Using Quantile Regression to Examine Health Care Expenditures during the Great Recession

This paper examines whether the Great Recession has altered the disparities of the US regional health care expenditures. We test the null hypothesis of convergence for the US real per capita health expenditure for the period 1980-2014. Our results indicate that the null hypothesis of convergence is clearly rejected for the total sample as well as for the pre-Great Recession period. Thus, no changes are found in this regard. However, we find that the Great Recession has modified the composition of the estimated convergence clubs, offering a much more concentrated picture in 2014 than in 2008, with most of the states included in a big club, and only 5 (Nevada, Utah, Arizona, Colorado and Georgia) exhibiting a different pattern of behavior. These two estimated clubs diverge and, consequently, the disparities in the regional health sector have increased.

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Does the Great Recession Contribute to the Convergence of Health Care Expenditures in the US States?

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17020554 ◽

2020 ◽

Vol 17 (2) ◽

pp. 554

Author(s):

Jesús Clemente ◽

Angelina Lázaro-Alquézar ◽

Antonio Montañés

Keyword(s):

Health Care ◽

Great Recession ◽

Null Hypothesis ◽

Health Sector ◽

Health Care Expenditures ◽

Regional Health ◽

The Great Recession ◽

Regional Health Care ◽

Capita Health Expenditure ◽

The Us

This paper examines whether the Great Recession has altered the disparities of the US regional health care expenditures. We test the null hypothesis of convergence for the US real per capita health expenditure for the period 1980–2014. Our results indicate that the null hypothesis of convergence is clearly rejected for the total sample as well as for the pre-Great Recession period. Thus, no changes are found in this regard. However, we find that the Great Recession has modified the composition of the estimated convergence clubs, offering a much more concentrated picture in 2014 than in 2008, with most of the states included in a big club, and only 5 (Nevada, Utah, Arizona, Colorado and Georgia) exhibiting a different pattern of behavior. These two estimated clubs diverge and, consequently, the disparities in the regional health sector have increased.

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The use of health care services in the Great Recession: evaluating inequalities in the Spanish context

Gaceta Sanitaria ◽

10.1016/j.gaceta.2019.10.009 ◽

2020 ◽

Vol 34 (3) ◽

pp. 245-252 ◽

Cited By ~ 1

Author(s):

Raquel Sánchez-Recio ◽

Juan Pablo Alonso ◽

Isabel Aguilar-Palacio

Keyword(s):

Health Care ◽

Great Recession ◽

Health Care Services ◽

The Great Recession ◽

Care Services ◽

Use Of Health Care

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Health Care Use, Out-of-Pocket Expenditure, and Macroeconomic Conditions during the Great Recession

The B E Journal of Economic Analysis & Policy ◽

10.1515/bejeap-2014-0016 ◽

2015 ◽

Vol 15 (1) ◽

pp. 119-156 ◽

Cited By ~ 5

Author(s):

Juan Du ◽

Takeshi Yagihashi

Keyword(s):

Health Care ◽

Great Recession ◽

Health Care Use ◽

Care Utilization ◽

Program Participation ◽

Consumer Expenditure ◽

Macroeconomic Conditions ◽

Individual Level ◽

The Great Recession ◽

The Individual

Abstract We study how macroeconomic conditions during the Great Recession affected health care utilization and out-of-pocket expenditures of American households. We use two data sources: the Consumer Expenditure (CE) Survey and the Survey of Income and Program Participation (SIPP); each has its own advantages. The CE contains quarterly frequency variables, and the SIPP provides panel data at the individual level. Consistent evidence across the two datasets shows that utilization of routine medical care was counter-cyclical, whereas hospital care was pro-cyclical during the Great Recession. When we examine the pre-recession period, the relationship between macroeconomic conditions and health care use was either non-existent or in opposite directions, suggesting that this relationship may have been unique to the Great Recession.

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