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J Health Econ. 2011 Sep;30(5):1044-56. doi: 10.1016/j.jhealeco.2011.06.004. Epub 2011 Jul 19.
We present a generalized solution to Grossman's model of health capital (1972), relaxing the widely used assumption that individuals can adjust their health stock instantaneously to an "optimal" level without adjustment costs. The Grossman model then predicts the existence of a health threshold above which individuals do not demand medical care. Our generalized solution addresses a significant criticism: the model's prediction that health and medical care are positively related is consistently rejected by the data. We suggest structural- and reduced-form equations to test our generalized solution and contrast the predictions of the model with the empirical literature.
我们提出了一个广义的解决方案,用于解决 Grossman 的健康资本模型(1972 年),放松了广泛使用的假设,即个人可以在没有调整成本的情况下将其健康存量即时调整到“最佳”水平。然后,Grossman 模型预测存在一个健康门槛,超过这个门槛,个人就不会要求医疗保健。我们的广义解决方案解决了一个重要的批评:该模型预测健康和医疗保健呈正相关,这与数据一致相悖。我们提出了结构方程和简化方程来检验我们的广义解决方案,并将模型的预测与实证文献进行对比。