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新的身心健康治疗需求估计。

New estimates of the demand for physical and mental health treatment.

机构信息

Department of Economics, Lehigh University, Bethlehem, PA 18015, USA.

出版信息

Health Econ. 2010 Mar;19(3):297-315. doi: 10.1002/hec.1476.

Abstract

Consumers' price responsiveness is central to US health-care reform proposals, but the best available estimates are now more than 25 years old. We estimate health-care demands by calculating expected end-of-year prices and incorporating them into a zero-inflated ordered probit model applied to several overlapping panels of data from 1996 to 2003. Results from our correlated random effects specification indicate that the price responsiveness of ambulatory mental health treatment has decreased substantially and is now slightly lower than physical health treatment. This suggests that concerns over moral hazard alone do not warrant less generous coverage for mental health. However, prescription drug demand is more price elastic.

摘要

消费者的价格敏感度是美国医疗改革方案的核心,但目前最可用的估计数据已有 25 年以上的历史。我们通过计算预期的年底价格来估算医疗需求,并将其纳入到一个零膨胀有序概率模型中,该模型应用于 1996 年至 2003 年的几个重叠数据面板。我们相关随机效应规范的结果表明,门诊心理健康治疗的价格敏感度已大幅下降,现在略低于身体健康治疗。这表明,仅仅担心道德风险并不需要为心理健康提供更少的慷慨保障。然而,处方药需求的价格弹性更大。

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