New impacts of Grossman's health investment model and the Russian demand for medical care.

Aim: By analyzing the Russian demand for medical care, we aim to highlight the practical relevance of Grossman's health investment model, one of the most important developments in health economic theory. Subjects and methods: We refer to the often-criticized inconsistencies between the health invest...

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Published in:Journal of Public Health: From Theory to Practice (2198-1833) Vol. 24; no. 1; pp. 41 - 57
Main Authors: Burggraf, Christine, Glauben, Thomas, Grecksch, Wilfried
Format: Article
Published: Springer Nature Feb2016
Online Access:View this record in EBSCOhost
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      dt: Feb2016
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      pub: Springer Nature
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        113466262
        10.1007/s10389-015-0692-5
      ppf: 41
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        atl: New impacts of Grossman's health investment model and the Russian demand for medical care.
      aug:
        au:
          Burggraf, Christine
          Glauben, Thomas
          Grecksch, Wilfried
        affil:
          Leibniz Institute of Agricultural Development in Transition Economies (IAMO), Theodor-Lieser-Street 2 06120 Halle (Saale) Germany
          Faculty of Natural Sciences II, Institute of Mathematics, Martin-Luther University Halle-Wittenberg, Theodor-Lieser-Street 5 06099 Halle (Saale) Germany
      keyword:
        D91
        Decreasing returns to scale
        Demand for medical care
        Grossman model
        Health investment
        I12
        Russia
        D91
        Decreasing returns to scale
        Demand for medical care
        Grossman model
        Health investment
        I12
        Russia
      ab: Aim: By analyzing the Russian demand for medical care, we aim to highlight the practical relevance of Grossman's health investment model, one of the most important developments in health economic theory. Subjects and methods: We refer to the often-criticized inconsistencies between the health investment model's theoretical implications and its empirical results. While the theoretical model implies, inter alia, that the demand for medical care increases with improving health, empirical tests show conflicting results. In order to solve this inconsistency, we specify the model's inherent health investment production function to be of decreasing rather than constant returns to scale. Afterwards, we employ our derived structural demand function for medical care in an empirical panel analysis using data from the Russia Longitudinal Monitoring Survey for 1996-2008. Results: In contrast to other studies, we show that even Grossman's standard model setting generates a structural demand function for medical care that implies sick people use more medical care, provided that the functional form of the health investment production function is properly specified. Further, our empirical analysis affirms our theoretically derived implications and provides important new insights into the Russian demand for medical care. Conclusions: Grossman's health investment model is of practical relevance to health economists.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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