Geographic and Socioeconomic Variation in Healthcare: Evidence from Migration

We study variation in healthcare utilization across geographies and socioeconomic groups in Hungary. Exploiting migration across geographic regions and relying on high-quality administrative data on healthcare use and income we show that the role of place-specific supply factors is heterogeneous across types of care and across socioeconomic groups. Overall, place-specific factors account for 68% of the variation in outpatient spending and 35% of the variation in drug spending, but almost none of the variation in inpatient spending. Place effects explain four-fifth of outpatient spending variation for non-employed working-age individuals, but less than two-fifth for individuals with above-median wage incomes. There is a positive association between place effects and outpatient capacity, especially for low-income individuals. These results suggest that access to healthcare varies especially for low-income people even in a context with universal coverage.




Publication file: https://kti.krtk.hu/wp-content/uploads/2023/06/KRTKKTIWP202318.pdf
Authors: PÉTER ELEK – ANITA GYŐRFI – NÓRA KUNGL – DÁNIEL PRINZ

Publication Year: 2025
Year of publication: 2023
Publication number: 2023/18
MTMT: 34065402

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