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Equal access to primary care: A reference for spatial allocation

Author

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  • Haering, Alexander
  • Kaeding, Matthias
  • Werbeck, Anna

Abstract

We study the regional distribution of primary care physicians in Germany to learn about the extent and possible reasons of geographic maldistribution. For this aim, we apply a greedy capacitated algorithm on very fine spatial data. We compare this reference allocation of primary care physicians to the status quo. Our results suggest that Germany has a shortage of primary care physicians of 6% which is particularly evident in rural areas. Some municipality characteristics like purchasing power and number of schools can explain parts of the difference in the number of physicians between cities and rural areas. Large parts, however, remain unexplained.

Suggested Citation

  • Haering, Alexander & Kaeding, Matthias & Werbeck, Anna, 2024. "Equal access to primary care: A reference for spatial allocation," Ruhr Economic Papers 1089, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    • Handle: RePEc:zbw:rwirep:300565
    DOI: 10.4419/96973266
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    References listed on IDEAS

    as
    1. Hendrik Jürges, 2007. "Health Insurance Status and Physician-Induced Demand for Medical Services in Germany: New Evidence from Combined District and Individual Level Data," Discussion Papers of DIW Berlin 689, DIW Berlin, German Institute for Economic Research.
    2. Ozegowski, Susanne & Sundmacher, Leonie, 2012. "Ensuring access to health care—Germany reforms supply structures to tackle inequalities," Health Policy, Elsevier, vol. 106(2), pages 105-109.
    3. Ben Jann, 2008. "The Blinder–Oaxaca decomposition for linear regression models," Stata Journal, StataCorp LP, vol. 8(4), pages 453-479, December.
    4. Alan S. Blinder, 1973. "Wage Discrimination: Reduced Form and Structural Estimates," Journal of Human Resources, University of Wisconsin Press, vol. 8(4), pages 436-455.
    5. Salm, Martin & Wübker, Ansgar, 2020. "Sources of regional variation in healthcare utilization in Germany," Journal of Health Economics, Elsevier, vol. 69(C).
    6. Vogt, Verena, 2016. "The contribution of locational factors to regional variations in office-based physicians in Germany," Health Policy, Elsevier, vol. 120(2), pages 198-204.
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    More about this item

    Keywords

    Health and inequality; optimization techniques; regional economics;
    All these keywords.

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • C61 - Mathematical and Quantitative Methods - - Mathematical Methods; Programming Models; Mathematical and Simulation Modeling - - - Optimization Techniques; Programming Models; Dynamic Analysis
    • R10 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General Regional Economics - - - General

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