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Effect of having private health insurance on the use of health care services: the case of Spain

Titulo Effect of having private health insurance on the use of health care services: the case of Spain
Autoría Cantarero-Prieto D, Pascual-Sáez M, Gonzalez-Prieto N.
Fuente BMC Health Serv Res. 2017 Nov 13;17(1):716. doi: 10.1186/s12913-017-2667-4.
Resumen BACKGROUND: Several stakeholders have undertaken initiatives to propose solutions towards a more sustainable health system and Spain, as an example of a European country affected by austerity measures, is looking for ways to cut healthcare budgets. METHODS: The aim of this paper is to study the effect of private health insurance on health care utilization using the latest micro-data from the European Community Household Panel (ECHP), the Spanish National Health Survey (SNHS) and the European Union Statistics on Income and Living Conditions (EU-SILC). We use matching techniques based on propensity score methods: single match, four matches, bias-adjustment and allowing for heteroskedasticity. RESULTS: The results demonstrate that people with a private health insurance, use the public health system less than individuals without double health insurance coverage. CONCLUSIONS: Our conclusions are useful when policy makers design public-private partnership policies.
URL www.ncbi.nlm.nih.gov/pubmed/29132423