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Unravelling the determinants of the non-use of health care

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  • Begoña Álvarez
  • Marcos Vera-Hernández

Abstract

In this paper we provide a model and data structure to identify the determinants of health care use by low income children, and the channels through which they operate. The most distinguishing feature of our approach is that we decompose the decision to use health care into three stages. The advantage of our approach is that variables can influence each stage differently. We find that children living in towns with higher prevalence of violence are in higher need of health care but violence decreases the probability that the child will use health care conditional of the mother perceiving that health care will provide positive gross benefits. We also find that knowledge about self-care (measured by the percentage of women in the village that knows how to treat diarrhoea and by mother’s education) decreases the probability that the mother perceives positive gross profits of obtaining health care. These relations are unmasked if we use a standard Probit model.

Suggested Citation

  • Begoña Álvarez & Marcos Vera-Hernández, 2007. "Unravelling the determinants of the non-use of health care," Working Papers 0704, Universidade de Vigo, Departamento de Economía Aplicada.
    • Handle: RePEc:vig:wpaper:0704
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    1. Lavy, Victor & Strauss, John & Thomas, Duncan & de Vreyer, Philippe, 1996. "Quality of health care, survival and health outcomes in Ghana," Journal of Health Economics, Elsevier, vol. 15(3), pages 333-357, June.
    2. Janet Currie & Mark Stabile, 2003. "Socioeconomic Status and Child Health: Why Is the Relationship Stronger for Older Children?," American Economic Review, American Economic Association, vol. 93(5), pages 1813-1823, December.
    3. Andrea Vermehren, 2003. "Conditional Cash Transfer : Programs an Effective Tool for Reaching the Poorest and Most Vulnerable," World Bank Publications - Reports 10370, The World Bank Group.
    4. 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, September.
    5. Van de Ven, Wynand P. M. M. & Van Praag, Bernard M. S., 1981. "The demand for deductibles in private health insurance : A probit model with sample selection," Journal of Econometrics, Elsevier, vol. 17(2), pages 229-252, November.
    6. Paul Glewwe, 1999. "Why Does Mother's Schooling Raise Child Health in Developing Countries? Evidence from Morocco," Journal of Human Resources, University of Wisconsin Press, vol. 34(1), pages 124-159.
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