This paper examines the tradeoff that consumers make between price and quality in the demand for health care.
The analysis is based on data collected from both households and health care facilities in Cebu, Philippines.
The availability of both types of data makes this one of only a handful of demand for health care studies that includes detailed information on both individual characteristics and facility attributes of all relevant alternatives.
The developing country setting provides substantial variation in the type of facility chosen, ranging from home delivery aided only by friends and relatives at one extreme to modern private hospitals at the other end of the spectrum.
The alternatives vary greatly in quality and price, making this an ideal context for examining the role of these variables in facility choice.
The nested logit model specifications that are estimated contain price, travel time, and different combinations of quality measures, including the availability of medical supplies, practitioner training, service availability, facility size and crowdedness, and their interaction with individual characteristics.
In addition, the sensitivity of the results to different choice-set definitions is analyzed.
In particular, models that use conventional choice-set definitions that are based only on nominal status are compared with models that attempt to classify facilities into relatively homogeneous groups based on price and quality. (...)
Mots-clés Pascal : Modèle économétrique, Participation, Malade, Financement, Prix, Coût, Qualité, Soin, Utilisation, Service santé, Philippines, Asie, Pays en développement, Economie santé, Homme
Mots-clés Pascal anglais : Econometric model, Participation, Patient, Financing, Price, Costs, Quality, Care, Use, Health service, Philippine Islands, Asia, Developing countries, Health economy, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0112092
Code Inist : 002B30A01B. Création : 22/06/1998.