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The determinants of the health status in a developing country: results form the colombian case

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  • Ramirez Manuel

    ()

  • Juan Miguel Gallego

    ()

  • Carlos Sepulveda

    ()

Abstract

ABSTRACT This paper tries to find empirical evidence of the health determinants, as a measure of health capital in a developing country after a deep reform of its health-care sector. It follows the Grossman model (1972) and also takes, besides individual and socioeconomic variables, institutional factors of the health sector. Two surveys from 1997 and 2000 in Colombia, with a subjective (self-report) health status of the individuals, and information about the health system affiliation type, were used. The estimation method is an order probit model. At the end, the results show an important connection between individual, institutional and socioeconomic variables with the health status of a person in Colombia. The effect of the type of access to medical care strengths the inequities in health outcome. *************************************************************************** RESUMEN El artículo busca encontrar evidencia empírica de los determinantes de la salud, como una medición de capital salud en un país en desarrollo después de una profunda reforma en el sector salud. Siguiendo el modelo de Grossman (1972) y tomando factores institucionales, además de las variables individuales y socioeconómicas. Se usaron las encuestas de 1997 y 2000 donde se responde subjetivamente sobre el estado de salud y tipo de afiliación al sistema de salud. El proceso de estimación usado es un probit ordenado. Los resultados muestran una importante conexión entre las variables individuales, institucionales y socioeconómicas con el estado de salud. El efecto de tipo de acceso al sistema de salud presiona las inequidades en salud.

Suggested Citation

  • Ramirez Manuel & Juan Miguel Gallego & Carlos Sepulveda, 2004. "The determinants of the health status in a developing country: results form the colombian case," BORRADORES DE INVESTIGACIÓN 003581, UNIVERSIDAD DEL ROSARIO.
  • Handle: RePEc:col:000091:003581
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    References listed on IDEAS

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    1. Michael Baker & Mark Stabile & Catherine Deri, 2004. "What Do Self-Reported, Objective, Measures of Health Measure?," Journal of Human Resources, University of Wisconsin Press, vol. 39(4).
    2. repec:idb:brikps:42218 is not listed on IDEAS
    3. William D. Savedoff & T. Paul Schultz, 2000. "Earnings and the Elusive Dividends of Health," Research Department Publications 3108, Inter-American Development Bank, Research Department.
    4. Gerdtham, U. -G. & Johannesson, M. & Lundberg, L. & Isacson, D., 1999. "The demand for health: results from new measures of health capital," European Journal of Political Economy, Elsevier, vol. 15(3), pages 501-521, September.
    5. Orazio Attanasio & Carl Emmerson, 2001. "Differential mortality in the UK," IFS Working Papers W01/16, Institute for Fiscal Studies.
    6. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    7. John S. Akin & David K. Guilkey & Paul L. Hutchinson & Michael T. Mcintosh, 1998. "Price elasticities of demand for curative health care with control for sample selectivity on endogenous illness: an analysis for Sri Lanka," Health Economics, John Wiley & Sons, Ltd., vol. 7(6), pages 509-531.
    8. Antonio J. Trujillo, 2003. "Medical care use and selection in a social health insurance with an equalization fund: evidence from Colombia," Health Economics, John Wiley & Sons, Ltd., vol. 12(3), pages 231-246.
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    Cited by:

    1. World Bank, 2009. "Colombia - Decentralization : Options and Incentives for Efficiency - Sector Annexes," World Bank Other Operational Studies 3097, The World Bank.
    2. Gustavo Adolfo García Cruz. & Luís Miguel Tovar Cuevas, 2006. "La Percepción del Estado de Salud: Una Mirada a las Regiones desde la Encuesta de Calidad de Vida 2003," DOCUMENTOS DE TRABAJO-CIDSE 003972, UNIVERSIDAD DEL VALLE - CIDSE.
    3. Grupo GES, 2005. "Macroeconomía y salud en Colombia," OBSERVATORIO SEGURIDAD SOCIAL 003183, GRUPO DE ECONOMÍA DE LA SALUD.
    4. World Bank, 2009. "Colombia - Decentralization : Options and Incentives for Efficiency - Main Report," World Bank Other Operational Studies 3096, The World Bank.
    5. Luis Miguel Tovar Cuevas, 2005. "Determinantes del estado de salud de la población colombiana," ECONOMÍA, GESTIÓN Y DESARROLLO 002326, UNIVERSIDAD JAVERIANA - CALI.
    6. Adriana Camacho & Emily Conover, 2008. "Effects of Subsidized Health Insurance on Newborn Health in Colombia," DOCUMENTOS CEDE 005007, UNIVERSIDAD DE LOS ANDES-CEDE.
    7. Grupo de Economía de la Salud & Jairo Humberto Restrepo, 2005. "Macroeconomía y salud en Colombia," OBSERVATORIO SEGURIDAD SOCIAL 015590, GRUPO DE ECONOMÍA DE LA SALUD.

    More about this item

    Keywords

    Demand for health; health production; developing countries; probit estimations;

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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