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Co-pay and feel okay: self-rated health status after a health insurance reform

Journal Article


Abstract


  • Objective

    The reliability of general self-rated health status is examined using the reform of the public health insurance system of Germany in 2004 as a source of exogenous variation. The reform introduced a co-payment for ambulatory doctor visits and increased the co-payments for prescription drugs.

    Methods

    This natural experiment allows identification of the causal impact of the program on self-assessed health (SAH). A difference-in-differences estimator is applied to estimate the effect of the reform on SAH.

    Results

    Using data from the German Socio-Economic Panel, the results indicate that the reform improved the treatment group's average SAH even when there was no discernible impact on actual health.

    Conclusion

    The exercise reveals the sensitivity of SAH to a perturbation in the insurance system. More objective measures of health may be needed to acquire an accurate assessment of general health when the health system is in flux.

Publication Date


  • 2013

Geographic Focus


Citation


  • Paloyo, A. R. (2013). Co-pay and feel okay: self-rated health status after a health insurance reform. Social Science Quarterly, 95 (2), 507-522.

Scopus Eid


  • 2-s2.0-84899976031

Ro Metadata Url


  • http://ro.uow.edu.au/buspapers/334

Has Global Citation Frequency


Number Of Pages


  • 15

Start Page


  • 507

End Page


  • 522

Volume


  • 95

Issue


  • 2

Place Of Publication


  • United States

Abstract


  • Objective

    The reliability of general self-rated health status is examined using the reform of the public health insurance system of Germany in 2004 as a source of exogenous variation. The reform introduced a co-payment for ambulatory doctor visits and increased the co-payments for prescription drugs.

    Methods

    This natural experiment allows identification of the causal impact of the program on self-assessed health (SAH). A difference-in-differences estimator is applied to estimate the effect of the reform on SAH.

    Results

    Using data from the German Socio-Economic Panel, the results indicate that the reform improved the treatment group's average SAH even when there was no discernible impact on actual health.

    Conclusion

    The exercise reveals the sensitivity of SAH to a perturbation in the insurance system. More objective measures of health may be needed to acquire an accurate assessment of general health when the health system is in flux.

Publication Date


  • 2013

Geographic Focus


Citation


  • Paloyo, A. R. (2013). Co-pay and feel okay: self-rated health status after a health insurance reform. Social Science Quarterly, 95 (2), 507-522.

Scopus Eid


  • 2-s2.0-84899976031

Ro Metadata Url


  • http://ro.uow.edu.au/buspapers/334

Has Global Citation Frequency


Number Of Pages


  • 15

Start Page


  • 507

End Page


  • 522

Volume


  • 95

Issue


  • 2

Place Of Publication


  • United States