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Neighborhood characteristics as determinants of healthcare utilization – a theoretical model

Author

Listed:
  • Sigrid M. Mohnen

    (National Institute for Public Health and the Environment (RIVM), Centre for Nutrition, Prevention, and Health Services)

  • Sven Schneider

    (Heidelberg University)

  • Mariël Droomers

    (Utrecht Municipality, Department of Public Health)

Abstract

Background We propose using neighborhood characteristics as demand-related morbidity adjusters to improve prediction models such as the risk equalization model. Results Since the neighborhood has no explicit ‘place’ in healthcare demand models, we have developed the “Neighborhood and healthcare utilization model” to show how neighborhoods matter in healthcare utilization. Neighborhood may affect healthcare utilization via (1) the supply-side, (2) need, and (3) demand for healthcare – irrespective of need. Three pathways are examined in detail to explain how neighborhood characteristics influence healthcare utilization via need: the physiological, psychological and behavioral pathways. We underpin this theoretical model with literature on all relevant neighborhood characteristics relating to health and healthcare utilization. Conclusion Potential neighborhood characteristics for the risk equalization model include the degree of urbanization, public and open space, resources and facilities, green and blue space, environmental noise, air pollution, social capital, crime and violence, socioeconomic status, stability, and ethnic composition. Air pollution has already been successfully tested as an important predictive variable in a healthcare risk equalization model, and it might be opportune to add more neighborhood characteristics.

Suggested Citation

  • Sigrid M. Mohnen & Sven Schneider & Mariël Droomers, 2019. "Neighborhood characteristics as determinants of healthcare utilization – a theoretical model," Health Economics Review, Springer, vol. 9(1), pages 1-9, December.
    • Handle: RePEc:spr:hecrev:v:9:y:2019:i:1:d:10.1186_s13561-019-0226-x
    DOI: 10.1186/s13561-019-0226-x
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    References listed on IDEAS

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    1. van de Ven, Wynand P.M.M. & Beck, Konstantin & Buchner, Florian & Schokkaert, Erik & Schut, F.T. (Erik) & Shmueli, Amir & Wasem, Juergen, 2013. "Preconditions for efficiency and affordability in competitive healthcare markets: Are they fulfilled in Belgium, Germany, Israel, the Netherlands and Switzerland?," Health Policy, Elsevier, vol. 109(3), pages 226-245.
    2. Hanming Fang & Michael Keane & Ahmed Khwaja & Martin Salm & Dan Silverman, 2007. "Testing the Mechanisms of Structural Models: The Case of the Mickey Mantle Effect," American Economic Review, American Economic Association, vol. 97(2), pages 53-59, May.
    3. Macintyre, Sally & Ellaway, Anne & Cummins, Steven, 2002. "Place effects on health: how can we conceptualise, operationalise and measure them?," Social Science & Medicine, Elsevier, vol. 55(1), pages 125-139, July.
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    Cited by:

    1. Mohnen Sigrid M. & Rotteveel Adriënne H. & Doornbos Gerda & Polder Johan J., 2020. "Healthcare Expenditure Prediction with Neighbourhood Variables – A Random Forest Model," Statistics, Politics and Policy, De Gruyter, vol. 11(2), pages 111-138, December.
    2. Palacios, Alfredo & Gabosi, Julia & Williams, Caitlin R. & Rojas-Roque, Carlos, 2022. "Social vulnerability, exposure to environmental risk factors, and accessibility of healthcare services: Evidence from 2,000+ informal settlements in Argentina," Social Science & Medicine, Elsevier, vol. 309(C).

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