Can Regional Decentralisation Shift Health Care Preferences?

37 Pages Posted: 27 Jan 2018

See all articles by Joan Costa-Font

Joan Costa-Font

London School of Economics & Political Science (LSE)

Ada Ferrer-i-Carbonell

Institut d'Anàlisi Econòmica (IAE-CSIC), Barcelona

Multiple version iconThere are 2 versions of this paper

Date Written: December 11, 2017

Abstract

Uniform health care delivered by a mainstream public insurer - such as the National Health Service (NHS), seldom satisfies heterogeneous demands for care, and some unsatisfied share of the population either use private health care, or purchase private insurance (PHI). One potential mechanism to partially satisfy heterogeneous preferences for health care, and discourage the use of private health care, is regional health care decentralisation. We find robust estimates suggesting that the development of regional health services shifted both perceptions of, and preferences for, using the NHS, making it more likely individuals would use public health care and, consequently, reducing the uptake of PHI. These results are heterogeneous by income, education, and age groups; and are robust to placebo and other robustness and falsification checks.

Keywords: National Health Service (NHS), Political Decentralization, Use of Private Health Care, Private Health Insurance, Health System Satisfaction, Demand for Private Health Care

JEL Classification: H700, I180

Suggested Citation

Costa-Font, Joan and Ferrer-i-Carbonell, Ada, Can Regional Decentralisation Shift Health Care Preferences? (December 11, 2017). CESifo Working Paper Series No. 6779. Available at SSRN: https://ssrn.com/abstract=3109355

Joan Costa-Font (Contact Author)

London School of Economics & Political Science (LSE) ( email )

Houghton Street
London, WC2A 2AE
United Kingdom

HOME PAGE: http://https://joancostaifont.org/

Ada Ferrer-i-Carbonell

Institut d'Anàlisi Econòmica (IAE-CSIC), Barcelona ( email )

Barcelona, Bellaterra 08193
Spain

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