IDEAS home Printed from https://ideas.repec.org/p/phs/dpaper/201703.html
   My bibliography  Save this paper

Factors associated with the delay in seeking inpatient and outpatient care services in the Philippines

Author

Listed:
  • JJ Capuno

    (School of Economics, University of the Philippines Diliman)

  • AD Kraft

    (School of Economics, University of the Philippines Diliman)

  • LC Poco

    (School of Economics, University of the Philippines Diliman)

  • SA Quimbo

    (School of Economics, University of the Philippines Diliman)

  • CAR Tan, Jr.

    (School of Economics, University of the Philippines Diliman)

Abstract

Despite the country's policies and programs towards universal health care, health is not improving as well as expected, which suggests that households still face significant barriers to their choice of and access to health care, and their timing of use of health services. Using a nationally representative sample of households, we investigate the factors that affect the timing of outpatient care and inpatient care utilization. We define two indicators of delay in seeking care, namely: one for outpatient care, as the number of days from onset of symptom until visit of a clinic or provider, and another for inpatient care, as the number of days from doctor's advice until hospital confinement. Given our dependent variables are measured in terms days until visit, we estimate proportional hazard models (Cox, Weibull and Gompertz) to identify the significant factors associated with delay in seeking health care services. The factors associated with delay are classified in terms of health needs, financial access, physical access, opportunity costs, other household factors and location. Our findings suggest health needs and opportunity costs are the main factors associated with the delay in seeking outpatient and inpatient care services among Filipinos in need of medical attention. Perhaps more importantly from a policy perspective, we also find that physical and financial access variables do not significantly affect timing of care. We draw some implications from the results on increasing access to health care, through improvements in awareness of social health insurance and in the actual quality of health facilities. We also identify directions for future research.

Suggested Citation

  • JJ Capuno & AD Kraft & LC Poco & SA Quimbo & CAR Tan, Jr., 2017. "Factors associated with the delay in seeking inpatient and outpatient care services in the Philippines," UP School of Economics Discussion Papers 201703, University of the Philippines School of Economics.
  • Handle: RePEc:phs:dpaper:201703
    as

    Download full text from publisher

    File URL: http://www.econ.upd.edu.ph/dp/index.php/dp/article/view/1503
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Fernandez, Luisa & Velarde, Rashiel, 2012. "Who benefits from social assistance in the Philippines? Evidence from the latest national household surveys," Social Protection and Labor Policy and Technical Notes 69416, The World Bank.
    2. Joseph J. Capuno & Aleli D. Kraft & Stella Quimbo & Carlos R. Tan & Adam Wagstaff, 2016. "Effects of Price, Information, and Transactions Cost Interventions to Raise Voluntary Enrollment in a Social Health Insurance Scheme: A Randomized Experiment in the Philippines," Health Economics, John Wiley & Sons, Ltd., vol. 25(6), pages 650-662, June.
    3. Jones, A., 2007. "Applied Econometrics for Health Economists: A Practical Guide," Monographs, Office of Health Economics, number 000262.
    4. Caryn Bredenkamp & Joseph Capuno & Aleli Kraft & Louisa Poco & Stella Quimbo & Carlos Antonio Tan, Jr, 2017. "Awareness of health insurance benefits in the Philippines: what do people know and how?," Health, Nutrition and Population (HNP) Discussion Paper Series 116646, The World Bank.
    5. Fernandez Delgado,Luisa Patricia & Velarde,Rashiel Besana & Fernandez Delgado,Luisa Patricia & Velarde,Rashiel Besana, 2012. "Who benefits from social assistance in the Philippines? Evidence from the latest national household surveys," Policy Research Working Paper Series 69416, The World Bank.
    6. Fortenberry, J.D., 1997. "Health care seeking behaviors related to sexually transmitted diseases among adolescents," American Journal of Public Health, American Public Health Association, vol. 87(3), pages 417-420.
    7. Bredenkamp,Caryn & Buisman,Leander Robert, 2015. "Universal health coverage in the Philippines : progress on financial protection goals," Policy Research Working Paper Series 7258, The World Bank.
    8. Stein, M.D. & Crystal, S. & Cunningham, W.E. & Ananthanarayanan, A. & Andersen, R.M. & Turner, B.J. & Zierler, S. & Morton, S. & Katz, M.H. & Bozzette, S.A. & Shapiro, M.F. & Schuster, M.A., 2000. "Delays in seeking HIV care due to competing caregiver responsibilities," American Journal of Public Health, American Public Health Association, vol. 90(7), pages 1138-1140.
    9. Jing Cai & Xianhua Wang & Aiguo Ma & Qiuzhen Wang & Xiuxia Han & Yong Li, 2015. "Factors Associated with Patient and Provider Delays for Tuberculosis Diagnosis and Treatment in Asia: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-22, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Capuno, Joseph J. & Kraft, Aleli D. & Poco, Louisa Camille & Quimbo, Stella A. & Tan, Carlos Antonio R., 2019. "Health conditions, payments, proximity, and opportunity costs: Examining delays in seeking inpatient and outpatient care in the Philippines," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    2. Fernandez, Luisa, 2012. "Design and implementation features of the national household targeting system in the Philippines," Social Protection and Labor Policy and Technical Notes 70149, The World Bank.
    3. Angga Pradesha & Sherman Robinson & Mark W. Rosegrant & Nicostrato Perez & Timothy S. Thomas, 2022. "Exploring transformational adaptation strategy through agricultural policy reform in the Philippines," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 14(6), pages 1435-1447, December.
    4. Stephen Kidd, 2017. "Social exclusion and access to social protection schemes," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 9(2), pages 212-244, April.
    5. Hebe N Gouda & Andrew Hodge & Raoul Bermejo III & Willibald Zeck & Eliana Jimenez-Soto, 2016. "The Impact of Healthcare Insurance on the Utilisation of Facility-Based Delivery for Childbirth in the Philippines," PLOS ONE, Public Library of Science, vol. 11(12), pages 1-15, December.
    6. Abu S. Shonchoy, 2015. "Seasonal Migration and Microcredit During Agricultural Lean Seasons: Evidence from Northwest Bangladesh," The Developing Economies, Institute of Developing Economies, vol. 53(1), pages 1-26, March.
    7. Sarah Brown & Mark N Harris & Jake Prendergast & Preety Srivastava, 2015. "Pharmaceutical Drug Misuse, Industry of Employment and Occupation," Bankwest Curtin Economics Centre Working Paper series WP1501, Bankwest Curtin Economics Centre (BCEC), Curtin Business School.
    8. Göhlmann, Silja, 2007. "Who Smokes and How Much? - Empirical Evidence for Germany," Ruhr Economic Papers 26, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    9. Bocoum, Fadima & Grimm, Michael & Hartwig, Renate & Zongo, Nathalie, 2019. "Can information increase the understanding and uptake of insurance? Lessons from a randomized experiment in rural Burkina Faso," Social Science & Medicine, Elsevier, vol. 220(C), pages 102-111.
    10. Uwe Jirjahn, 2016. "Works Councils and Employer Attitudes toward the Incentive Effects of HRM Practices," Research Papers in Economics 2016-07, University of Trier, Department of Economics.
    11. Farman Ullah Khan & Faiz Ullah Khan & Khezar Hayat & Jie Chang & Muhammad Kamran & Asad Khan & Usman Rashid Malik & Asif Khan & Yu Fang, 2021. "Impact of Protracted Displacement on Delay in the Diagnosis Associated with Treatment Outcomes: A Cross-Sectional Study in Internally Displaced Tuberculosis Patients of Pakistan," IJERPH, MDPI, vol. 18(22), pages 1-14, November.
    12. Allison Larg & John Moss, 2011. "Cost-of-Illness Studies," PharmacoEconomics, Springer, vol. 29(8), pages 653-671, August.
    13. Li, Chuhui & Cheng, Wenli & Shi, Hui, 2021. "Early marriage and maternal health care utilisation: Evidence from sub-Saharan Africa," Economics & Human Biology, Elsevier, vol. 43(C).
    14. Uwe Jirjahn & Jens Mohrenweiser, 2021. "Works councils and organizational gender policies in Germany," British Journal of Industrial Relations, London School of Economics, vol. 59(4), pages 1020-1048, December.
    15. Paqueo, Vicente B. & Abrigo, Michael Ralph M., 2017. "Social Protection and Access to Health Care among Children in the Philippines," Discussion Papers DP 2017-36, Philippine Institute for Development Studies.
    16. Vincenzo Carrieri & Marcel Bilger, 2013. "Preventive care: underused even when free. Is there something else at work?," Applied Economics, Taylor & Francis Journals, vol. 45(2), pages 239-253, January.
    17. Anoosheh Rostamkalaei & Mark Freel, 2016. "The cost of growth: small firms and the pricing of bank loans," Small Business Economics, Springer, vol. 46(2), pages 255-272, February.
    18. Mehrzad B. Baktash & John S. Heywood & Uwe Jirjahn, 2022. "Performance pay and alcohol use in Germany," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 61(4), pages 353-383, October.
    19. Bredenkamp, Caryn & Evans, Timothy & Lagrada, Leizel & Langenbrunner, John & Nachuk, Stefan & Palu, Toomas, 2015. "Emerging challenges in implementing universal health coverage in Asia," Social Science & Medicine, Elsevier, vol. 145(C), pages 243-248.
    20. Marcelo Varela Enríquez & Gustavo Salazar Espinoza, "undated". "Labor income gap in Ecuador due to discrimination, pre and post pandemic: Correction of error due to selection bias," Review of Socio - Economic Perspectives 202302, Reviewsep.

    More about this item

    Keywords

    Outpatient care; inpatient care; delay in seeking health care; health care utilization; social health insurance; Philippines;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • I19 - Health, Education, and Welfare - - Health - - - Other

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:phs:dpaper:201703. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: RT Campos (email available below). General contact details of provider: https://edirc.repec.org/data/seupdph.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.