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Can regional decentralisation shift health care preferences?

Costa-Font, Joan ORCID: 0000-0001-7174-7919 and Ferrer-i-Carbonell, Ada (2017) Can regional decentralisation shift health care preferences? Discussion Paper Series (IZA DP No. 11180). IZA – Institute of Labor Economics, Bonn, Germany.

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Uniform health care delivered by a mainstream public insurer – such as the National Health Service (NHS), seldom satisfies heterogeneous demands for care, and some unsatisfied share of the population either use private health care, or purchase private insurance (PHI). One potential mechanism to partially satisfy heterogeneous preferences for health care, and discourage the use of private health care, is regional health care decentralisation. We find robust estimates suggesting that the development of regional health services shifted both perceptions of, and preferences for, using the NHS, making it more likely individuals would use public health care and, consequently, reducing the uptake of PHI. These results are heterogeneous by income, education, and age groups; and are robust to placebo and other robustness and falsification checks

Item Type: Monograph (Working Paper)
Official URL:
Additional Information: © 2017 IZA – Institute of Labor Economics
Divisions: European Institute
Health Policy
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
JEL classification: H - Public Economics > H7 - State and Local Government; Intergovernmental Relations
I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy; Regulation; Public Health
Date Deposited: 19 Dec 2017 15:19
Last Modified: 15 Sep 2023 23:42
Projects: ECO2014-59302-P, (SEV-2015-0563
Funders: Ministry of Economy and Competitiveness, Severo Ochoa Programme for Centres of Excellence

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