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User fees, demand for children's health care and access across income groups: The Philippine case

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  • Ching, Panfila

Abstract

This paper examines the potential effects of user fees on the demand for child health care across income groups. A mixed/conditional logit model of provider choice is estimated using national data from the Philippines. The model explicitly allows for price elasticity to be dependent upon income. The results indicate that price plays a significant role in the demand for child health care and that medical care demand for poorer children is substantially more price sensitive than it is for richer children. The notion that user fees are regressive is therefore supported.

Suggested Citation

  • Ching, Panfila, 1995. "User fees, demand for children's health care and access across income groups: The Philippine case," Social Science & Medicine, Elsevier, vol. 41(1), pages 37-46, July.
    • Handle: RePEc:eee:socmed:v:41:y:1995:i:1:p:37-46
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    Cited by:

    1. Sophie Mitra & Michael Palmer & Shannon Pullaro & Daniel Mont & Nora Groce, 2017. "Health Insurance and Children in Low- and Middle-income Countries: A Review," The Economic Record, The Economic Society of Australia, vol. 93(302), pages 484-500, September.
    2. Takahiro Tsukahara & Takuma Sugahara & Seiritsu Ogura & Francis Wanak Hombhanje, 2019. "Effect of pecuniary costs and time costs on choice of healthcare providers among caregivers of febrile children in rural Papua New Guinea," Health Economics Review, Springer, vol. 9(1), pages 1-14, December.
    3. Somanathan, Aparnaa, 2008. "The impact of price subsidies on child health care use : evaluation of the Indonesian healthcard," Policy Research Working Paper Series 4622, The World Bank.
    4. Md Mahfuzur Rahman & Rubayet Karim & Md. Moniruzzaman & Md. Afjal Hossain & Hammad Younes, 2023. "Modeling Hospital Operating Theater Services: A System Dynamics Approach," Logistics, MDPI, vol. 7(4), pages 1-21, November.
    5. Richard Andrew Iles, 2013. "Demand for primary healthcare in rural north India," 2013 Papers pil50, Job Market Papers.
    6. Pokhrel, Subhash, 2007. "Determinants of parental reports of children's illnesses: Empirical evidence from Nepal," Social Science & Medicine, Elsevier, vol. 65(6), pages 1106-1117, September.
    7. Mani, Subha & Mitra, Sophie & Sambamoorthi, Usha, 2018. "Dynamics in health and employment: Evidence from Indonesia," World Development, Elsevier, vol. 104(C), pages 297-309.
    8. Trani, Jean-Francois & Bakhshi, Parul & Noor, Ayan A. & Lopez, Dominique & Mashkoor, Ashraf, 2010. "Poverty, vulnerability, and provision of healthcare in Afghanistan," Social Science & Medicine, Elsevier, vol. 70(11), pages 1745-1755, June.
    9. Danyliv, Andriy & Groot, Wim & Gryga, Irena & Pavlova, Milena, 2014. "Willingness and ability to pay for physician services in six Central and Eastern European countries," Health Policy, Elsevier, vol. 117(1), pages 72-82.
    10. Pokhrel, Subhash & De Allegri, Manuela & Gbangou, Adijma & Sauerborn, Rainer, 2010. "Illness reporting and demand for medical care in rural Burkina Faso," Social Science & Medicine, Elsevier, vol. 70(11), pages 1693-1700, June.
    11. Palmer, Michael & Mitra, Sophie & Mont, Daniel & Groce, Nora, 2015. "The impact of health insurance for children under age 6 in Vietnam: A regression discontinuity approach," Social Science & Medicine, Elsevier, vol. 145(C), pages 217-226.

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