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An App Call a Day Keeps the Patient Away? Substitution of Online and In-Person Doctor Consultations Among Young Adults

Abstract
The emergence of markets for on-demand online physician consultations –direct-to-consumer telemedicine (DCT) – is currently transforming many healthcare settings. DCT may be a cost-effective substitute for ordinary consultations, but the convenience of seeking DCT may increase demand and costs for health insurers. To causally assess to which degree DCT consultations substitute for in-person consultations, we exploit exogenous changes in patient fees in a fuzzy difference-in-discontinuities analysis of young adults in Sweden. We estimate a degree of substitution of 45%, implying an increase in the consultation volume. Characteristics of the additional demand raise concerns related to healthcare equity, efficiency and costs.
Publisher
University of Gothenburg
Other description
JEL: I11, I12, I18
URI
http://hdl.handle.net/2077/68545
Collections
  • Working papers
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Rev May 2022 (2.023Mb)
Date
2021-06, r
Author
Ellegård, Lina Maria
Kjellsson, Gustav
Mattisson, Linn
Keywords
telemedicine
primary health care
co-payments
regression discontinuity design
Publication type
report
ISSN
1403-2465
Series/Report no.
Working Papers in Economics
808
Language
eng
Metadata
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