Effects of nurse visit copayment on primary care use : Do low-income households pay the price?
Haaga, T., Böckerman, P., Kortelainen, M., & Tukiainen, J. (2024). Effects of nurse visit copayment on primary care use : Do low-income households pay the price?. Journal of Health Economics, 94, Article 102866. https://doi.org/10.1016/j.jhealeco.2024.102866
Julkaistu sarjassa
Journal of Health EconomicsPäivämäärä
2024Tekijänoikeudet
© 2024 the Authors
2024:81 | 2025:6
Nurses are increasingly providing primary care, yet the literature on cost-sharing has paid little attention to nurse visits. We employ a staggered difference-in-differences design to examine the effects of adopting a 10-euro copayment for nurse visits on the use of public primary care among Finnish adults. We find that the copayment reduced nurse visits by 9%–10% during a one-year follow-up. There is heterogeneity by income in absolute terms, but not in relative terms. The spillover effects on general practitioner (GP) use are negative but small, with varying statistical significance. We also analyze the subsequent nationwide abolition of the copayment. However, we refrain from drawing causal conclusions from this due to the lack of credibility in the parallel trends assumption. Overall, our analysis suggests that moderate copayments can create a greater barrier to access for low-income individuals. We also provide an example of using a pre-analysis plan for retrospective observational data.
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Julkaisija
ElsevierISSN Hae Julkaisufoorumista
0167-6296Asiasanat
Julkaisu tutkimustietojärjestelmässä
https://converis.jyu.fi/converis/portal/detail/Publication/207423937
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Näytä kaikki kuvailutiedotKokoelmat
- Kauppakorkeakoulu [1395]
Lisätietoja rahoituksesta
This work is supported by the Finnish Institute for Health and Welfare, the Finnish Ministry of Social Affairs and Health, and Yrjö Jahnsson Foundation (research grant No. 20197209).Lisenssi
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