Determinants of Access to Physician Services in Italy: A Latent Class Seemingly Unrelated Probit Approach

23 Pages Posted: 26 Sep 2003

See all articles by Vincenzo Atella

Vincenzo Atella

University of Rome Tor Vergata - Centre for International Studies on Economic Growth (CEIS); Department of Economics and Finance; University of Rome Tor Vergata - Faculty of Economics

Francesco Brindisi

Columbia University, Graduate School of Arts and Sciences, Department of Economics; University of Rome Tor Vergata - Faculty of Economics

Partha Deb

City University of New York, CUNY Hunter College - Department of Economics

Furio C. Rosati

United Nations - UCW Program; University of Rome Tor Vergata - Faculty of Economics

Date Written: September 2003

Abstract

We examine access to general practitioners, public and private specialists in Italy. We develop a novel model using finite mixtures of probit models that provides a rich and flexible functional form. The mixed distribution is flexible and can accommodate non-normality of response probabilities. The empirical analysis shows that patient behavior can be clustered in two latent classes, and that it changes according to the kind of physician service demanded and the latent class to which the individual belongs. We find that income strongly influences the mix of services. Richer individuals are less likely to seek care from GPs and more likely to seek care from specialists, and especially private specialists. Health status and societal vulnerability are the most important indicators of class membership.

Keywords: Health Care Demand, Latent Class Models, Probit, Italy

JEL Classification: I111, C35

Suggested Citation

Atella, Vincenzo and Brindisi, Francesco and Deb, Partha and Rosati, Furio C., Determinants of Access to Physician Services in Italy: A Latent Class Seemingly Unrelated Probit Approach (September 2003). CEIS Tor Vergata - Research Paper Series No. 36. Available at SSRN: https://ssrn.com/abstract=320880 or http://dx.doi.org/10.2139/ssrn.320880

Vincenzo Atella (Contact Author)

University of Rome Tor Vergata - Centre for International Studies on Economic Growth (CEIS) ( email )

Via Columbia, 2
Rome, I-00133
Italy
+39 06 72595648 (Phone)

Department of Economics and Finance ( email )

Via Columbia 2
Roma, 00133
Italy

University of Rome Tor Vergata - Faculty of Economics ( email )

Via Columbia n.2
I-00133 Rome, 00133
Italy
+39 06 72595635 (Phone)
+30 06 2020 500 (Fax)

HOME PAGE: http://www.economia.uniroma2.it/sefemeq/professori/atella/

Francesco Brindisi

Columbia University, Graduate School of Arts and Sciences, Department of Economics ( email )

420 W. 118th Street
New York, NY 10027
United States

University of Rome Tor Vergata - Faculty of Economics ( email )

Via Columbia n.2
Rome, rome 00100
Italy

Partha Deb

City University of New York, CUNY Hunter College - Department of Economics ( email )

695 Park Avenue
New York, NY 10021
United States

Furio C. Rosati

United Nations - UCW Program ( email )

ILO Office for Italy and San Marino
Via Panisperna 28
I-00186 Rome
Italy

HOME PAGE: http://www.ucw-project.org

University of Rome Tor Vergata - Faculty of Economics ( email )

Via Columbia n.2
Rome, rome 00100
Italy
6 2020 500 (Fax)

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