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Access to Medical Care and the Demand for Medical Care. Executive Summary

机译:获得医疗保健和医疗保健需求。执行摘要

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This study investigates elderly health care demand, especially with respect to coinsurance and time, using new method to estimate the effect of time. Health care demand was estimated using the 1987 National Medical Expenditure Survey (NMES) data base. The NMES provides data on willingness to pay for a reduction in doctor's office waiting time which was used to measure the value of time in obtaining health care. The standard measure of the value of time, the wage rate, was hypothesized to produce biased estimates of time price elasticities. Elderly coinsurance elasticities were estimated to be approximately -0-10. Time price elasticities ranged from -0.01 to -0.02. Time prices created with the wage rate produced biased estimates of time price elasticities. Finally, differential use of health care, possibly induced by differences in health insurance coverage, has implications for health status. People consistently identified as not having ownership of medigap supplemental insurance policies, namely males and blacks, were less likely to use acute and other care, which includes well care, and were more likely to use chronic care and to be in poor health.

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