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A comparison of alternative models of prescription drug utilization

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  • Paul V. Grootendorst

Abstract

The two‐part estimation technique has been advocated for estimating models using individual level health care utilization data characterised by a large proportion of non‐consumption and small proportions of heavy users. This paper compares the two‐part model to several other estimators, including the Poisson, negative binomial and 'zero altered' negative binomial models on the basis of within‐sample forecasting accuracy and non‐nested model selection tests. The empirical model estimates the differential effect of the removal of copayments for prescription medicines on the prescription drug utilization by older adults with differing levels of health status. The two‐part estimator of this model is found to dominate the competitors. Results from this model indicate that utilization increases appear to be higher among individuals with lower levels of health status.

Suggested Citation

  • Paul V. Grootendorst, 1995. "A comparison of alternative models of prescription drug utilization," Health Economics, John Wiley & Sons, Ltd., vol. 4(3), pages 183-198, May.
    • Handle: RePEc:wly:hlthec:v:4:y:1995:i:3:p:183-198
    DOI: 10.1002/hec.4730040304
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    1. Karen Davis & Roger Reynolds, 1976. "The Impact of Medicare and Medicaid on Access to Medical Care," NBER Chapters, in: The Role of Health Insurance in the Health Services Sector, pages 391-436, National Bureau of Economic Research, Inc.
    2. M Ryan & S Birch, 1991. "Charging for Health Care: Evidence on the Utilization of NHS Prescribed Drugs," Centre for Health Economics and Policy Analysis Working Paper Series 27, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    3. Phelps, Charles E & Newhouse, Joseph P, 1974. "Coinsurance, the Price of Time, and the Demand for Medical Services," The Review of Economics and Statistics, MIT Press, vol. 56(3), pages 334-342, August.
    4. Ryan, Mandy & Birch, Stephen, 1991. "Charging for health care: Evidence on the utilisation of NHS prescribed drugs," Social Science & Medicine, Elsevier, vol. 33(6), pages 681-687, January.
    5. Richard N. Rosett, 1976. "The Role of Health Insurance in the Health Services Sector," NBER Books, National Bureau of Economic Research, Inc, number rose76-1.
    6. Cauley, Stephen Day, 1987. "The Time Price of Medical Care," The Review of Economics and Statistics, MIT Press, vol. 69(1), pages 59-66, February.
    7. Fuchs, Victor R. (ed.), 1982. "Economic Aspects of Health," National Bureau of Economic Research Books, University of Chicago Press, number 9780226267852.
    8. Duan, Naihua, et al, 1983. "A Comparison of Alternative Models for the Demand for Medical Care," Journal of Business & Economic Statistics, American Statistical Association, vol. 1(2), pages 115-126, April.
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