Arbeitspapier

Two-part multiple spell models for health care demand

The demand for certain types of health care services depends on decisions of both the individual and the health care provider. This paper studies the conditions under which it is possible to separately identify the parameters driving the two decision processes using only count data on the total demand. It is found that the frequently used hurdle models may not be adequate to describe this type of demand, especially when the assumption of a single illness spell per observation period is violated. A test for the single spell hypothesis is developed and alternative modelling strategies are suggested, including one that allows for correlated unobserved heterogeneity. The results of the paper are illustrated with an application.

Language
Englisch

Bibliographic citation
Series: IFS Working Papers ; No. W99/02

Classification
Wirtschaft
Hypothesis Testing: General
Estimation: General
Single Equation Models; Single Variables: Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions; Probabilities
Health: General

Event
Geistige Schöpfung
(who)
Silva, Joao M.C. Santos
Windmeijer, Frank
Event
Veröffentlichung
(who)
Institute for Fiscal Studies (IFS)
(where)
London
(when)
1999

DOI
doi:10.1920/wp.ifs.1999.9902
Handle
Last update
10.03.2025, 11:44 AM CET

Data provider

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Object type

  • Arbeitspapier

Associated

  • Silva, Joao M.C. Santos
  • Windmeijer, Frank
  • Institute for Fiscal Studies (IFS)

Time of origin

  • 1999

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