Medicare and Private and Public Medical Practice: Utilisation and Substitution

Doessel D.P. (1994) Medicare and Private and Public Medical Practice: Utilisation and Substitution. Economic Analysis and Policy, 24 1: 1-21. doi:10.1016/S0313-5926(94)50001-8

Author Doessel D.P.
Title Medicare and Private and Public Medical Practice: Utilisation and Substitution
Journal name Economic Analysis and Policy   Check publisher's open access policy
ISSN 0313-5926
Publication date 1994-01-01
Sub-type Article (original research)
DOI 10.1016/S0313-5926(94)50001-8
Open Access Status Not yet assessed
Volume 24
Issue 1
Start page 1
End page 21
Total pages 21
Publisher Elsevier
Language eng
Subject 2002 Cultural Studies
Abstract The Commonwealth Government is currently undertaking a review of various issues in the health sector. A recently published study byJohn Deeble has analysed expenditures, utilisation, workforce issues etc. under Australia's current health insurance arrangements (Medicare) for the provision of medical services remunerated on a fee-for-service basis. This study has highlighted increased utilisation of services as a major "management issue". It is demonstrated here that the data on which these conclusions are based are deficient in several respects. By analysis of other data it is indicatcd that the picture of fee-for-service medical practice under Medicare presented by Deeble is out of focus in several important dimensions. More specifically, the high utilisation rates have been obtained by "adjusting" data and ignoring substitution behaviour between services provided by outpatient departments at public hospitals and services provided on a fee-for-service basis. Also the Deeble analysis has ignored institutional changes that involve "transfers" of health expenditures from one goverenment entity to another. This study shows that on the basis of empirical data, Deeble has considerably overestimatcd the growth of percapitautilisation of medical services in Australia since the introduction of Medicare. It also casts doubt on the need for "reform".
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: Scopus Import - Archived
Version Filter Type
Citation counts: Scopus Citation Count Cited 1 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 12 Jul 2016, 12:10:42 EST by System User