THE DEMAND FOR HEALTH CARE IN THE IVORY COAST: THE ROLE OF INCOME, TIME AND POLICY IMPLICATIONS.
Item
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Title
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THE DEMAND FOR HEALTH CARE IN THE IVORY COAST: THE ROLE OF INCOME, TIME AND POLICY IMPLICATIONS.
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Identifier
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AAI8629683
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identifier
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8629683
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Creator
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DOR, AVI.
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Contributor
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NOT FOUND
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Date
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1986
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Language
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English
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Publisher
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City University of New York.
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Subject
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Economics, General
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Abstract
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A standard hypothesis of health economics is that time acts as a rationing mechanism particularly in the absence of prices. Whether this is true is potentially important to health care planners in developing countries who must find new ways to recover costs. This study tests that hypothesis in the context of rural Ivory Coast, where public health care is provided few of charge. Another relevant policy issue is whether income acts as a barrier to entry in the health care market. This study measures the effect of travel time, income and other variables on the demand for the services of doctors, nurses and traditional healers. Three basis questions are asked: What determines the probability that an ill person will obtain any health care? What determines the probability picking each type of health workers? How much health care is obtained?;The first of these questions may be thought of as a dichotomous entry-to-the-market equation, either probit or logit. The second question is answered using a multinomial provider-choice model. Finally, I estimate a conventional demand equation with number of consultations as well as expenditures on medicines as limited dependent variables. The estimation was carried out separately for infants, children and adults.;Own-time effects found in this study had the expected negative sign and were highly significant. Despite weak evidence of complementarities between nurses and healers, cross-time effect were usually positive and significant. These results suggest that high opportunity costs prevent many people from obtaining needed treatment. On the other hand, low income elasticities, even in the face of positive prices, as in the case of drug expenditures, indicate that ability-to-pay may be less of an obstacle to health care consumption than previously thought.
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Type
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dissertation
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Source
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PQT Legacy CUNY.xlsx
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degree
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Ph.D.
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Program
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NOT FOUND
