IDEAS home Printed from https://ideas.repec.org/a/bcp/journl/v8y2024i8p2864-2872.html

Determinants of the Patient Choice of Health Care Provider in Bangladesh

Author

Listed:
  • Rakibul Hasan

    (Assistant Professor, Department of Economics, Bangabandhu Sheikh Mujibur Rahman Science and Technology University, Gopalganj.)

  • Samiha Mokarram

    (MSS Student, Department of Economics, Bangabandhu Sheikh Mujibur Rahman Science and Technology University, Gopalganj.)

  • Jannatul Ferdous Muna

    (MSS Student, Department of Economics, Bangabandhu Sheikh Mujibur Rahman Science and Technology University, Gopalganj.)

  • Umme Sumaiya Shampa

    (MSS Student, Department of Economics, Bangabandhu Sheikh Mujibur Rahman Science and Technology University, Gopalganj.)

Abstract

Background: In Bangladesh, people have many choices to get healthcare facilities; like formal and informal health care. Patients are free to select any health care professional, from a licensed physician to a conventional faith healer. The major objectives are to examine the association between health care choice (HCC) and related factors. Study design and Methods: A cross-sectional survey was conducted randomly with 230 people in Gopalganj district in Bangladesh. Data were collected by interviewing using a self-reported questionnaire who had been sick for the previous six months and field work conducted from July to December 2023. Descriptive statistics were used to explain their socio-demographic characteristics and factors of health care choice. The significance of the association between each component and healthcare choice has been assessed using the Chi-square test. Results: A chi-square test of independence result, taking into account demographic and socioeconomic variables, indicates that there is a significant relationship between HCC and respondents’ education and illness severity (values of χ2 = 9.053, p =.029, and χ2 = 27.248, p =.000, respectively). Other variables, such as gender, location and family income, are not significantly associated with HCC. Out of the 12 variables related to health care, only three—location, relationship with a doctor, and other medical facilities—are statistically significant at the 1%, 5%, and 10% level. These variable values are χ2 = 8.965, p = 0.062, χ2 = 8.005, p =.090, and χ2 = 10.200, p =.037. The remaining nine variables are not significantly associated with HCC. Conclusion: The findings demonstrated that patients received a different type of health care choice (HCC) that is significantly depends on their demand perspective, which is ignored in our country. Given the importance of the variables involved, the government ought to focus on improving the quality of doctor-patient collaboration, providing more hygienic facilities, and expanding medical services in innovative ways for patients.

Suggested Citation

  • Rakibul Hasan & Samiha Mokarram & Jannatul Ferdous Muna & Umme Sumaiya Shampa, 2024. "Determinants of the Patient Choice of Health Care Provider in Bangladesh," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 8(8), pages 2864-2872, August.
    • Handle: RePEc:bcp:journl:v:8:y:2024:i:8:p:2864-2872
    as

    Download full text from publisher

    File URL: https://www.rsisinternational.org/journals/ijriss/Digital-Library/volume-8-issue-8/2864-2872.pdf
    Download Restriction: no
    File URL: https://rsisinternational.org/journals/ijriss/articles/determinants-of-the-patient-choice-of-health-care-provider-in-bangladesh/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Jeffrey J. Rous & David R. Hotchkiss, 2003. "Estimation of the determinants of household health care expenditures in Nepal with controls for endogenous illness and provider choice," Health Economics, John Wiley & Sons, Ltd., vol. 12(6), pages 431-451, June.
    2. Medard Turyamureba & Bruno L Yawe & John B Oryema, 2022. "Factors Determining the Choice of Healthcare Providers in Uganda," Tanzanian Economic Review, Department of Economics, University of Dar es Salaam, vol. 12(2), pages 81-101.
    3. Kurt R. Brekke & Hugh Gravelle & Luigi Siciliani & Odd Rune Straume, 2014. "Patient Choice, Mobility and Competition Among Health Care Providers," Developments in Health Economics and Public Policy, in: Rosella Levaggi & Marcello Montefiori (ed.), Health Care Provision and Patient Mobility, edition 127, pages 1-26, Springer.
    4. Lloyd Amaghionyeodiwe, 2008. "Determinants of the choice of health care provider in Nigeria," Health Care Management Science, Springer, vol. 11(3), pages 215-227, September.
    5. Flynn, Kathryn E. & Smith, Maureen A. & Vanness, David, 2006. "A typology of preferences for participation in healthcare decision making," Social Science & Medicine, Elsevier, vol. 63(5), pages 1158-1169, September.
    6. Chandrima Chatterjee & Narayan Chandra Nayak & Jitendra Mahakud & Suhita Chopra Chatterjee, 2019. "Factors affecting the choice of health care utilisation between private and public services among the elderly population in India," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 736-751, January.
    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. Susan J. Méndez & Jongsay Yong & Hugh Gravelle & Anthony Scott, 2024. "Medical pricing decisions: Evidence from Australian specialists," Melbourne Institute Working Paper Series wp2024n11, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
    2. Moscone, Francesco & Siciliani, Luigi & Tosetti, Elisa & Vittadini, Giorgio, 2020. "Do public and private hospitals differ in quality? Evidence from Italy," Regional Science and Urban Economics, Elsevier, vol. 83(C).
    3. Berta, Paolo & Guerriero, Carla & Levaggi, Rosella, 2021. "Hospitals’ strategic behaviours and patient mobility: Evidence from Italy," Socio-Economic Planning Sciences, Elsevier, vol. 77(C).
    4. Gravelle, Hugh & Liu, Dan & Propper, Carol & Santos, Rita, 2019. "Spatial competition and quality: Evidence from the English family doctor market," Journal of Health Economics, Elsevier, vol. 68(C).
    5. Rama Joglekar, 2008. "Can Insurance Reduce Catastrophic Out-of-Pocket Health Expenditure?," Labor Economics Working Papers 22367, East Asian Bureau of Economic Research.
    6. David Kuklinski & Justus Vogel & Cornelia Henschke & Christoph Pross & Alexander Geissler, 2023. "Robotic-assisted surgery for prostatectomy – does the diffusion of robotic systems contribute to treatment centralization and influence patients’ hospital choice?," Health Economics Review, Springer, vol. 13(1), pages 1-16, December.
    7. Anthony Scott & Peter Sivey, 2022. "Motivation and competition in health care," Health Economics, John Wiley & Sons, Ltd., vol. 31(8), pages 1695-1712, August.
    8. Trinh, Cong Tam & Chao, Chi-Chur & Ho, Nhut Quang, 2023. "Private health insurance consumption and public health-care provision in OECD countries: Impact of culture, finance, and the pandemic," The North American Journal of Economics and Finance, Elsevier, vol. 64(C).
    9. Piia Pekola & Ismo Linnosmaa & Hennamari Mikkola, 2017. "Competition and quality in a physiotherapy market with fixed prices," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(1), pages 97-117, January.
    10. Daniel Avdic & Tugba Bueyuekdurmus & Giuseppe Moscelli & Adam Pilny & Ieva Sriubaite, 2018. "Subjective and objective quality reporting and choice of hospital: Evidence from maternal care services in Germany," CINCH Working Paper Series 1803, Universitaet Duisburg-Essen, Competent in Competition and Health.
    11. David Kuklinski & Justus Vogel & Alexander Geissler, 2021. "The impact of quality on hospital choice. Which information affects patients’ behavior for colorectal resection or knee replacement?," Health Care Management Science, Springer, vol. 24(1), pages 185-202, March.
    12. Domenico Lisi & Luigi Siciliani & Odd Rune Straume, 2020. "Hospital competition under pay‐for‐performance: Quality, mortality, and readmissions," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 29(2), pages 289-314, April.
    13. Christoph Strumann & Alexander Geissler & Reinhard Busse & Christoph Pross, 2022. "Can competition improve hospital quality of care? A difference-in-differences approach to evaluate the effect of increasing quality transparency on hospital quality," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(7), pages 1229-1242, September.
    14. J. Krishna Nair & Pulak Mishra, 2025. "Demand side financing for promoting institutional delivery: experiences of Janani Suraksha Yojana in Indian states," International Journal of Health Economics and Management, Springer, vol. 25(2), pages 245-270, June.
    15. Rubino, Claudio & Di Maria, Chiara & Abbruzzo, Antonino & Ferrante, Mauro, 2022. "Socio-economic inequality, interregional mobility and mortality among cancer patients: A mediation analysis approach," Socio-Economic Planning Sciences, Elsevier, vol. 82(PA).
    16. Frischhut, Markus & Levaggi, Rosella, 2024. "With a little help from my (neighbouring) friends. ‘Border region patient mobility’ in the European Union: A policy analysis," Health Policy, Elsevier, vol. 146(C).
    17. Rachael Gooberman-Hill, 2012. "Qualitative Approaches to Understanding Patient Preferences," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 5(4), pages 215-223, December.
    18. Carla Guerriero & Rosella Levaggi & Paolo Li Donni & Sara Moccia, 2025. "How Digital Divide and Hospital Quality Misperception Affect Patients Mobility," CSEF Working Papers 762, Centre for Studies in Economics and Finance (CSEF), University of Naples, Italy.
    19. Xinyu Li & Christian Waibel, 2021. "Patients' free choice of physicians is not always good," Health Economics, John Wiley & Sons, Ltd., vol. 30(11), pages 2751-2765, November.
    20. Dubey, Jay Dev, 2020. "Income elasticity of demand for health care and it's change over time: Across the income groups and levels of health expenditure in India," Working Papers 20/324, National Institute of Public Finance and Policy.

    More about this item

    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:bcp:journl:v:8:y:2024:i:8:p:2864-2872. 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: Dr. Pawan Verma (email available below). General contact details of provider: https://rsisinternational.org/journals/ijriss/ .

    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.