Vertaisarvioitu alkuperäisartikkeli tai data-artikkeli tieteellisessä aikakauslehdessä (A1)

Effects of nurse visit copayment on primary care use: Do low-income households pay the price?




Julkaisun tekijätHaaga Tapio, Böckerman Petri, Kortelainen Mika, Tukiainen Janne

KustantajaElsevier

Julkaisuvuosi2024

JournalJournal of Health Economics

eISSN1879-1646

DOIhttp://dx.doi.org/10.1016/j.jhealeco.2024.102866

Verkko-osoitehttps://doi.org/10.1016/j.jhealeco.2024.102866

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/387080481


Tiivistelmä

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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Last updated on 2024-29-02 at 10:14