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Article: Moral hazard or realised access to care? Empirical observations in Hong Kong

TitleMoral hazard or realised access to care? Empirical observations in Hong Kong
Authors
KeywordsAccess to care
Hong Kong
Moral hazard
Issue Date2006
PublisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/healthpol
Citation
Health Policy, 2006, v. 75 n. 3, p. 251-261 How to Cite?
AbstractWe examined for the presence of moral hazard among those covered by medical benefits or insurance schemes, whether provided for by employers or privately purchased and stratified by health care provider sector in Hong Kong. Data for this study were derived from the 2002 Thematic Household Survey, covering 24,610 non-institutional residents aged 15 and over, representing 5,353,666 persons after applying population weights. Zero-inflated Poisson or negative binomial models were constructed to examine the association between predisposing, need and enabling factors with inpatient and outpatient utilisation patterns as per Andersen's health behavioural framework. Individuals with insurance or medical benefits were more likely to have been ever admitted in the previous year but did not incur more bed-days. Similarly, those who were covered by insurance or medical benefits had a higher probability of ever visiting a doctor in the previous month but not consuming more episodes. These findings were consistent across the public and private sectors. We propose that our observations mostly reflected realised access that met genuine health need rather than inappropriate overuse of services. A supply-driven public sector and high out-of-pocket co-payments for private services likely explained these findings. © 2005 Elsevier Ireland Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/151619
ISSN
2015 Impact Factor: 2.035
2012 SCImago Journal Rankings: 0.733
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, IOLen_HK
dc.contributor.authorChan, WSen_HK
dc.contributor.authorChoi, Sen_HK
dc.contributor.authorLo, SVen_HK
dc.contributor.authorLeung, GMen_HK
dc.date.accessioned2012-06-26T06:25:35Z-
dc.date.available2012-06-26T06:25:35Z-
dc.date.issued2006en_HK
dc.identifier.citationHealth Policy, 2006, v. 75 n. 3, p. 251-261en_HK
dc.identifier.issn0168-8510en_HK
dc.identifier.urihttp://hdl.handle.net/10722/151619-
dc.description.abstractWe examined for the presence of moral hazard among those covered by medical benefits or insurance schemes, whether provided for by employers or privately purchased and stratified by health care provider sector in Hong Kong. Data for this study were derived from the 2002 Thematic Household Survey, covering 24,610 non-institutional residents aged 15 and over, representing 5,353,666 persons after applying population weights. Zero-inflated Poisson or negative binomial models were constructed to examine the association between predisposing, need and enabling factors with inpatient and outpatient utilisation patterns as per Andersen's health behavioural framework. Individuals with insurance or medical benefits were more likely to have been ever admitted in the previous year but did not incur more bed-days. Similarly, those who were covered by insurance or medical benefits had a higher probability of ever visiting a doctor in the previous month but not consuming more episodes. These findings were consistent across the public and private sectors. We propose that our observations mostly reflected realised access that met genuine health need rather than inappropriate overuse of services. A supply-driven public sector and high out-of-pocket co-payments for private services likely explained these findings. © 2005 Elsevier Ireland Ltd. All rights reserved.en_HK
dc.languageengen_US
dc.publisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/healthpolen_HK
dc.relation.ispartofHealth Policyen_HK
dc.rightsHealth Policy. Copyright © Elsevier Ireland Ltd.-
dc.subjectAccess to careen_HK
dc.subjectHong Kongen_HK
dc.subjectMoral hazarden_HK
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshData Collectionen_US
dc.subject.meshEmpirical Researchen_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Services Accessibilityen_US
dc.subject.meshHong Kongen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshMoralsen_US
dc.titleMoral hazard or realised access to care? Empirical observations in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.emailWong, IOL: iolwong@hku.hken_HK
dc.identifier.emailLeung, GM: gmleung@hkucc.hku.hken_HK
dc.identifier.authorityWong, IOL=rp01806en_HK
dc.identifier.authorityLeung, GM=rp00460en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.healthpol.2005.03.002en_HK
dc.identifier.pmid16399169en_HK
dc.identifier.scopuseid_2-s2.0-29944441995en_HK
dc.identifier.hkuros114492-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-29944441995&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume75en_HK
dc.identifier.issue3en_HK
dc.identifier.spage251en_HK
dc.identifier.epage261en_HK
dc.identifier.isiWOS:000235022700002-
dc.publisher.placeIrelanden_HK
dc.identifier.scopusauthoridWong, IOL=7102513940en_HK
dc.identifier.scopusauthoridChan, WS=7403918160en_HK
dc.identifier.scopusauthoridChoi, S=26653972100en_HK
dc.identifier.scopusauthoridLo, SV=8426498400en_HK
dc.identifier.scopusauthoridLeung, GM=7007159841en_HK

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