres in Portugal: effect of time costs and other determinants. Finite mixture models applied to truncated samples

Lourenço¹,

Ferreira²

2005

Health Economics

View full text Add to dashboard Cite

SummaryThe impact of time costs on the utilization of medical care has been a subject of theoretical and empirical research since the early 1970s.The main goal of this paper is to show the effect of time costs on the number of visits to general practitioners (GP) in Portuguese public health centres. We measured the elasticity of primary health care utilization relative to the total time spent in the health centre and relative to travel time. We also provided evidence regarding the impact of an appointment delay on the utilization of public GP services.Our data resulted from the application of an endogenous sampling scheme, resulting in a truncated-at-zero data set. To model our dependent variable, number of visits, and accounting for the truncated nature of the data we used a finite mixture model specification.The data were obtained from the most recent implementation in Portugal of the 2003/2004 Europep Survey. The two-component negative binomial II finite mixture model led to the identification of two different latent classes of health centre users: a low-users class that comprises 88% of patients with an estimated utilization mean of 4.3 GP visits per year and a frequent-users class with an estimated utilization mean of 11.1 visits for the remaining 12% of the population.We failed to find any statistically significant elasticity of time cost utilization, when this variable is measured as the total time spent in the health centre. Regarding the effect of an appointment delay on health centre utilization we concluded that individuals respond to this variable by lowering the number of GP visits. This last finding may have policy implications, which will be discussed at the end of the paper.

show abstract

Section: Time Costsmentioning

confidence: 64%

Utilization of public health centres in Portugal: effect of time costs and other determinants. Finite mixture models applied to truncated samples

Lourenço¹,

Ferreira²

2005

Health Economics

View full text Add to dashboard Cite

show abstract

“…income, age) that might impact on price elasticity of demand are underrepresented in cross-sectional data. In addition, the variation in prices may have just been due to differences between consumers (variations in marginal cost/benefits of information search for prices) rather than supply conditions [32]. If unaccounted for, as in this study, such price variations could lead to bias and misleading elasticities [33].…”

Section: Discussionmentioning

confidence: 99%

Economic analysis of participation in physical activity in England: implications for health policy

Anokye

Pokhrel

Fox-Rushby

2014

Int J Behav Nutr Phys Act

View full text Add to dashboard Cite

BackgroundChanging the relative price of (in) activity is an important tool for health policies. Nonetheless, to date, analyses of correlates of physical activity (PA) have excluded the notion of price. Using the first nationwide dataset on prices of PA for England, we explore for the first time how money and time prices are associated with PA (in general) and specific activities.MethodsA nationally representative telephone follow-up survey to Health Survey for England (HSE) 2008 was undertaken in 2010. The sample covered individuals who reported to have undertaken some PA in the HSE 2008. Questions focussed on: ex-post money and time prices; type and quantity of PA; perceived benefits of PA and socio-economic details. Count regression models (all activities together, and swimming, workout, walking separately) were fitted to investigate the variation in quantity of PA.ResultsOf 1683 respondents, 83% participated in PA (one or more activities), and spent an average of £2.40 per occasion of participation in PA and 23 minutes travelling. Participation in PA was negatively associated with money prices per occasion (i.e. family member/child care fees, parking fees, and facility charges) and travel time price. Participation in PA was more sensitive to travel time price than money price. Among the specific activities, the money price effect was highest for swimming with a 10% higher price associated with 29% fewer occasions of swimming; followed by workout (3% fewer occasions) and walking (2% fewer occasions). Only swimming and workout were sensitive to travel time price. People who felt doing PA could help them ‘get outdoors’, ‘have fun’, or ‘lose weight’ were likely to do more PA.ConclusionsTwo main policy implications emerge from the findings. First, the results support the notion that positive financial incentives, e.g. subsidising price of participation, could generally lead to an increase in quantity of PA among those already exercising. Second, such policies could lead to desired policy goals if implemented at an individual activity level (e.g. 50% subsidy on swimming entrance charges) rather than a blanket implementation (e.g. subsidising average entrance charges across all activities by 50%).

show abstract

“…F-2 4For discussions of the indirect costs of obtaining pediatric care, see Cofle and Grossian (1978) and Goldman and Grossman (1978).…”

Section: Susmary and Implicationsmentioning

confidence: 99%

Adolescent Health, Family Background, and Preventive Medical Care

Edwards

Grossman

1979

Self Cite

View full text Add to dashboard Cite

The Demand for Pediatric Care: An Hedonic Approach

Cited by 63 publications

References 17 publications

Utilization of public health centres in Portugal: effect of time costs and other determinants. Finite mixture models applied to truncated samples

Utilization of public health centres in Portugal: effect of time costs and other determinants. Finite mixture models applied to truncated samples

Economic analysis of participation in physical activity in England: implications for health policy

Adolescent Health, Family Background, and Preventive Medical Care

Contact Info

Product

Resources

About