IDEAS home Printed from https://ideas.repec.org/a/aka/soceco/v34y2012i2p313-338.html
   My bibliography  Save this article

Patient payments and the empirical analysis of consumer demand for hospital services: An application for Bulgaria

Author

Listed:
  • Elka Atanasova

    () (Medical University Department of Health Economics and Management, Faculty of Public Health Varna Bulgaria
    Maastricht University Department of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences Maastricht The Netherlands)

  • Milena Pavlova

    (Maastricht University Department of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences Maastricht The Netherlands)

  • Emanuela Moutafova

    (Medical University Department of Health Economics and Management, Faculty of Public Health Varna Bulgaria)

  • Todorka Kostadinova

    (Medical University Department of Health Economics and Management, Faculty of Public Health Varna Bulgaria)

  • Wim Groot

    (Maastricht University Department of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences Maastricht The Netherlands
    Maastricht University Topinstitute Evidence-Based Education Research (TIER) Maastricht The Netherlands)

Abstract

The implementation or amendment of patient charges in a country could benefit from preliminary analyses of their potential effects on health care demand. This paper focuses on hospital care. The paper aims to identify strategies for the empirical analysis of the demand for hospital services that are useful for the assessment of patient charges in the hospital sector, and to compare these strategies using empirical data for Bulgaria. The data were collected in 2010 in a representative survey among consumers. We apply both revealed- and stated-preference approaches. Within the framework of revealed preferences, we use data on various types of patient payments (total payments, formal payments and informal payments) as dependent variables to define three empirical models. Within the framework of stated preferences, we use data on stated willingness to pay for a hospitalization for different sub-samples (current users, users and all respondents), which also results in three empirical models. We observe some similarities and differences between the models based on stated-preference data and those based on revealed-preference data. Although our findings need to be studied further to establish how rigorous they are, they can be useful for setting up new studies on the convergent validity of the two approaches.

Suggested Citation

  • Elka Atanasova & Milena Pavlova & Emanuela Moutafova & Todorka Kostadinova & Wim Groot, 2012. "Patient payments and the empirical analysis of consumer demand for hospital services: An application for Bulgaria," Society and Economy, Akadémiai Kiadó, Hungary, vol. 34(2), pages 313-338, June.
  • Handle: RePEc:aka:soceco:v:34:y:2012:i:2:p:313-338
    Note: The study is financed by the European Commission under FP7 Theme 8 Socio-economic Sciences and Humanities, Project ASSPRO CEE 2007 (GA no. 217431). The content of the publication is the sole responsibility of the authors and it in no way represents the views of the Commission or its services. We thank two anonymous reviewers for their comments on our paper.
    as

    Download full text from publisher

    File URL: http://www.akademiai.com/content/g5214100r2027865/fulltext.pdf
    Download Restriction: subscription

    As the access to this document is restricted, you may want to search for a different version of it.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Elka Atanasova & Milena Pavlova & Emanuela Moutafovа & Todorka Kostadinova & Wim Groot, 2015. "Patient charges for health services: the opinions of healthcare stakeholders in Bulgaria," International Journal of Health Planning and Management, Wiley Blackwell, vol. 30(3), pages 232-245, July.
    2. repec:bla:ijhplm:v:32:y:2017:i:1:p:e47-e71 is not listed on IDEAS

    More about this item

    Keywords

    demand models; willingness-to-pay; patient payments; hospital services; Bulgaria;

    JEL classification:

    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

    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:aka:soceco:v:34:y:2012:i:2:p:313-338. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Vajda, Lőrinc). General contact details of provider: http://www.akkrt.hu .

    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.

    We have no references for this item. You can help adding them by using 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.

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

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.