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Déterminants de l'accès aux soins et des dépenses de santé en Tunisie
[Determinants of health care consumption in Tunisia]

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  • Ismaïl, Safa

Abstract

This study aims to estimate and analyze the impact of the determinants of health care access and consumption in Tunisia. The estimation is made using two models: the “Heckman selection model” and the “Two-part model”, using a representative sample of 25091 households from the National households’ survey of budget, consumption and living standards in 2015. Similar results were obtained for both models. Access to health care and Out-of-pocket health expenditure increase with the household’s standard of living. They increase also for individuals with chronic disease and for those with disabilities, for households with children under five years and in rural areas. Out-of-pocket health expenditure increases for elderly and decreases with health insurance coverage.

Suggested Citation

  • Ismaïl, Safa, 2021. "Déterminants de l'accès aux soins et des dépenses de santé en Tunisie [Determinants of health care consumption in Tunisia]," MPRA Paper 111223, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:111223
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    References listed on IDEAS

    as
    1. Mohammad Abu-Zaineh & Habiba Romdhane & Bruno Ventelou & Jean-Paul Moatti & Arfa Chokri, 2013. "Appraising financial protection in health: the case of Tunisia," International Journal of Health Economics and Management, Springer, vol. 13(1), pages 73-93, March.
    2. Heckman, James, 2013. "Sample selection bias as a specification error," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 31(3), pages 129-137.
    3. Samuel S. Lieberman & Adam Wagstaff, 2009. "Health Financing and Delivery in Vietnam : Looking Forward," World Bank Publications - Books, The World Bank Group, number 2594, December.
    4. Manning, Willard G. & Mullahy, John, 2001. "Estimating log models: to transform or not to transform?," Journal of Health Economics, Elsevier, vol. 20(4), pages 461-494, July.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Out-of-pocket health expenditure; Health care access; Tunisia;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health

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