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Health care decisions at the household level: Results of a rural health survey in Kenya

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  • Mwabu, Germano M.
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    Abstract

    The observed visits to health care providers are an outcome of patients' health care decision-making process. Unlike the visits, this process is not observable. The paper first outlines this process, and then presents patterns of patients' visits to health care providers in a particular rural area in Kenya. The visit patterns are shown to vary greatly according to type of illness and to the stage of the illness. The paper has two main results. The first result is that in the study area, the majority of the patients sought medical treatment outside the 'free' government health care system. The other finding is that for a given illness episode, there is a very high likelihood of a patient consulting more than one provider for advice or treatment.

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    File URL: http://www.sciencedirect.com/science/article/B6VBF-465D57X-J4/2/6d8fc79f319a8f648b041d8c4291e3f5
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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 22 (1986)
    Issue (Month): 3 (January)
    Pages: 315-319

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    Handle: RePEc:eee:socmed:v:22:y:1986:i:3:p:315-319

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    Cited by:
    1. Randell P. Ellis & Germano M. Mwabu, 2004. "The Demand for Outpatient Medical Care in Rural Kenya," Boston University - Department of Economics - The Institute for Economic Development Working Papers Series dp-140, Boston University - Department of Economics.
    2. Leonard, Kenneth L., 2009. "The cost of imperfect agency in health care: Evidence from rural Cameroun," Journal of Development Economics, Elsevier, vol. 88(2), pages 282-291, March.
    3. Christelle Grobler & Ian c. Stuart, 2007. "Health Care Provider Choice," South African Journal of Economics, Economic Society of South Africa, vol. 75(2), pages 327-350, 06.
    4. Kenneth L. Leonard & Joshua Graff Zivin, 2005. "Outcome versus service based payments in health care: lessons from African traditional healers," Health Economics, John Wiley & Sons, Ltd., vol. 14(6), pages 575-593.
    5. de Bartolome, Charles A. M. & Vosti, Stephen A., 1995. "Choosing between public and private health-care: A case study of malaria treatment in Brazil," Journal of Health Economics, Elsevier, vol. 14(2), pages 191-205, June.
    6. Magnus Lindelow, 2003. "The Utilization of Curative Health Care in Mozambique: Does Income Matter?," Economics Series Working Papers WPS/2004-11, University of Oxford, Department of Economics.
    7. Foreit, Karen G., 1992. "Private sector approaches to effective family planning," Policy Research Working Paper Series 940, The World Bank.
    8. Leonard, Kenneth L., 2003. "African traditional healers and outcome-contingent contracts in health care," Journal of Development Economics, Elsevier, vol. 71(1), pages 1-22, June.
    9. Hengjin Dong & Adjima Gbangou & Manuela Allegri & Subhash Pokhrel & Rainer Sauerborn, 2008. "The differences in characteristics between health-care users and non-users: implication for introducing community-based health insurance in Burkina Faso," The European Journal of Health Economics, Springer, vol. 9(1), pages 41-50, February.
    10. Ardeshir Sepehri & Robert Chernomas, 2001. "Are user charges efficiency- and equity-enhancing? A critical review of economic literature with particular reference to experience from developing countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 13(2), pages 183-209.
    11. Kaitelidou, Daphne Ch. & Tsirona, Christina S. & Galanis, Petros A. & Siskou, Olga Ch. & Mladovsky, Philipa & Kouli, Eugenia G. & Prezerakos, Panagiotis E. & Theodorou, Mamas & Sourtzi, Panagiota A. &, 2013. "Informal payments for maternity health services in public hospitals in Greece," Health Policy, Elsevier, vol. 109(1), pages 23-30.
    12. Sato, Azusa, 2012. "Does socio-economic status explain use of modern and traditional health care services?," Social Science & Medicine, Elsevier, vol. 75(8), pages 1450-1459.
    13. Leonard, Kenneth L., 2002. "When both states and markets fail: asymmetric information and the role of NGOs in African health care," International Review of Law and Economics, Elsevier, vol. 22(1), pages 61-80, July.
    14. Magnus Lindelow, 2003. "Understanding spatial variation in the utilization of health services: does quality matter?," Economics Series Working Papers WPS/2004-12, University of Oxford, Department of Economics.
    15. Somanathan, Aparnaa, 2008. "Use of modern medical care for pregnancy and childbirth care : does female schooling matter ?," Policy Research Working Paper Series 4625, The World Bank.

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