Access to primary health care and health outcomes:: The relationships between GP characteristics and mortality rates
Access to primary health care and health outcomes:: The relationships between GP characteristics and mortality rates
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DOI：
10.1016/j.jhealeco.2006.04.001
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发表时间：
2006-11-01
影响因子：
3.5
通讯作者：
Holmas, Tor Helge
中科院分区：
文献类型：
--
作者：
Aakvik, Arild;Holmas, Tor Helge
本文分析了挪威的经济状况和初级卫生保健的可获得性对健康结果的影响。总死亡率分为四种死因，作为健康指标，市政一级的全科医生数量作为获得初级卫生保健的指标。动态面板数据模型考虑了死亡率的时间持续性，纳入了市政固定效应，并将一个地区的全科医生数量和类型视为内生，使用1986年至2001年的市政数据进行了估计。我们拒绝接受以前大多数研究中发现的死亡率与人均全科医生数量之间的显著关系。然而，全科医生的组成有很大的影响，与市政府直接雇用的全科医生相比，签约全科医生数量的增加降低了死亡率。(C)2006爱思唯尔B.V.保留所有权利。
This paper analyses the impact of economic conditions and access to primary health care on health outcomes in Norway. Total mortality rates, grouped into four causes of death, were used as proxies for health, and the number of general practitioners (GPs) at the municipality level was used as the proxy for access to primary health care. Dynamic panel data models that allow for time persistence in mortality rates, incorporate municipal fixed effects, and treat both the number and types of GPs in a district as endogenous were estimated using municipality data from 1986 to 2001. We reject the significant relationship between mortality and the number of GPs per capita found in most previous studies. However, there is a significant effect of the composition of GPs, where an increase in the number of contracted GPs reduces mortality rates when compared with GPs employed directly by the municipality. (c) 2006 Elsevier B.V. All rights reserved.