Health misperception and healthcare utilisation among older europeans

16336 10 89700 2 257907 document 89700 WP2020_01.pdf application/pdf d387819f2e47969c64e052f4d0979de7 MD5 1618467 2020-03-05 12:43:43 https://pure.iiasa.ac.at/id/eprint/16336/1/WP2020_01.pdf 16336 1 1 application/pdf text en public cc_by_nc_nd_4

WP2020_01.pdf

published 89701 1 257913 document 89701 indexcodes.txt text/x-c++ a94c12507d04b42b255dccbc910350c8 MD5 19385 2020-03-05 12:53:41 https://pure.iiasa.ac.at/id/eprint/16336/2/indexcodes.txt 16336 2 2 text/x-c++ other Generate index codes conversion from text to indexcodes en public

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http://eprints.org/relation/isVersionOf https://pure.iiasa.ac.at/id/document/89700 http://eprints.org/relation/isVolatileVersionOf https://pure.iiasa.ac.at/id/document/89700 http://eprints.org/relation/issmallThumbnailVersionOf https://pure.iiasa.ac.at/id/document/89700 archive 353 disk0/00/01/63/36 2020-03-05 12:47:09 2021-08-27 17:32:42 2020-12-11 09:12:41 other show 2 Spitzer S. 9158 0000-0002-2114-7947 Shaikh M. Health misperception and healthcare utilisation among older europeans pub prog_pop Healthcare utilisation, health perception, overconfidence and underconfidence, doctor vis-its, out-of-pocket expenditures, SHARE data Health perception biases can have serious consequences on health. Despite their relevance, the role of such biases in determining healthcare utilisation is severely underexplored. Here we study the relationship between health misperception, doctor visits, and concomitant out-of-pocket expenditures for the population 50+ in Europe. We conceptualise health misperception as arising from either overconfidence or under confidence, where overconfidence is measured as overestimation of health and under confidence is measured as underestimation of health. Comparing objective performance measures and their self-reported equivalents from the Survey of Health, Ageing and Retirement in Europe, we find that individuals who overestimate their health visit the doctor 14% less often than individuals who correctly assess their health, which is crucial for preventive care such as screenings. Lower health care utilization is accompanied by lower out-of-pocket spending (38% less). In contrast, individuals who underestimate their health visit the doctor more often (28% more) and have higher out-of-pocket spending (17% more). We project that underestimating health of the population 50+ will cost the average European country Intl$ 71 million in 2020 and Intl$ 81million by 2060. Country-specific estimates based on population and demographic projections show that countries such as Germany, Denmark and The Netherlands will experience significantly large costs of such misperception. The results are robust to several sensitivity tests and, more important, to various conceptualisations of the misperception measure. 2020 published Vienna Institute of Demography https://www.oeaw.ac.at/fileadmin/subsites/Institute/VID/PDF/Publications/Working_Papers/WP2020_01.pdf 3082 public Vienna, Austria FALSE no info:eu-repo/semantics/other