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