Title
Supplemental health insurance and equality of access in Belgium Supplemental health insurance and equality of access in Belgium
Author
Faculty/Department
Faculty of Applied Economics
Publication type
article
Publication
Chichester ,
Subject
Economics
Human medicine
Source (journal)
Health economics. - Chichester
Volume/pages
19(2010) :4 , p. 377-395
ISSN
1057-9230
ISI
000276136200001
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
The effects of supplemental health insurance on health-care consumption crucially depend on specific institutional features of the health-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 extra-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 socio-economic background. We estimate a bivariate probit model and cannot reject the assumption of exogeneity of insurance availability for the explanation of health-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.
E-info
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