A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Effects of nurse visit copayment on primary care use : Do low-income households pay the price? (2024)
Haaga, T., Böckerman, P., Kortelainen, M., & Tukiainen, J. (2024). Effects of nurse visit copayment on primary care use : Do low-income households pay the price?. Journal of Health Economics, 94, Article 102866. https://doi.org/10.1016/j.jhealeco.2024.102866
JYU-tekijät tai -toimittajat
Julkaisun tiedot
Julkaisun kaikki tekijät tai toimittajat: Haaga, Tapio; Böckerman, Petri; Kortelainen, Mika; Tukiainen, Janne
Lehti tai sarja: Journal of Health Economics
ISSN: 0167-6296
eISSN: 1879-1646
Julkaisuvuosi: 2024
Volyymi: 94
Artikkelinumero: 102866
Kustantaja: Elsevier
Julkaisumaa: Alankomaat
Julkaisun kieli: englanti
DOI: https://doi.org/10.1016/j.jhealeco.2024.102866
Julkaisun avoin saatavuus: Avoimesti saatavilla
Julkaisukanavan avoin saatavuus: Osittain avoin julkaisukanava
Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/93827
Tiivistelmä
Nurses are increasingly providing primary care, yet the literature on cost-sharing has paid little attention to nurse visits. We employ a staggered difference-in-differences design to examine the effects of adopting a 10-euro copayment for nurse visits on the use of public primary care among Finnish adults. We find that the copayment reduced nurse visits by 9%–10% during a one-year follow-up. There is heterogeneity by income in absolute terms, but not in relative terms. The spillover effects on general practitioner (GP) use are negative but small, with varying statistical significance. We also analyze the subsequent nationwide abolition of the copayment. However, we refrain from drawing causal conclusions from this due to the lack of credibility in the parallel trends assumption. Overall, our analysis suggests that moderate copayments can create a greater barrier to access for low-income individuals. We also provide an example of using a pre-analysis plan for retrospective observational data.
YSO-asiasanat: perusterveydenhuolto; terveyspalvelut; maksut; omavastuu
Vapaat asiasanat: cost-sharing; copayment; primary care; difference-in-differences; pre-analysis plan; blind analysis
Liittyvät organisaatiot
OKM-raportointi: Kyllä
VIRTA-lähetysvuosi: 2024
Alustava JUFO-taso: 3
