Waiting times for elective surgery and the decision to buy private health insurance

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dc.contributor.author Johar, M
dc.contributor.author Jones, G
dc.contributor.author Keane, M
dc.contributor.author Savage, E
dc.contributor.author Stavrunova, O
dc.date.accessioned 2012-02-02T11:02:19Z
dc.date.issued 2011-09
dc.identifier.citation Health Economics, 2011, 20 (SUPPL. 1), pp. 68 - 86
dc.identifier.issn 1057-9230
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/15721
dc.description.abstract More than 45% of Australians buy health insurance for private treatment in hospital. This is despite having access to universal and free public hospital treatment. Anecdotal evidence suggests that avoidance of long waits for public treatment is one possible explanation for the high rate of insurance coverage. In this study, we investigate the effect of waiting on individual decisions to buy private health insurance. Individuals are assumed to form an expectation of their own waiting time as a function of their demographics and health status. We model waiting times using administrative data on the population hospitalised for elective procedures in public hospitals and use the parameter estimates to impute the expected waiting time and the probability of a long wait for a representative sample of the population. We find that expected waiting time does not increase the probability of buying insurance but a high probability of experiencing a long wait does. On average, waiting time has no significant impact on insurance. In addition, we find that favourable selection into private insurance, measured by self-assessed health, is no longer significant once waiting time variables are included. This result suggests that a source of favourable selection may be aversion to waiting among healthier people. Copyright © 2011 John Wiley & Sons, Ltd.
dc.language eng
dc.relation.isbasedon 10.1002/hec.1707
dc.title Waiting times for elective surgery and the decision to buy private health insurance
dc.type Journal Article
dc.parent Health Economics
dc.journal.volume SUPPL. 1
dc.journal.volume 20
dc.journal.number S1 en_US
dc.publocation Chichester, England en_US
dc.publocation MOP
dc.identifier.startpage 68 en_US
dc.identifier.endpage 86 en_US
dc.cauo.name BUS.Centre for Health Economics Research and Evaluation en_US
dc.conference Verified OK en_US
dc.for 1403 Econometrics
dc.for 140208 Health Economics
dc.personcode 020120
dc.personcode 998871
dc.personcode 102537
dc.personcode 103129
dc.percentage 50 en_US
dc.classification.name Health Economics en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.date.activity 2008-03-20
dc.location.activity en_US
dc.description.keywords data augmentation
dc.description.keywords private health insurance
dc.description.keywords waiting times
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Business
pubs.organisational-group /University of Technology Sydney/Faculty of Business/Economics
pubs.organisational-group /University of Technology Sydney/Strength - Study of Choice
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc true
utslib.collection.history Economics (ID: 372)
utslib.collection.history Closed (ID: 3)


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