NONMONETARY FACTORS IN DEMAND FOR MEDICAL SERVICES - SOME EMPIRICAL EVIDENCE
NONMONETARY FACTORS IN DEMAND FOR MEDICAL SERVICES - SOME EMPIRICAL EVIDENCE
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DOI：
10.1086/260342
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发表时间：
1975-01-01
影响因子：
8.2
通讯作者：
ACTON, JP
中科院分区：
文献类型：
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作者：
ACTON, JP
随着现金支付价格的下降（由于健康保险覆盖范围的扩大或联邦健康保险立法的颁布），非货币因素预计将在决定医疗保健需求方面发挥越来越重要的作用。利用效用最大化模型对“免费”和“非免费”医疗需求进行预测。通过对纽约市“免费”门诊和市立医院用户的调查，估计了一个联立方程系统。实证结果支持了非货币性因素（如出行距离）在抑制需求方面的价格作用，以及劳动收入和非劳动收入对需求的影响不同的主要预测。报告提出了对公共政策的若干影响，包括以维持收入取代直接提供或保险医疗保健的可能性。
Nonmonetary factors are expected to assume an increasingly important role in determining the demand for medical care as the out-of-pocket money price falls (due to spreading health insurance coverage or the enactment of the federal health insurance legislation). A utility maximization model is used to develop predictions for the demand for "free" and nonfree care. A simultaneous-equation system is estimated on a survey of users of New York City's "free" outpatient departments and municipal hospitals. The empirical results support the major predictions that nonmonetary factors such as travel distance will function as prices in discouraging demand and that earned and nonearned income have different impacts. A number of implications for public policy are suggested, including the possibility of substituting income maintenance for the direct provision or insurance of medical care.