论文标题

对医疗保健的流动性限制和需求:丹麦福利接收者的证据

Liquidity Constraints and Demand for Healthcare: Evidence from Danish Welfare Recipients

论文作者

Lyngse, Frederik Plesner

论文摘要

低收入个人是否依靠政府转移到本月底的流动性,以至于他们推迟医疗治疗?我使用包括福利接受者宇宙和所有处方药的宇宙的丹麦行政数据调查了这个问题。我发现,在转移收入发薪日时,接收者填充处方的倾向增加了52%。通过分离用于治疗慢性病的预防药物,患者可以预期填充处方的需要,例如降低胆固醇的他汀类药物,我发现发薪日增加了99%。即使对于用于治疗急性疾病的药物,及时治疗是必不可少的,我发现抗生素的发薪日增加了22%,在发薪日的四天内,我发现发薪日增加了5-8%。最后,利用医生写出处方的差异和患者填充的那一天的差异,我表明流动性限制是推迟抗生素治疗的关键操作机制。

Are low-income individuals relying on government transfers liquidity constrained by the end of the month to a degree that they postpone medical treatment? I investigate this question using Danish administrative data comprising the universe of welfare recipients and the filling of all prescription drugs. I find that on transfer income payday, recipients have a 52% increase in the propensity to fill a prescription. By separating prophylaxis drugs used to treat chronic conditions, where the patient can anticipate the need to fill the prescription, e.g. cholesterol-lowering statins, I find an increase of up to 99% increase on payday. Even for drugs used to treat acute conditions, where timely treatment is essential, I find a 22% increase on payday for antibiotics and a 5-8% decrease in the four days preceding payday. Lastly, exploiting the difference in day the doctor write the prescription and the day the patient fill it, I show that liquidity constraints is the key operating mechanism for postponing antibiotic treatment.

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