Sources of regional variation in healthcare utilization in Germany.
J Health Econ
; 69: 102271, 2020 01.
Article
en En
| MEDLINE
| ID: mdl-31874377
ABSTRACT
We examine sources of regional variation in ambulatory care utilization in Germany. We exploit patient migration to examine which share of regional variation in ambulatory care utilization can be attributed to demand factors and to supply factors, respectively. Based on administrative claim-level data we find that regional variation can be overwhelmingly explained by patient characteristics. Our results contrast with previous results for other countries, and they suggest that institutional rules in Germany successfully constrain supply-side variation in ambulatory care use between German regions for most patients. Furthermore, we find that both demographics and other patient characteristics substantially contribute to regional variation and that causes of regional variation vary when comparing different regions within Germany.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
10_ODS3_salud_sexual_reprodutiva
/
2_ODS3
Problema de salud:
10_sexual_health_reproductive_rights
/
2_cobertura_universal
Asunto principal:
Aceptación de la Atención de Salud
Aspecto:
Implementation_research
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Health Econ
Asunto de la revista:
HOSPITAIS
/
SERVICOS DE SAUDE
Año:
2020
Tipo del documento:
Article