Investigating the factors affecting the cost of households in the field of health care (a case study of households in selected provinces) .

Document Type : Original Article

Authors

1 aliezati98@yahoo.comDepartment of Theoretical and Industrial Economics, Faculty of Economics and Accounting, Islamic Azad University, Central Tehran Branch, Tehran, Iran

2 Department of Public Administration, Faculty of Humanities, Islamic Azad University, Saveh Branch, Saveh, Iran

Abstract

Improving health and providing health care is one of the key aspects of socio-economic development, because complete health and well-being is an essential aspect of quality of life. Therefore, the aim of this study is to investigate the factors affecting the decision-making of Iranian households living in selected provinces to enter the health services market. In this study, to determine the factors affecting household decision making, sample selection models and Hackman's two-step estimation method have been used. It should be noted that due to the problem of sample selection, it is necessary to use sample selection models to obtain reliable estimates. In compiling the present study, the household budget information of the Statistics Center of Iran has been used and the data related to 7597 households living in the selected provinces have been used.The results show that the number of elderly people, residence, marital status of nurses, benefiting from health insurance services, per capita income, education, number of non-elderly and gender ratio are among the most important factors influencing family decision making in the provinces. The country is selected to enter the health services market. In addition, it was found that smoking by members could not affect the amount of money a household spends on health. In order for households to make adequate use of health care conditions, it is necessary to make strategic decisions to increase the productivity of households in order to further the development of the country, given the role and position of each region.

Keywords

References

Aristei, D. & Perali, F. & Pieroni, L. (2008). Cohort, age and time effects in alcohol consumption by Italian households: a double-hurdle approach. Empirical Economics,
Balarajan Y, Selvaraj S, Subramanian S. Health care and equity in India. The Lancet. 2011;377(9764):505-15.
Brown, S. & Hole, A. R. & Kilic, D. (2014). Out-of-pocket health care expenditure in Turkey: Analysis of the 2003–2008 Household Budget Surveys. Economic Modelling, 41, 211–218.
Cameron, A.C. & Trivedi, P.K. (2005). Microeconometrics: Methods and Applications. New York: Cambridge University Press.
Carmen, G.M. & Matilde, A. (2003). Econometric Models of Private and Public Health Expenditure in OECD countries, 1970-96. Applied Econometrics and International Development, 3(3), 49-60.
Cuckler GA, Sisko AM, Poisal JA, Keehan SP, Smith SD, Madison AJ, et al. National health expenditure projections, 2017–26: despite uncertainty, fundamentals primarily drive spending growth. Health Affairs. 2018;37(3):482-92.
Fayissa, B. & Gutema, P. (2005). Estimating a health production function for Sub-Saharan Africa. Applied Economics, 37(2), 155 -164.
Giammanco M, Gitto L. Health expenditure and FDI in Europe. Economic Analysis and Policy. 2019;62:255-67.
Grossman, M. (1972).On the Concept of Health Capital and the Demand for Health. Political Economy, 80(2), 223-255.
habesh, S. & Himanshu, S. R. (2007). Determinants Of Household Health Expenditure: Case Of Urban Orissa. Utkal Economic Papers, XIII(1), 17-23. 
Haque, M.S. & Barman, S.D. (2010). Determinants of Household Healthcare Expenditure in Chittagong, Bangladesh. IUP Journal of Applied Economics, 9(2), 5-13.
Huang LL, Lazard A, Pepper J, Noar S, Ranney L, Goldstein A. Impact of the real cost campaign on adolescents’ recall, attitudes, and risk perceptions about tobacco use: a national study. International journal of environmental research and public health. 2017;14(1).
Jones, A.M. (2007). Applied Econometrics for Health Economists: A Practical Guide. Oxford: Radcliffe Medical Publishing.
Jones, A.M. (2010). Models For Health Care. HEDG Working Paper No. 10/01. Department of Economics and Related Studies, University of York.
Kapur, K. & Rogowski, J.A. & Freedman, V. A. & Wickstrom, S.L. & Adams, J.L. & Escarce, J.J. (2006). Socioeconomic status and medical care expenditures in medicare managed care. Journal of Health Care for the Poor and Underserved, 17(4), 876-98.
Langlois, E. V., Campbell, K. … & Daszak, P. (2012). Towards a better integration of global health and biodiversity in the new sustainable development goals beyond Rio+ 20. EcoHealth, 9(4), 381-385.
Lee, W. & Jiang, L. & Phillips, C.D. & Ohsfeldt, R.L. (2014), Rural-Urban Differences in Health Care Expenditures: Empirical Data from US Households. Advances in Public Health, Volume 2014, 435780
Lisboa C.M. & de Paula, J.S. & Bovi Ambrosano, G.M. & Pereira, A.C. & Meneghim M.C. & Cortellazzi, K.L. & Vazquez, F.L. & Mialhe, F.L. (2013). Socioeconomic and family influences on dental treatment needs among Brazilian underprivileged schoolchildren participating in a dental health program. BMC Oral Health, 13(1):56.
Maclean, J. C., Webber, D. A., French, M. T., & Ettner, S. L. (2015). The health consequences of adverse labor market events: Evidence from panel data. Industrial Relations: A Journal of Economy and Society, 54(3), 478-498.
Malik, A. M. & Azam Syed, S. I. (2012). Socio-economic determinants of household out-of-pocket payments on healthcare in Pakistan. International Journal for Equity in Health, 11:51.
Mullahy, J. (2009). Econometric Modeling of Health Care Costs and Expenditures: A Survey of Analytical Issues and Related Policy Considerations. Medical Care, 47(7), 104-108.
Jacobson, L. (2000). The family as producer of health — an extended Grossman model. Journal of Health Economics, 19(5), 611-637.
Okunade, A. A. & Suraratdecha, C. & Benson, D. A. (2010). Determinants of Thailand household healthcare expenditure: the relevance of permanent resources and other correlates. Journal of Health Economics, 19(3), 365-376.
O’Donnell, O. & van Doorslaer, E. & Wagstaff, A. & Lindelow, M. (2008). Analyzing Health Equity Using Household Survey DataA Guide to Techniques and Their Implementation, Washington D.C.: World Bank.
Parker, W. S. & Wong, R. (1997). Household income and health care expenditures in Mexico. Health Policy, 40(3), 237-255.
Phua KH. Governance Issues in Health Financing. Reference Module in Biomedical Sciences. 2018;2018:330-41.
Sanwald, A. & Theurl, E. (2015). Out-of-pocket payments in the Austrian healthcare system – a distributional analysis. International Journal for Equity in Health, 14:94.
Waite, L.J. & Lehrer, E.L. (2003). The benefits from marriage and religion in the United States: A comparative analysis. Population and development review, 29(2), 255-275.
Zimmermann, A.C. & Easterlin, R.A. (2006). Happily ever after? Cohabitation, marriage, divorce, and happiness in Germany. Population and Development Review, 32(3), 511–528.

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