@article{10902/13448, year = {2017}, url = {http://hdl.handle.net/10902/13448}, abstract = {Background: Several stakeholders have undertaken initiatives to propose solutions towards a more sustainable health system and Spain, as an example of a European country affected by austerity measures, is looking for ways to cut healthcare budgets. Methods: The aim of this paper is to study the effect of private health insurance on health care utilization using the latest micro-data from the European Community Household Panel (ECHP), the Spanish National Health Survey (SNHS) and the European Union Statistics on Income and Living Conditions (EU-SILC). We use matching techniques based on propensity score methods: single match, four matches, bias-adjustment and allowing for heteroskedasticity. Results: The results demonstrate that people with a private health insurance, use the public health system less than individuals without double health insurance coverage. Conclusions: Our conclusions are useful when policy makers design public-private partnership policies}, publisher = {BioMed Central Ltd.}, publisher = {BMC health services research, 2017, 17 : 716}, title = {Effect of having private health insurance on the use of health care services: the case of Spain}, author = {Cantarero Prieto, David and Pascual Sáez, Marta and González Prieto, Noelia}, }