Socioeconomic and Health Determinants of Health Care Utilization Among Elderly Europeans: A Semiparametric Assessment of Equity, Intensity and Responsiveness for Ten European Countries

Maurer, Jürgen

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URL:	https://ub-madoc.bib.uni-mannheim.de/1541
URN:	urn:nbn:de:bsz:180-madoc-15418
Dokumenttyp:	Arbeitspapier
Erscheinungsjahr:	2007
Titel einer Zeitschrift oder einer Reihe:	MEA Discussion Papers
Band/Volume:	144
Ort der Veröffentlichung:	Mannheim
Sprache der Veröffentlichung:	Englisch
Einrichtung:	Fakultät für Rechtswissenschaft und Volkswirtschaftslehre > Sonstige - Fakultät für Rechtswissenschaft und Volkswirtschaftslehre
MADOC-Schriftenreihe:	Veröffentlichungen des MEA (Mannheim Research Institute For the Economics of Aging) > MEA Discussion Papers
Fachgebiet:	300 Sozialwissenschaften, Soziologie, Anthropologie
Normierte Schlagwörter (SWD):	SHARE <Projekt> , Gesundheitswesen , Wirtschaftstheorie , Älterer Mensch , Europäische Union
Freie Schlagwörter (Englisch):	Health Care Utilization , Equity , International Comparison , Semiparametric Methods
Abstract:	This paper investigates the interplay of socioeconomic and medical determinants of health care utilization among elderly Europeans from ten countries. Using novel strictly comparable cross-national data from the Survey of Health, Ageing and Retirement in Europe (SHARE), the study exploits recent semi- and nonparametric estimation methods to illustrate how individual socioeconomic status and health determine health care utilization in different institutional settings. Our flexible estimation method allows for the use of multiple health measures to adjust for individual differences in health care need without sacrificing cross-national comparability ofthe resulting estimates. Within countries, we find only a small, if any, socioeconomic gradient. Moreover, all health systems appear to be reasonably responsive to differences in care need. At the same time, we find considerable variation in treatment intensity across countries, which we cannot fully explain by differences in health care need.
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