The influence of health care preferences on insurance enrollment and medical expenditure behaviors

Q3 Social Sciences

Journal of Economic and Social Measurement Pub Date : 2013-11-06 DOI:10.3233/JEM-140381

S. Cohen

引用次数: 3

Abstract

Individual attitudes and opinions may visibly impact upon an individual's decisions on how and when to use health care services and associated decisions with respect to medical expenditures. These health care preferences also serve as important inputs in helping to predict health insurance coverage take-up decisions. This paper considers the degree of concordance over time in health care attitudes regarding the need and value of health insurance coverage based on national data from the Medical Expenditure Panel Survey. It demonstrates that individuals who consistently indicated they were healthy and did not need coverage were substantially less likely to have a medical expense in both years, relative to their counterparts who consistently disagreed with that classification. The paper also finds that adults under the age of 65 who consistently indicated that health insurance was not worth the cost were at nearly three times as likely to be continuously uninsured relative to those who consistently disagreed.

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医疗保健偏好对参保和医疗支出行为的影响

个人的态度和意见可能明显影响个人关于如何和何时使用卫生保健服务的决定以及与医疗支出有关的决定。这些医疗保健偏好也是帮助预测医疗保险覆盖决定的重要输入。本文根据医疗支出小组调查的国家数据，考虑了医疗保健态度在医疗保险覆盖范围的需要和价值方面的一致性程度。它表明，与一贯不同意这一分类的人相比，一贯表示自己健康且不需要保险的人在这两年中都有医疗费用的可能性大大降低。这篇论文还发现，65岁以下的成年人中，那些一直认为医疗保险不值得花钱的人持续没有保险的可能性是那些一直不同意的人的近三倍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Economic and Social Measurement Social Sciences-Social Sciences (all)

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： The Journal of Economic and Social Measurement (JESM) is a quarterly journal that is concerned with the investigation of all aspects of production, distribution and use of economic and other societal statistical data, and with the use of computers in that context. JESM publishes articles that consider the statistical methodology of economic and social science measurements. It is concerned with the methods and problems of data distribution, including the design and implementation of data base systems and, more generally, computer software and hardware for distributing and accessing statistical data files. Its focus on computer software also includes the valuation of algorithms and their implementation, assessing the degree to which particular algorithms may yield more or less accurate computed results. It addresses the technical and even legal problems of the collection and use of data, legislation and administrative actions affecting government produced or distributed data files, and similar topics. The journal serves as a forum for the exchange of information and views between data producers and users. In addition, it considers the various uses to which statistical data may be put, particularly to the degree that these uses illustrate or affect the properties of the data. The data considered in JESM are usually economic or social, as mentioned, but this is not a requirement; the editorial policies of JESM do not place a priori restrictions upon the data that might be considered within individual articles. Furthermore, there are no limitations concerning the source of the data.