Evidence map›Paper›PMID 31493180›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2020

Provision of health care services and regional diversity in Germany: insights from a Bayesian health frontier analysis with spatial dependencies.

Rouven Edgar Haschka, Katharina Schley, Helmut Herwartz

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Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Does a working day keep the doctor away? A critical review of the impact of unemployment and job insecurity on health and social care utilisation.The European journal of health economics : HEPAC : health economics in prevention and care · 2023
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Rouven Edgar HaschkaGeorg-August University of Göttingen, Göttingen, Germany. rouven.haschka@uni-goettingen.de.
Katharina SchleyGeorg-August University of Göttingen, Göttingen, Germany.
Helmut HerwartzGeorg-August University of Göttingen, Göttingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The German health care system is among the most patient-oriented systems in Europe. Nevertheless, distinct utilisation patterns, access barriers due to socio-economic profiles, and potentials of misallocation of medical resources lead to disparities in the provision of health care services. We analyse how a possible over- and undersupply of services and the utilisation of and the access to the health care system relate to regional variations in the population's well-being. For this purpose, we employ a recent Bayesian stochastic frontier approach that allows for spatial dependence structures. Our results indicate that patient migration plays an important role in contributing to regional differences in the utilisation of the medical infrastructure. As a consequence, policy should take spatial patterns of health care utilisation into account to improve the allocation of medical resources.

Indexed as

Bayes TheoremEfficiency, OrganizationalGermanyHealth ServicesHealth Services AccessibilityHealth StatusHumansQuality of Health CareSocioeconomic FactorsSpatial AnalysisBayesian estimationHealth efficiencyHealth productionMarkov-chain–Monte Carlo simulationOversupply of medical servicesRegional and spatial modellingRegional misallocationStochastic frontier analysis

Identifiers

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Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.