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The Determinants of Out-of-Pocket Payments: Evidence from Selected Hospitals In Ankara,Turkey

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  • Nebile KORUCU GUMUSOGLU
  • Julide YILDIRIM
  • Erdogan YILMAZ

Abstract

The aim of this study is to explore the determinants of the out-of-pocket expenditures on health in selected hospitals of the capital city Ankara, Turkey. Maximum likelihood logistic analysis is used to estimate the relationship between the likelihood of incurring out-of-pocket payments and a set of individual- and facility-level covariates, such as income, education level and wealth of the patient. Empirical findings indicate that as the level of education, age and income increase the likelihood of making out-of-payment expenditures on health increases. Additionally, the attitudes of patients towards the health-care system and their possible impacts on the decision of out-of-pocket payments have also been considered. The distrust in the public health-care system is reflected in patients' choices regarding the first applied medical centre. It appears that patients with high levels of income prefer private health-care rather than the public health-care services.
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Suggested Citation

  • Nebile KORUCU GUMUSOGLU & Julide YILDIRIM & Erdogan YILMAZ, 2009. "The Determinants of Out-of-Pocket Payments: Evidence from Selected Hospitals In Ankara,Turkey," EcoMod2009 21500055, EcoMod.
    • Handle: RePEc:ekd:000215:21500055
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    References listed on IDEAS

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    1. Balabanova, Dina & McKee, Martin, 2002. "Understanding informal payments for health care: the example of Bulgaria," Health Policy, Elsevier, vol. 62(3), pages 243-273, December.
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