- Open Access
What Drives Individual Health Expenditure in Switzerland?
Swiss Journal of Economics and Statistics volume 144, pages 337–358 (2008)
The explanatory factors of individual healthcare consumption are studied by means of healthcare expenditures from the 2000–2005 Swiss Household Income and Expenditure Survey (SHIES). In order to tackle the issues of large number of null expenditures and skewed distribution of positive outcomes, the family of Box-Cox censoring models (Chaze, 2005) is applied. The results show that the use of SHIES data makes it possible to reveal many important factors of individual healthcare consumption, and that the role played by healthcare supply density variables is consistent with the theory of induced demand.
Blough, David K., Carolyn W. Madden and Mark C. Hornbrook (1999), “Modeling Risk Using Generalized Linear Models”, Journal of Health Economics, 18, pp. 153–171.
Box, George E. P. and David R. Cox (1964), “An Analysis of Transformations”, Journal of the Royal Statistical Society, 26(2), pp. 211–252.
Chaze, Jean-Paul (2005), “Assessing Household Health Expenditure with Box-Cox Censoring Models”, Health Economics 2005, 14, pp. 893–907.
Duan, Naihua, Willard G. Manning, Carl N. Morris and Joseph P. Newhouse (1984), “Choosing Between the Sample-Selection Model and the Multi-Part Model”, Journal of Business and Economic Statistics, 2(3), pp. 283–289.
Gardiol, Lucien, Pierre-Yves Geoffard and Chantal Grandchamp (2005), “Separating Selection and Incentive Effects in Health Insurance”, Working Paper n. 2005-38, Paris-Jourdan Science Economiques.
Gerfin, Michael and Martin Schellhorn (2006), “Nonparametric Bounds on the Effect of Deductibles in Health Care Insurance on Doctor Visits — Swiss Evidence”, Health Economics, 15, pp. 1011–1020.
Holly, Alberto, Lucien Gardiol, Gianfranco Domenighetti and Brigitte Bisig (1998), “An Econometric Model of Health Care Utilization and Health Insurance in Switzerland”, European Economic Review, 42, pp. 513–522.
Jones, Andrew M. (2000), “Health Econometrics”, in: Cuyler A., Newhouse J. (Eds), Handbook of Health Economics, Amsterdam, vol. 1, pp. 265–344.
Jones, Andrew M. and Steven T. Yen (2000), “A Box-Cox Double-Hurdle Model”, Manchester School, 68(2), pp. 203–221.
Lankford, R. Hamilton and James H. Wyckoff (1991), “Modeling Charitable Giving Using a Box-Cox Standard Tobit Model”, The Review of Economics and Statistics, 73(3), pp. 460–470.
Lehmann, Hansjörg and Peter Zweifel (2004), “Innovation and Risk Selection in Deregulated Social Health Insurance”, Journal of Health Economics, 23, pp. 997–1012.
Manning, Willard G., Anirban Basu and John Mullahy (2005), “Generalized Modeling Approaches to Risk Adjustment of Skewed Outcomes Data”, Journal of Health Economics, 24, pp. 465–488.
Schellhorn, Martin (2001a), “The Effect of Variable Health Insurance Deductibles on the Demand for Physician Visits”, Health Economics, 10, pp.441–456.
Schellhorn, Martin (2001b), “A Comparison of Alternative Methods to Model Endogeneity in Count Models. An Application to the Demand for Health Care and Health Insurance Choice”, Research Paper No. 40, SEDAP.
Schellhorn, Martin (2004), “Wählbare Selbstbehalte in der Krankenversicherung der Schweiz: Nachfragesteuerung oder Selektion?”, Diskussionsschriften 04-02, Universität Bern.
Werblow, Andreas (2002), “Alles nur Selektion? Der Einfluss von Selbstbehalten in der Gesetzlichen Krankenversicherung”, Vierteljahrshefte zur Wirtschaftsforschung, 71, pp. 427–436.
Yen, Steven T. (1993), “Working Wives and Food Away from Home: The Box-Cox Double-Hurdle Model”, American Journal of Agricultural Economics, 75(4), pp. 884–895.
Yen, Steven T., Lynn E. Dellenbarger and Alvin R. Schupp (1995), “Determinants of Participation and Consumption: The Case of Crawfish in South Louisiana”, Journal of Agricultural and Applied Economics, 27(1), pp. 253–262.
This paper derives from the joint IRIS research program of the universities of Geneva and Lausanne and the federal polytechnic school of Lausanne. The program is funded by the CUS and by said institutions.
About this article
Cite this article
Bilger, M., Chaze, JP. What Drives Individual Health Expenditure in Switzerland?. Swiss J Economics Statistics 144, 337–358 (2008). https://doi.org/10.1007/BF03399258
- healthcare demand
- health expenditure
- hurdle models