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Jürges, Hendrik

The B.E. Journal of Economic Analysis & Policy

Editor-in-Chief: Ludwig, Sandra / Schmitz, Hendrik

Ed. by Barigozzi, Francesca / Brunner, Johann / Fleck, Robert / Mastrobuoni, Giovanni / Mendola, Mariapia / Requate, Till / de Vries, Frans / Wenzel, Tobias


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Volume 16, Issue 3

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Volume 6 (2006)

Volume 4 (2004)

Volume 2 (2002)

Volume 1 (2001)

Affordable False Teeth: The Effects of Patient Cost Sharing on Denture Utilization and Subjective Chewing Ability

Michihito Ando
  • Corresponding author
  • National Institute of Population and Social Security Research, Hibiya Kokusai Building 6th Floor, 2-2-3 Uchisaiwaicho, Chiyoda-ku, Tokyo, 100–0011, Japan
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/ Reo Takaku
  • Institute for Health Economics and Policy, No.11 Toyo-kaiji Bldg, 1-5-11, Nishi-Shinbashi, Minato-ku, Tokyo, 105–0003, Japan
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Published Online: 2016-06-02 | DOI: https://doi.org/10.1515/bejeap-2015-0194

Abstract

We evaluate the impact of patient cost sharing on the use of dentures and subjective chewing ability exploiting a sharp reduction in the coinsurance rate, the percentage of costs born by the user, from 30 % to 10 % at the age of 70 with a regression discontinuity design. Using data from the Japanese Study of Aging and Retirement (JSTAR), we find that the utilization rate of dentures increases from approximately 50 % to 63 % around the threshold, implying that the extensive margin elasticity of denture usage with respect to the coinsurance rate is about –0.41. In addition, we find this jump is almost entirely due to the change in the rate among women. On the other hand, we do not find a significant improvement in self-reported chewing ability, although chewing ability may not be the only social benefit from dentures. Our empirical findings are also confirmed by complementary analysis with randomization tests.

Keywords: oral health; dentures; price elasticity; regression discontinuity design; cost sharing; randomization test

JEL Classification: H51; I12; I13; I18

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About the article

Published Online: 2016-06-02

Published in Print: 2016-07-01


Citation Information: The B.E. Journal of Economic Analysis & Policy, Volume 16, Issue 3, Pages 1387–1438, ISSN (Online) 1935-1682, ISSN (Print) 2194-6108, DOI: https://doi.org/10.1515/bejeap-2015-0194.

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