Health, the Medical Profession, and Regulation

Health, The Medical Profession, and Regulation presents new evidence concerning health and the environment, inequality of health in many countries, and the compatibility of different quality of life measurements, along with new solutions to problems of he

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Developments in Health Economics and Public Policy VOLUME 6

Series Editors Peter Zweifel, University a/Zurich, Switzerland H.E. Frech III, University a/California, Santa Barbara, U.S.A.

The titles published in this series are listed at the end 0/ this volume.

HEALTH, THE MEDICAL PROFESSION, AND REGULATION

Edited

by

Peter Zweifel Socioeconomic Institute University of Zürich

.....

"

SPRINGER SCIENCE+BUSINESS MEDIA, LLC

Library of Congress Cataloging-in-Publieation Data Health, the medieal profession, and regulation I edited by Peter Zweifel. p. em. -- (DevelopmenlS in health eeonomics and public poliey; v.6) Includes bibliographical referenees. ISBN 978-1-4613-7601-9 ISBN 978-1-4615-5681-7 (eBook) DOI 10.1007/978-1-4615-5681-7 1. Medieal eeonomies. 2. Medical poliey. 3. Medicallaws and legislation. I. Zweifel, Peter. 11 . Series.

RA410.5.H43 1998 338.4'33621--dc21

97-43550 CIP

Copy right © 1998 Springer Scienee+Business Media New York Original1y published by Kluwer Academic Publishers in 1998 Sofleover reprint of the hardcover 1 si edit ion 1998 retrieval system or transmitted in any fonn or by any means, meehanieal. photoeopying, reeording, or otherwise, without the prior written permission of the publisher, Springer Science+Busincss Media, LLC Printed on acid-free paper

CONTENTS

CONTRIBUTORS' LIST INTRODUCTION Peter Zweifel PART 1

vii ix

HEALTH

1

The Impact of the Environment on the Demands for Health and Health Care: An Empirical Analysis for Gennany

3

Manfred Erbsland, Walter Ried, and Volker Ulrich

2

The Demand for Health: An Empirical Test of the Grossman Model Using Panel Data

35

Sandra Nocera and Peter Zweifel

3

Counting and Discounting Gained Life-years

51

Jes Segaard and Dorte Gyrd-Hansen

4

Inequality in Infant Mortality in Portugal, 19711991

75

JOCIO A. Pereira

5

Health, Work-Hours, and Wages in Sweden

95

Gun Sundberg

6

The Determinants of Health Expenditure in the OECD Countries: A Pooled Data Analysis

113

Ulf-G Gerdtham, Bengt Jonsson, Maitland MacFarlan, and Howard Oxley

PART 2

7

THE MEDICAL PROFESSION

135

Clinical Response of Salaried Consultants to Economic Incentives

137

Tor Iversen

vi

HEALTH, THE MEDICAL PROFESSION, AND REGULATION

8

The Use of Multilevel Analysis in Health Economics: An Application to Examining the Effect of Competition on General Practitioners' Behavior

159

Anthony Scott and Alan Shiell

9

A Comparative Application of Econometric Frontier and DEA Methods for Assessing Cost Efficiency of Finnish Hospitals

169

Miika Linna and Unto Htikkinen

PART 3 10

REGULATION

189

Financial Incentives and Primary Care Provision in Britain: Do General Practitioners Maximise their Income?

191

Mauricea Lynch

11

Cream-Skimming in Deregulated Social Health Insurance: Evidence from Switzerland

211

Konstantin Beck and Peter Zweifel

12

Modeling Cross-Border Care in the EU Using a Principal-Agent Framework

229

Luca Crivelli and Peter Zweifel INDEX

259

CONTRIBUTORS'LIST

Dr. Konstantin Beck CSS Switzerland

Maitland MacFarlan OECD