Long-run and short-run constraints in the access to private health care services: evidence from selected European countries

This paper aims at distinguishing long-run and short-run constraints in the access to private health care services. To this end, we apply the methodology proposed by Carneiro and Heckman (2003) to the SHARE database, a survey conducted in a number of European countries, involving some 22,000 individuals over the age of 50. Micro-data includes information on health and health consumption, and socioeconomic variables (like income and wealth). Our results show that the problem of short-run constraints in the access to private health care services could be real, especially in Italy, Greece, and to some extent Spain. Moreover, there appear to be differences in the role of credit constraints, both considering more specific services, and gender differences.