We study the competitive effects of restricting direct access to secondary care by gatekeeping, focusing on the informational role of general practitioners (GPs). In the secondary care market there are two hospitals choosing quality and specialisation. Patients, who are ex ante uninformed, can...

One cornerstone of current attempts to reform the German public health care system by introducing private insurance schemes is the assumption that economic incentives play an important role in individual decision-making about using medical help. This hypothesis is examined for the case of demand...

The paper evaluates the German health care reform of 1997, using the individual number of doctor visits as outcome measure. A new econometric model, the Probit-Poisson-log-normal model with correlated errors, describes the data better than existing count data models. Moreover, it has an...

The paper describes the issue of the impact of poverty and income inequality on the health of the population using Armenia as a case study. In the framework of this paper author provides an overview of research relating to inequalities in health to the disadvantage of the poor, and to changes in...

Die Gesundheitssysteme stehen weltweit zur Diskussion. Kann internationales Benchmarking ganzer Gesundheitssysteme dazu beitragen, Lösungen für deren Probleme zu finden? Diese Arbeit stellt drei aktuelle Ansätze solcher Vergleiche vor. Hierbei werden die Erkenntnisse ebenso erläutert wie die...

Steigende Kosten in den meisten Gesundheitssystemen und die damit verbundenen Finanzierungsprobleme stehen im Focus von vielen empirischen Untersuchungen. Wissenschaftler sind der Meinung, dass falsch gesetzte Anreize einer der Hauptgründe hierfür darstellen. Die vorliegende Arbeit umreißt...

Im Rahmen der Diskussion um eine Verringerung der Ausgaben in der Gesetz-lichen Krankenversicherung (GKV) wird eine Ausgliederung von Zahnersatzleis-tungen erwogen. Auf Grund beobachtbarer, schichtenspezifisch ungleicher In-anspruchnahme zahnärztlicher Leistungen und schichtenspezifisch...

This paper studies the impact of hospital competition on waiting times. We use a Salop-type model, with hospitals that differ in (geographical) location and, potentially, waiting time, and two types of patients; high-benefit patients who choose between neighbouring hospitals (competitive...

It is well known that smoking causes severe adverse health effects, and it seems evident that governments are justified or even obliged to implement measures of tobacco control to mitigate these effects. Yet, as this paper argues with a distinct focus on Germany, the three most important and...

Deductibles in health insurance are often regarded as a means to contain health care costs when individuals exhibit moral hazard. However, in the absence of moral hazard, voluntarily chosen deductibles may instead lead to self-selection into different insurance contracts. We use a set of new...