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

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dc.contributor.author Johar, Meliyanni en_US
dc.contributor.author Jones, Glenn en_US
dc.contributor.author Keane, Michael en_US
dc.contributor.author Savage, Elizabeth en_US
dc.contributor.author Stavrunova, Olena en_US
dc.contributor.editor en_US
dc.date.accessioned 2012-02-02T11:02:19Z
dc.date.available 2012-02-02T11:02:19Z
dc.date.issued 2011 en_US
dc.identifier 2009008146 en_US
dc.identifier.citation Johar Meliyanni et al. 2011, 'Waiting times for elective surgery and the decision to buy private health insurance', John Wiley & Sons Ltd, vol. 20, no. S1, pp. 68-86. en_US
dc.identifier.issn 1057-9230 en_US
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. en_US
dc.language en_US
dc.publisher John Wiley & Sons Ltd en_US
dc.title Waiting times for elective surgery and the decision to buy private health insurance en_US
dc.parent Health Economics en_US
dc.journal.volume 20 en_US
dc.journal.number S1 en_US
dc.publocation Chichester, England en_US
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 140208 en_US
dc.personcode 103129 en_US
dc.personcode 0000020393 en_US
dc.personcode 998871 en_US
dc.personcode 020120 en_US
dc.personcode 102537 en_US
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.location.activity en_US
dc.description.keywords private health insurance; waiting times; data augmentation en_US
dc.staffid 102537 en_US

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