Provision of health care services and regional diversity in Germany: insights from a Bayesian health frontier analysis with spatial dependencies. Haschka, R. E., Schley, K., & Herwartz, H. The European Journal of Health Economics, 2019.
doi  abstract   bibtex   
The German health care system is among the most patient-oriented systems in Europe. Nevertheless, distinct utilisation patterns, access barriers due to socio-economic profiles, and potentials of misallocation of medical resources lead to disparities in the provision of health care services. We analyse how a possible over- and undersupply of services and the utilisation of and the access to the health care system relate to regional variations in the population's well-being. For this purpose, we employ a recent Bayesian stochastic frontier approach that allows for spatial dependence structures. Our results indicate that patient migration plays an important role in contributing to regional differences in the utilisation of the medical infrastructure. As a consequence, policy should take spatial patterns of health care utilisation into account to improve the allocation of medical resources.
@article{Haschka2019Provision,
 abstract = {The German health care system is among the most patient-oriented systems in Europe. Nevertheless, distinct utilisation patterns, access barriers due to socio-economic profiles, and potentials of misallocation of medical resources lead to disparities in the provision of health care services. We analyse how a possible over- and undersupply of services and the utilisation of and the access to the health care system relate to regional variations in the population's well-being. For this purpose, we employ a recent Bayesian stochastic frontier approach that allows for spatial dependence structures. Our results indicate that patient migration plays an important role in contributing to regional differences in the utilisation of the medical infrastructure. As a consequence, policy should take spatial patterns of health care utilisation into account to improve the allocation of medical resources.},
 author = {Haschka, Rouven Edgar and Schley, Katharina and Herwartz, Helmut},
 year = {2019},
 title = {Provision of health care services and regional diversity in {G}ermany: insights from a {B}ayesian health frontier analysis with spatial dependencies},
 keywords = {econ;phd},
 journal = {The European Journal of Health Economics},
 doi = {10.1007/s10198-019-01111-9.},
 file = {http://www.ncbi.nlm.nih.gov/pubmed/31493180},
 howpublished = {refereed}
}

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