Facoltà di scienze economiche

Federalism and regional health care expeditures : an empirical analysis for the Swiss cantons

Crivelli , Luca ; Filippini, Massimo ; Mosca, Ilaria

In: Health Economics, 2006, vol. 15, no. 5, p. 535-541

Switzerland (7.2 million inhabitants) is a federal state composed of 26 cantons. The autonomy of cantons and a particular health insurance system create strong heterogeneity in terms of regulation and organisation of health care services. In this study we use a single equation approach to model the per-capita cantonal expenditures on health care services and postulate that per-capita health... Plus

Ajouter à la liste personnelle
    Summary
    Switzerland (7.2 million inhabitants) is a federal state composed of 26 cantons. The autonomy of cantons and a particular health insurance system create strong heterogeneity in terms of regulation and organisation of health care services. In this study we use a single equation approach to model the per-capita cantonal expenditures on health care services and postulate that per-capita health expenditures depend on some economic, demographic and structural factors. The empirical analysis demonstrates that a larger share of old people tends to increase health costs and that physicians paid on a fee-for-service basis swell expenditures, thus highlighting a possible phenomenon of supply induced demand.