拥有私人医疗保险对医疗服务使用情况的影响：以西班牙为例。
Effect of having private health insurance on the use of health care services: the case of Spain.
作者信息
Cantarero-Prieto David, Pascual-Sáez Marta, Gonzalez-Prieto Noelia
机构信息
Department of Economics, Faculty of Economics and Business, University of Cantabria (Spain), Avenue Los Castros, s/n, 39005, Santander, CP, Spain.
出版信息
BMC Health Serv Res. 2017 Nov 13;17(1):716. doi: 10.1186/s12913-017-2667-4.
BACKGROUND
Several stakeholders have undertaken initiatives to propose solutions towards a more sustainable health system and Spain, as an example of a European country affected by austerity measures, is looking for ways to cut healthcare budgets.
METHODS
The aim of this paper is to study the effect of private health insurance on health care utilization using the latest micro-data from the European Community Household Panel (ECHP), the Spanish National Health Survey (SNHS) and the European Union Statistics on Income and Living Conditions (EU-SILC). We use matching techniques based on propensity score methods: single match, four matches, bias-adjustment and allowing for heteroskedasticity.
RESULTS
The results demonstrate that people with a private health insurance, use the public health system less than individuals without double health insurance coverage.
CONCLUSIONS
Our conclusions are useful when policy makers design public-private partnership policies.
背景
多个利益相关方已采取举措，提出建立更具可持续性的卫生系统的解决方案，而西班牙作为受紧缩措施影响的欧洲国家的一个例子，正在寻找削减医疗保健预算的方法。
方法
本文旨在利用来自欧洲共同体家庭调查（ECHP）、西班牙国家健康调查（SNHS）和欧盟收入与生活条件统计（EU-SILC）的最新微观数据，研究私人医疗保险对医疗保健利用的影响。我们使用基于倾向得分方法的匹配技术：单匹配、四匹配、偏差调整并考虑异方差性。
结果
结果表明，拥有私人医疗保险的人比没有双重医疗保险覆盖的人更少使用公共卫生系统。
结论
我们的结论在政策制定者设计公私合作政策时很有用。
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