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The joint demand for health care, leisure, and commodities: Implications for health care finance and access in Vietnam

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  • Chad Meyerhoefer
  • David Sahn
  • Stephen Younger

Abstract

This paper explores linkages between the demand for health care providers and the consumption of food, non-food goods, and leisure in Vietnam, using a mixed continuous/discrete dependent variable model. Cross-price elasticities calculated from the model suggest there are strong substitution effects between health care, leisure, and certain commodities. The model allows us to explore the implications of replacing user fees with alternative forms of health care finance, such as commodity taxes. In particular, the results suggest financing public health care services with a non-food sales tax rather than user fees would be more progressive and would improve access to care.

Suggested Citation

  • Chad Meyerhoefer & David Sahn & Stephen Younger, 2007. "The joint demand for health care, leisure, and commodities: Implications for health care finance and access in Vietnam," Journal of Development Studies, Taylor & Francis Journals, vol. 43(8), pages 1475-1500.
    • Handle: RePEc:taf:jdevst:v:43:y:2007:i:8:p:1475-1500
    DOI: 10.1080/00220380701611527
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    References listed on IDEAS

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    1. Sindelar, J. & Thomas, D., 1991. "Measurement of Child Health: Maternal Response Bias," Papers 633, Yale - Economic Growth Center.
    2. Dow, W.H., 1995. "Unconditional Demand for Curative Health Inputs: Does Selection on Health Status Matter in the Long Run?," Papers 740, Yale - Economic Growth Center.
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    Cited by:

    1. Birdyshaw, Edward & Ellis, Christopher, 2007. "Privatizing an open-access resource and environmental degradation," Ecological Economics, Elsevier, vol. 61(2-3), pages 469-477, March.
    2. Andre Pekerti & Quan-Hoang Vuong & Tung Manh Ho & Thu-Trang Vuong, 2017. "Health Care Payments in Vietnam: Patients’ Quagmire of Caring for Health versus Economic Destitution," IJERPH, MDPI, vol. 14(10), pages 1-23, September.
    3. Vigani,Mauro & Dudu,Hasan, 2021. "Demand Analysis of Multiple Goods and Services in Vietnam," Policy Research Working Paper Series 9803, The World Bank.
    4. Anushree S. Panikkassery, 2020. "Impact of Out of Pocket Health Expenditure on Consumption Pattern of Below Poverty Line Households in India," Millennial Asia, , vol. 11(1), pages 27-53, April.
    5. Rama Pal, 2013. "Out-of-Pocket Health Expenditure: Impact on the Consumption of Indian Households," Oxford Development Studies, Taylor & Francis Journals, vol. 41(2), pages 258-279, June.
    6. Meyerhoefer, Chad D. & Chang, Hung-Hao, 2021. "Health Care Expenditure and Farm Household Income: Evidence from Natural Disasters," 2021 Annual Meeting, August 1-3, Austin, Texas 313907, Agricultural and Applied Economics Association.
    7. Chaudhuri, Anoshua & Roy, Kakoli, 2008. "Changes in out-of-pocket payments for healthcare in Vietnam and its impact on equity in payments, 1992-2002," Health Policy, Elsevier, vol. 88(1), pages 38-48, October.

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