Is there 'patient selection' in the demand for private maternity care in Greece?
The influence of private health insurance (PHI) and gynaecologists' demand for leisure in determining a caesarean section (CS) delivery is examined. A database collected in January 2002 is exploited which contains records on women who attended the second largest private hospital in Greece. A jo...
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| Veröffentlicht in: | Applied economics letters 2005-01, Vol.12 (1), p.7-12 |
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| container_title | Applied economics letters |
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| creator | Karras, Konstantinos Costa-Font, Joan Davaki, Konstantina Mossialos, Elias |
| description | The influence of private health insurance (PHI) and gynaecologists' demand for leisure in determining a caesarean section (CS) delivery is examined. A database collected in January 2002 is exploited which contains records on women who attended the second largest private hospital in Greece. A joint maximum-likelihood probit estimation for the PHI subscription and the decision to undertake CS is employed. Results suggest that the obstetrician's decision to undertake CS is not independent of the women having PHI coverage. The probability of a CS taking place increases by about 20% if mothers have PHI. Furthermore, CS deliveries were more likely to take place between 12.00 and 16.00 pm and on working week days and Saturdays. The results support the hypothesis of patient selection on the basis of holding PHI and exhibit evidence of gynaecologists' 'demand for leisure'. |
| doi_str_mv | 10.1080/13504850420007099 |
| format | Article |
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A database collected in January 2002 is exploited which contains records on women who attended the second largest private hospital in Greece. A joint maximum-likelihood probit estimation for the PHI subscription and the decision to undertake CS is employed. Results suggest that the obstetrician's decision to undertake CS is not independent of the women having PHI coverage. The probability of a CS taking place increases by about 20% if mothers have PHI. Furthermore, CS deliveries were more likely to take place between 12.00 and 16.00 pm and on working week days and Saturdays. 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The results support the hypothesis of patient selection on the basis of holding PHI and exhibit evidence of gynaecologists' 'demand for leisure'.</description><subject>Applied economics</subject><subject>Cesarean section</subject><subject>Demand</subject><subject>Economic analysis</subject><subject>Greece</subject><subject>Gynecology</subject><subject>Health care</subject><subject>Health insurance</subject><subject>Hypotheses</subject><subject>Maximum likelihood method</subject><subject>Patients</subject><subject>Physicians</subject><subject>Pregnancy</subject><subject>Studies</subject><issn>1350-4851</issn><issn>1466-4291</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>X2L</sourceid><recordid>eNplkE1LAzEQhhdRsFZ_gLfgwZ5W87HZTU4iolUQ9KDnkM1O6Jb9MkkL_fdOqXjQwzszyTxvmEyWXTJ6w6iit0xIWigUp5RWVOujbMaKsswLrtkx1tjPEWCn2VmMa4RKpctZ9v4SSVpBALKYbGphSCRCBy6147Ag7bBvkgZ6OzTEj4FMod3aBKTHEIY27YizaEZwGQAc3J1nJ952ES5-8jz7fHr8eHjOX9-WLw_3r7nDiVLuGFNMC8VrpxzzlfJcNL6QkmrAwZqmlg0IzUsJtgBrla7BN1DUpRcVr2sxz64P705h_NpATKZvo4OuswOMm2iEolJxUSF49Qdcj5sw4GyG6aqQHDeBEDtALowxBvAGP9rbsDOMmv2Czb8Fo2d58ASYwP0akvUWz10yWyMs4xh2KLRJTO3-DjWhKoPdVerFN9SrhSE</recordid><startdate>20050115</startdate><enddate>20050115</enddate><creator>Karras, Konstantinos</creator><creator>Costa-Font, Joan</creator><creator>Davaki, Konstantina</creator><creator>Mossialos, Elias</creator><general>Taylor and Francis Journals</general><general>Taylor & Francis LLC</general><scope>DKI</scope><scope>X2L</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope></search><sort><creationdate>20050115</creationdate><title>Is there 'patient selection' in the demand for private maternity care in Greece?</title><author>Karras, Konstantinos ; Costa-Font, Joan ; Davaki, Konstantina ; Mossialos, Elias</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c429t-c11819382bc8c1f78f23df45509e896ddb5de39265ea4eaa89befde4b6f372bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Applied economics</topic><topic>Cesarean section</topic><topic>Demand</topic><topic>Economic analysis</topic><topic>Greece</topic><topic>Gynecology</topic><topic>Health care</topic><topic>Health insurance</topic><topic>Hypotheses</topic><topic>Maximum likelihood method</topic><topic>Patients</topic><topic>Physicians</topic><topic>Pregnancy</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karras, Konstantinos</creatorcontrib><creatorcontrib>Costa-Font, Joan</creatorcontrib><creatorcontrib>Davaki, Konstantina</creatorcontrib><creatorcontrib>Mossialos, Elias</creatorcontrib><collection>RePEc IDEAS</collection><collection>RePEc</collection><collection>CrossRef</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><jtitle>Applied economics letters</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karras, Konstantinos</au><au>Costa-Font, Joan</au><au>Davaki, Konstantina</au><au>Mossialos, Elias</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is there 'patient selection' in the demand for private maternity care in Greece?</atitle><jtitle>Applied economics letters</jtitle><date>2005-01-15</date><risdate>2005</risdate><volume>12</volume><issue>1</issue><spage>7</spage><epage>12</epage><pages>7-12</pages><issn>1350-4851</issn><eissn>1466-4291</eissn><abstract>The influence of private health insurance (PHI) and gynaecologists' demand for leisure in determining a caesarean section (CS) delivery is examined. A database collected in January 2002 is exploited which contains records on women who attended the second largest private hospital in Greece. A joint maximum-likelihood probit estimation for the PHI subscription and the decision to undertake CS is employed. Results suggest that the obstetrician's decision to undertake CS is not independent of the women having PHI coverage. The probability of a CS taking place increases by about 20% if mothers have PHI. Furthermore, CS deliveries were more likely to take place between 12.00 and 16.00 pm and on working week days and Saturdays. The results support the hypothesis of patient selection on the basis of holding PHI and exhibit evidence of gynaecologists' 'demand for leisure'.</abstract><cop>London</cop><pub>Taylor and Francis Journals</pub><doi>10.1080/13504850420007099</doi><tpages>6</tpages></addata></record> |
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| ispartof | Applied economics letters, 2005-01, Vol.12 (1), p.7-12 |
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| source | RePEc; EBSCOhost Business Source Complete |
| subjects | Applied economics Cesarean section Demand Economic analysis Greece Gynecology Health care Health insurance Hypotheses Maximum likelihood method Patients Physicians Pregnancy Studies |
| title | Is there 'patient selection' in the demand for private maternity care in Greece? |
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