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Determinants of private healthcare utilisation and expenditure patterns in India


  • Barik, Debasis
  • Desai, Sonalde


In India, a substantial investment has been made in developing community-based programmes, such as Integrated Child Development Services (ICDS), and networks of village-level health workers. In spite of these efforts, growth utilisation of government services has failed to keep pace with the private sector, particularly in the past two decades. The results presented in this paper show that Indian families, even poor families, receive most of their medical care from private practitioners. Maternity care is a partial exception here. For most other forms of care, however, the public sector is dwarfed by the reliance on the private sector, even though the quality of private sector providers and services remains highly variable.

Suggested Citation

  • Barik, Debasis & Desai, Sonalde, 2014. "Determinants of private healthcare utilisation and expenditure patterns in India," MPRA Paper 77220, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:77220

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    References listed on IDEAS

    1. Rama Pal, 2010. "Analysing Catastrophic OOP Health Expenditure in India : Concepts, Determinants and Policy Implications," Microeconomics Working Papers 22775, East Asian Bureau of Economic Research.
    2. Das, Jishnu & Hammer, Jeffrey, 2007. "Money for nothing: The dire straits of medical practice in Delhi, India," Journal of Development Economics, Elsevier, vol. 83(1), pages 1-36, May.
    3. M. Govinda Rao & Choudhury, Mita, 2012. "Health Care Financing Reforms in India," Working Papers 12/100, National Institute of Public Finance and Policy.
    4. Jishnu Das & Jeffrey Hammer & Kenneth Leonard, 2008. "The Quality of Medical Advice in Low-Income Countries," Journal of Economic Perspectives, American Economic Association, vol. 22(2), pages 93-114, Spring.
    5. Desai, Sonalde & Dubey, Amaresh & Joshi, Brij Lal & Sen, Mitali & Sharif, Abusaleh & Vanneman, Reeve, 2010. "Human Development in India: Challenges for a Society in Transition," OUP Catalogue, Oxford University Press, number 9780198065128.
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    Cited by:

    1. Barik, Debasis & Thorat, Amit, 2015. "Issues of unequal access to public health in India," MPRA Paper 77224, University Library of Munich, Germany.

    More about this item


    Healthcare; India; Expenditure; Public; Private;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health


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