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      The impact of transitions in insurance coverage on GP visiting among children in Ireland.

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          Abstract

          The use of direct out-of-pocket payments to finance general practitioner (GP) care by the majority of the population in Ireland is unusual in a European context. Currently, approximately 40 per cent of the population have means-tested access to free GP care, while the remainder must pay the full out-of-pocket cost. In this paper, we use nationally representative data from the Growing up in Ireland (GUI) study to examine the impact of transitions in insurance coverage on GP utilisation among children. GUI surveys two cohorts of nearly 20,000 children (aged 9 months and 9 years at baseline); we use data from the first two waves of each cohort (which covers the period 2007-2012). Using difference-in-difference propensity score matching methods, we find significant effects of changes in public health insurance coverage on GP utilisation (i.e., introducing user fees reduces utilisation, while removing them increases utilisation). The results have direct implications for current Irish health policy, and add to the international literature on the effects of insurance on healthcare utilisation.

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          Author and article information

          Journal
          Soc Sci Med
          Social science & medicine (1982)
          Elsevier BV
          1873-5347
          0277-9536
          May 2017
          : 180
          Affiliations
          [1 ] Economic and Social Research Institute, Dublin, Ireland; Department of Economics, Trinity College, Dublin, Ireland. Electronic address: Anne.Nolan@esri.ie.
          [2 ] Economic and Social Research Institute, Dublin, Ireland; Department of Sociology, Trinity College, Dublin, Ireland.
          Article
          S0277-9536(17)30172-7
          10.1016/j.socscimed.2017.03.026
          28334653
          a23ebbe3-f813-46fb-8331-673623d904ab
          History

          Children,Growing up in Ireland (GUI),Healthcare utilisation,Ireland,Public healthcare entitlements,User fees

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