The influence of insurance status on waiting times in German acute care hospitals: an empirical analysis of new data
نویسندگان
چکیده
BACKGROUND There is an ongoing debate in Germany about the assumption that patients with private health insurance (PHI) benefit from better access to medical care, including shorter waiting times (Lüngen et al. 2008), compared to patients with statutory health insurance (SHI). PROBLEM Existing analyses of the determinants for waiting times in Germany are a) based on patient self-reports and b) do not cover the inpatient sector. This paper aims to fill both gaps by (i) generating new primary data and (ii) analyzing waiting times in German hospitals. METHODS We requested individual appointments from 485 hospitals within an experimental study design, allowing us to analyze the impact of PHI versus SHI on waiting times (Asplin et al. 2005). RESULTS In German acute care hospitals patients with PHI have significantly shorter waiting times than patients with SHI. CONCLUSION Discrimination in waiting times by insurance status does occur in the German acute hospital sector. Since there is very little transparency in treatment quality in Germany, we do not know whether discrimination in waiting times leads to discrimination in the quality of treatment. This is an important issue for future research.
منابع مشابه
The Impact of Private versus Social Health Insurance on Offered Waiting Times in German Acute Care Hospitals
This paper shows that patients with private health insurance (PHI) are being offered significantly shorter waiting times than patients with statutory health insurance (SHI) in German acute hospital care. This behavior may be driven by the higher expected profitability of PHI relative to SHI holders.Further,we find that hospitals offering private insurees shorter waiting times as compared to SHI...
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This paper shows that patients with private health insurance (PHI) are being offered significantly shorter waiting times than patients with statutory health insurance (SHI) in German acute hospital care. This behavior may be driven by the higher expected profitability of PHI relative to SHI holders.Further,we find that hospitals offering private insurees shorter waiting times as compared to SHI...
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