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on Health Economics |
| By: | Aurore Pelissier (CERDI - Centre d'études et de recherches sur le developpement international - CNRS : UMR6587 - Université d'Auvergne - Clermont-Ferrand I); Martine Audibert (CERDI - Centre d'études et de recherches sur le developpement international - CNRS : UMR6587 - Université d'Auvergne - Clermont-Ferrand I); Jacky Mathonnat (CERDI - Centre d'études et de recherches sur le developpement international - CNRS : UMR6587 - Université d'Auvergne - Clermont-Ferrand I); Xiao Xian Huang (CERDI - Centre d'études et de recherches sur le developpement international - CNRS : UMR6587 - Université d'Auvergne - Clermont-Ferrand I); Ningshan Chen (Department of Health Policy and Legislation, MoH - Department of Health Policy and Legislation, MoH - Department of Health Policy and Legislation - MoH); Anning Ma (Weifang Medical University - Weifang Medical University - Weifang Medical University) |
| Abstract: | Township hospitals, which are an important link of the Chinese rural healthcare system, were affected by the successive socio-economic reforms since the 1980s. As a consequence, their utilization declined. From longitudinal data covering 9 years (2000-2008) and 24 township hospitals randomly selected in Weifang prefecture (Shandong province, China), this article analyses the environmental and supply-side determinants of township hospitals curative activities, measured by the number of outpatient visits and that of discharged patients. The Hausman-Taylor and the Fixed-Effect Vector Decomposition estimators are employed in order to cope with time-invariant variables. The New Rural Cooperative Medical Scheme, introduced in 2003, allowed increasing the activity of township hospitals even if financial barriers remain to the access to expensive medical services. The analyses underline that referral practices should be reinforced and the size of the township hospitals needs to be adequate as they seem to be over-sized. |
| Keywords: | China;Healthcare services;Township Hospitals;New Rural Cooperative Medical Scheme;Hausman-Taylor;Fixed-effects vector decomposition |
| Date: | 2011–11–14 |
| URL: | http://d.repec.org/n?u=RePEc:hal:wpaper:halshs-00640742&r=hea |
| By: | Martin Ljunge (University of Copenhagen and SITE) |
| Abstract: | I estimate a price elasticity of sickness absence. Sick leave is an intensive margin of labor supply where individuals are free to adjust. I exploit variation in tax rates over two decades, which provide thousands of differential incentives across time and space, to estimate the price responsiveness. High taxes provide an incentive to take more sick leave, as less after tax income is lost when taxes are high. The panel data, which is representative of the Swedish population, allow for extensive controls including unobserved individual characteristics. I find a substantial price elasticity of sick leave, -0.7, with respect to the net of tax rate. Though large relative to traditional labor supply elasticities, Swedes are half as price elastic as bike messengers, and just as elastic as stadium vendors on the margin which they can adjust freely. |
| Keywords: | sick leave, adjustable labor supply, work effort, taxes |
| JEL: | H31 I31 J22 |
| Date: | 2011–10–18 |
| URL: | http://d.repec.org/n?u=RePEc:kud:kuiedp:1127&r=hea |