Effect of Type of Insurance and Income on Waiting Time for Outpatient Care

Kathrin Roll · Tom Stargardt · Jonas Schreyögg

48 citations0/0 files storedThe Geneva Papers on Risk and Insurance Issues and Practice

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Healthcare Policy and Management Healthcare Systems and Reforms Primary Care and Health Outcomes

Abstract

This paper analyses the impact of type of insurance, income and reason for appointment on waiting time for an appointment and waiting time in the physician's practice in the outpatient sector. Data was obtained from a German patient survey conducted between 2007 and 2009. We differentiated between general practitioner (GP) and specialist and controlled for socioeconomic, structural and institutional characteristics as well as interactions between type of insurance and control variables. Our results reveal that private health insurance plays a significant role in faster access to care at GP and specialist practices. Access to care is also highly influenced by the reason for an appointment. We also found that increased income had a negative effect on waiting time in practices and on waiting time for an appointment in GP practices. Whether inequalities in access to health care also impact overall quality of treatment needs to be investigated in future research.

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References

1998Socioeconomic Factors, Health Behaviors, and Mortality 2006Inequalities in access to medical care by income in developed countries 1996Children's Access to Primary Care: Differences by Race, Income, and Insurance Status 2003Pathways To Access: Health Insurance, The Health Care Delivery System, And Racial/Ethnic Disparities, 1996–1999 2003The Contribution of Insurance Coverage and Community Resources to Reducing Racial/Ethnic Disparities in Access to Care 2003Explaining Waiting Times Variations for Elective Surgery Across OECD Countries 1974A Theory of Rationing by Waiting 2006Methods to determine reimbursement rates for diagnosis related groups (DRG): A comparison of nine European countries

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