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Hospital choice in a government funded health insurance scheme: Evidence from Andhra Pradesh

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  • Tripathi, Shruti

Abstract

This study examines the factors that influence patient's choice of a hospital when health-care is financed by government funded health insurance scheme. The model is estimated using a multinomial logit applied to about 0.3 million cases of inpatient treatment from one of the state health insurance scheme in India in 2015. This is the first attempt to identify and quantify the impact of individual and hospital specific factors on patient choice for tertiary care under an insurance scheme in India. The results show that in absence of price constraint patients prefer to choose providers believed to be of higher quality in our case private and big public hospitals, bypassing the smaller public hospitals.

Suggested Citation

  • Tripathi, Shruti, 2018. "Hospital choice in a government funded health insurance scheme: Evidence from Andhra Pradesh," MPRA Paper 87159, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:87159
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    1. repec:ecj:econjl:v:122:y:2012:i::p:400-417 is not listed on IDEAS
    2. Pablo Gottret & George Schieber, 2006. "Health Financing Revisited : A Practitioner's Guide," World Bank Publications - Books, The World Bank Group, number 7094, December.
    3. Robin Haynes & Andrew Lovett & Gisela Sünnenberg, 2003. "Potential Accessibility, Travel Time, and Consumer Choice: Geographical Variations in General Medical Practice Registrations in Eastern England," Environment and Planning A, , vol. 35(10), pages 1733-1750, October.
    4. Walter Beckert & Mette Christensen & Kate Collyer, 2012. "Choice of NHS‐funded Hospital Services in England," Economic Journal, Royal Economic Society, vol. 122(560), pages 400-417, May.
    5. Gauthier, Bernard & Wane, Waly, 2011. "Bypassing health providers: The quest for better price and quality of health care in Chad," Social Science & Medicine, Elsevier, vol. 73(4), pages 540-549, August.
    6. Peter Sivey, 2012. "The effect of waiting time and distance on hospital choice for English cataract patients," Health Economics, John Wiley & Sons, Ltd., vol. 21(4), pages 444-456, April.
    7. Gerard La Forgia & Somil Nagpal, 2012. "Government-Sponsored Health Insurance in India : Are You Covered?," World Bank Publications - Books, The World Bank Group, number 11957, December.
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    More about this item

    Keywords

    health insurance; patient's choice; public and private; health care financing; government policy;
    All these keywords.

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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