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A sense of the differential effect of drift and conversion in these nations can be gleaned from comparative data on out-of-pocket health spending.
You have complete medical insurance so that you will not have out-of-pocket expenses for any treatments.
The price of the test was stated as an out-of-pocket once in a lifetime payment.
A logistic regression analysis suggested that only "out-of-pocket" payment might decrease the access to hospitalization.
A physician acting as an agent for the ex post patient would provide the test as long as its value exceeded the patient's out-of-pocket cost.
However, after the illness has occurred (ex post), the insured patient would face little or no out-of-pocket cost for the test.
Estimates of direct out-of-pocket expenses were provided by cases responding to the questionnaire who were asked the cost of items purchased because of the illness.
The rate of direct, out-of-pocket expenditure remained high also during the early 1990s.
Since out-of-pocket payments are absent or do not differ across hospitals, actual transaction prices are not relevant for patient hospital choice.
It was assumed that neither of the programs involved an out-of-pocket expense.
In particular for high-risk lowincome people an effective incentive to shop around could mean that their out-of-pocket premium substantially exceeds x% of their income.
Patients were told that their response represented an out-of-pocket payment for the test.
These changes in benefits may in turn prompt changes in utilization, as out-of-pocket expenditure falls.
When the out-of-pocket price is zero, the income elasticity of demand for medical care is close to zero (9).
Patient costs, which include time off work, out-of-pocket expenses, and travel are often difficult to measure.