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โœฆ   LIBER   โœฆ

Supplemental health insurance and equality of access in Belgium

โœ Scribed by Erik Schokkaert; Tom Van Ourti; Diana De Graeve; Ann Lecluyse; Carine Van de Voorde

Book ID
102232995
Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
165 KB
Volume
19
Category
Article
ISSN
1057-9230

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โœฆ Synopsis

Abstract

The effects of supplemental health insurance on healthโ€care consumption crucially depend on specific institutional features of the healthโ€care system. We analyse the situation in Belgium, a country with a very broad coverage in compulsory social health insurance and where supplemental insurance mainly refers to extraโ€billing in hospitals. Within this institutional background, we find only weak evidence of adverse selection in the coverage of supplemental health insurance. We find much stronger effects of socioโ€economic background. We estimate a bivariate probit model and cannot reject the assumption of exogeneity of insurance availability for the explanation of healthโ€care use. A count model for hospital care shows that supplemental insurance has no significant effect on the number of spells, but a negative effect on the number of nights per spell. We comment on the implications of our findings for equality of access to health care in Belgium. Copyright ยฉ 2009 John Wiley & Sons, Ltd.

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