How does regulating doctors’ admissions affect health expenditures? Evidence from Switzerland

Details

Ressource 1Download: s12913-022-07735-7.pdf (1245.58 [Ko])
State: Public
Version: Final published version
License: CC BY 4.0
Secondary document(s)
Download: 12913_2022_7735_MOESM1_ESM.pdf (1159.02 [Ko])
State: Public
Version: Supplementary document
License: Not specified
Serval ID
serval:BIB_6400F2E65380
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
How does regulating doctors’ admissions affect health expenditures? Evidence from Switzerland
Journal
BMC Health Services Research
Author(s)
Fuino M., Trein Ph., Wagner J.
Publication state
Published
Issued date
2022
Peer-reviewed
Oui
Volume
22
Number
495
Pages
1-13
Language
english
Abstract
Background: Cost containment is a major issue for health policy, in many countries. Policymakers have used various measures to deal with this problem. In Switzerland, the national parliament and subnational (cantonal) governments have used moratoriums to limit the admission of specialist doctors and general practitioners.
Methods: We analyze the impact of these regulations on the number of doctors billing in free practice and on the health costs created by medical practice based on records from the data pool of Swiss health insurers (SASIS) from 2007 to 2018 using interrupted time series and difference-in-differences models.
Results: We demonstrate that the removal of the national moratorium in 2012 increased the number of doctors, but did not augment significantly the direct health costs produced by independent doctors. Furthermore, the reintroduction of regulations at the cantonal level in 2013 and 2014 decreased the number of doctors billing in free practice but, again, did not affect direct health costs.
Conclusions: Our findings suggest that regulating healthcare supply through a moratorium on doctors’ admissions does not directly contribute to limiting the increase in health expenditures.
Keywords
healthcare system, doctors' admissions, moratorium, cost containment
Open Access
Yes
Funding(s)
Swiss National Science Foundation / Projects / 100018_169662
Swiss National Science Foundation / Projects / CRSII5_180350
Create date
05/04/2022 10:56
Last modification date
07/05/2022 6:33
Usage data