ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2022
Does voluntary health insurance improve health and longevity? Evidence from European OECD countries.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Enhancing Healthy Longevity: Scoping Review of Practices and Interventions.Interactive journal of medical research · 2026Review
- Insured but unequal: who really utilizes voluntary health insurance in Israel? Evidence from two consecutive cross-sectional studies.Israel journal of health policy research · 2026Article
- Reducing private health expenditure in Greece: the case for regulated complementary health insurance.Frontiers in public health · 2026Article
- The role of voluntary health insurance in frailty onset and progression among older and aging European adults: a survival analysis, 2013-2022.Frontiers in public health · 2026Article
- Link between fertility behavior and edentulous jaw in middle-aged Chinese women: a cross-sectional study from the CHARLS.BMC oral health · 2025Article
- Article
- Country-level effects of diagnosis-related groups: evidence from Germany's comprehensive reform of hospital payments.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- Determinants of life-expectancy and disability-adjusted life years (DALYs) in European and Organisation for Economic Co-operation and Development (OECD) countries: A longitudinal analysis (1990-2019).SSM - population health · 2023Article
- Pediatric Health Access and Private Medical Insurance: Based on the Ecology of Medical Care in Korea.Children (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
The financing structure of the healthcare system and, particularly, the voluntary health insurance (VHI) constituent, has been a vital pillar in improving the overall quality of life. Consequently, this study aims to shed light on the effect of VHI on the population's health and longevity in a sample of 26 European OECD countries. The methodology employed covers both hierarchical clustering and the novel dynamic panel threshold technique. First, the descriptive cluster analysis unveils a delimitation of the countries into four main groups with respect to a broad set of health status indicators. Second, the estimates show that VHI is a significant determinant of health and longevity. More specifically, we find that the relationship between variables is characterized by a threshold effect, whose estimated value is roughly 6.3% of the total healthcare financing. Also, the heterogeneity analysis unveils consistent differences regarding the impact of VHI on health and longevity for the supplementary and complementary types of VHI. Overall, results are strongly robust, the signs and the significance of the coefficients being preserved in the presence of several additional control factors. From a policy perspective, the study's findings can be used nationwide to stimulate regulatory policies to encourage the achievement of a satisfactory level of private health insurance.
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Registered trials
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.