IDEAS home Printed from https://ideas.repec.org/p/pra/mprapa/109768.html
   My bibliography  Save this paper

Public and Private Divide in Health Care Spending in India: What Factors Explains the Gap?

Author

Listed:
  • Ram, Harchand

Abstract

The rising healthcare cost in low-income countries (LIC) got sparked attention during the last decades. A large part of healthcare expenditure is Out of Pocket (OOP) paid by households. The high cost of treatment was found to reduce essential household expenditure in low and middle-income countries. The burden of the high cost of illness resulting in their catastrophic health expenditure and affect health-seeking behavior with delayed treatment. This study has tried to understand how the hospitalization rate and health care spending are differential in the public and private healthcare facility, and with different types of morbidities. The nationwide survey NSS’s 71st round data has been used for this study. Both Bivariate and multivariate analyses were used. The Oaxaca decomposition has been applied to explain the gap in the means of healthcare expenditure between public and private facilities. The result of this study reveals that that 62 % patient used private facilities, while only 38 % used public health services for inpatient care. The patients with diseases of the genitourinary system preferred more for the private facility (75 %) than the public facility (25 %) among all diseases. The results from the multilevel analysis that the Doctors fees (26.9 %, p

Suggested Citation

  • Ram, Harchand, 2019. "Public and Private Divide in Health Care Spending in India: What Factors Explains the Gap?," MPRA Paper 109768, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:109768
    as

    Download full text from publisher

    File URL: https://mpra.ub.uni-muenchen.de/109768/1/MPRA_paper_109768.pdf
    File Function: original version
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Oaxaca, Ronald, 1973. "Male-Female Wage Differentials in Urban Labor Markets," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 14(3), pages 693-709, October.
    2. Alan S. Blinder, 1973. "Wage Discrimination: Reduced Form and Structural Estimates," Journal of Human Resources, University of Wisconsin Press, vol. 8(4), pages 436-455.
    3. World Health Organization & World Bank, 2017. "Tracking Universal Health Coverage," World Bank Publications - Books, The World Bank Group, number 29042, December.
    4. Stefan Dercon & John Hoddinott & Tassew Woldehanna, 2005. "Shocks and Consumption in 15 Ethiopian Villages, 1999--2004," Journal of African Economies, Centre for the Study of African Economies, vol. 14(4), pages 559-585, December.
    5. Thomas N. Daymonti & Paul J. Andrisani, 1984. "Job Preferences, College Major, and the Gender Gap in Earnings," Journal of Human Resources, University of Wisconsin Press, vol. 19(3), pages 408-428.
    6. Ben Jann, 2008. "The Blinder–Oaxaca decomposition for linear regression models," Stata Journal, StataCorp LP, vol. 8(4), pages 453-479, December.
    7. F. L. Jones & Jonathan Kelley, 1984. "Decomposing Differences between Groups," Sociological Methods & Research, , vol. 12(3), pages 323-343, February.
    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. Oscar Molina Tejerina & Luis Castro Peñarrieta, 2020. "Unexplained Wage Gaps in the Tradable and Nontradable Sectors: Cross-Sectional Evidence by Gender in Bolivia," Investigación & Desarrollo 0120, Universidad Privada Boliviana, revised Nov 2020.
    2. Geovanny Castro Aristizabal & Marcela Diaz Rosero & Jairo Tobar Bedoya, 2016. "Causas de las diferencias en desempeño escolar entre los colegios públicos y privados: Colombia en las pruebas SABER11 2014," Working Papers 26, Faculty of Economics and Management, Pontificia Universidad Javeriana Cali.
    3. Huong Thu Le & Ha Trong Nguyen, 2018. "The evolution of the gender test score gap through seventh grade: new insights from Australia using unconditional quantile regression and decomposition," IZA Journal of Labor Economics, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 7(1), pages 1-42, December.
    4. Jakub Picka, 2014. "Problém "public-private pay gap" v České republice [The Public-Private Pay Gap in the Czech Republic]," Politická ekonomie, Prague University of Economics and Business, vol. 2014(5), pages 662-682.
    5. Vassilis Monastiriotis & Angelo Martelli, 2021. "Crisis, Adjustment and Resilience in the Greek Labor Market: An Unemployment Decomposition Approach," International Regional Science Review, , vol. 44(1), pages 85-112, January.
    6. Sonja C. Kassenboehmer & Mathias G. Sinning, 2014. "Distributional Changes in the Gender Wage Gap," ILR Review, Cornell University, ILR School, vol. 67(2), pages 335-361, April.
    7. Takuya Hasebe, 2016. "Estimating the variance of decomposition effects," Applied Economics, Taylor & Francis Journals, vol. 48(20), pages 1902-1913, April.
    8. Sayema Haque Bidisha & Tanveer Mahmood & Md. Biplob Hossain, 2021. "Assessing Food Poverty, Vulnerability and Food Consumption Inequality in the Context of COVID-19: A Case of Bangladesh," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 155(1), pages 187-210, May.
    9. Ronald Bachmann & Mathias Sinning, 2016. "Decomposing the Ins and Outs of Cyclical Unemployment," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 78(6), pages 853-876, December.
    10. Nathan Blascak & Anna Tranfaglia, 2021. "Decomposing Gender Differences in Bankcard Credit Limits," Finance and Economics Discussion Series 2021-072, Board of Governors of the Federal Reserve System (U.S.).
    11. Vogel, Matt & van Ham, Maarten, 2016. "Disentangling Neighborhood Effects in Person-Context Research: An Application of a Neighborhood-Based Group Decomposition," IZA Discussion Papers 9793, Institute of Labor Economics (IZA).
    12. Nguyen, Ha, 2015. "The evolution of the gender test score gap through seventh grade: New insights from Australia using quantile regression and decomposition," MPRA Paper 67586, University Library of Munich, Germany.
    13. Mukasa Adamon N. & Adeleke Oluwole Salami, 2016. "Working Paper 231 - Gender productivity differentials among smallholder farmers in Africa: A cross-country comparison," Working Paper Series 2324, African Development Bank.
    14. Girma Gezimu Gebre & Hiroshi Isoda & Dil Bahadur Rahut & Yuichiro Amekawa & Hisako Nomura, 0. "Gender Gaps in Market Participation Among Individual and Joint Decision-Making Farm Households: Evidence from Southern Ethiopia," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 0, pages 1-35.
    15. Fabian Ochsenfeld, 2017. "The gender income gap and the role of family formation revisited [Ein zweiter Blick auf die Bedeutung der Familiengründung für das Zustandekommen geschlechtsspezifischer Einkommensungleichheit]," Journal for Labour Market Research, Springer;Institute for Employment Research/ Institut für Arbeitsmarkt- und Berufsforschung (IAB), vol. 50(1), pages 131-141, August.
    16. Mamiko Takeuchi, 2019. "Earnings gaps among higher-educated workers withinmain cities insemi-industrializedandnewly industrialized Asian countries," Discussion Papers in Economics and Business 19-06-Rev., Osaka University, Graduate School of Economics, revised Jul 2019.
    17. Juan Acosta-Ballesteros & María del Pilar Osorno-del Rosal & Olga María Rodríguez-Rodríguez, 2021. "Measuring the effect of gender segregation on the gender gap in time-related underemployment," Journal for Labour Market Research, Springer;Institute for Employment Research/ Institut für Arbeitsmarkt- und Berufsforschung (IAB), vol. 55(1), pages 1-16, December.
    18. Somasree Poddar & Ishita Mukhopadhyay, 2019. "Gender Wage Gap: Some Recent Evidences from India," Journal of Quantitative Economics, Springer;The Indian Econometric Society (TIES), vol. 17(1), pages 121-151, March.
    19. Girma Gezimu Gebre & Hiroshi Isoda & Dil Bahadur Rahut & Yuichiro Amekawa & Hisako Nomura, 2021. "Gender Gaps in Market Participation Among Individual and Joint Decision-Making Farm Households: Evidence from Southern Ethiopia," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 33(3), pages 649-683, June.
    20. Wojciech Hardy & Aneta Kielczewska & Piotr Lewandowski & Iga Magda, 2018. "Job retention among older workers in central and Eastern Europe," Baltic Journal of Economics, Baltic International Centre for Economic Policy Studies, vol. 18(2), pages 69-94.

    More about this item

    Keywords

    Health expenditure; Out of Pocket (OOP); Public and Private Healthcare;
    All these keywords.

    JEL classification:

    • H0 - Public Economics - - General
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private

    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:pra:mprapa:109768. 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: Joachim Winter (email available below). General contact details of provider: https://edirc.repec.org/data/vfmunde.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.