A mixed logit model of health care provider choice: analysis of NSS data for rural India

Borah, Bijan J.

doi:10.1002/hec.1166

Cited by 81 publications

(99 citation statements)

References 35 publications

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“…Reducing these barriers enables patients to make better choices about their healthcare, and access higher quality health services in both the public and private sectors. While education itself has been found to be an important factor in determining overall health, higher levels of education have also been found to increase the desired and actual use of quality health services, inducing patients to move away from unqualified private providers towards qualified public or private services (42). There is evidence in Bangladesh, for example, that patients with some education are more likely than those with no education to switch to a qualified allopathic provider 9 from an unqualified provider (43).…”

Section: Characteristics Of Patientsmentioning

confidence: 99%

Performance of private sector health care: implications for universal health coverage

2016

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While the private sector is an important health care provider in many low and middle income countries (LMICs), its role in relation to progress towards Universal Health Coverage (UHC) varies. Drawing on a review of the published and grey literature, we explore the factors that affect private sector contribution to UHC: i.e. we are interested in the overall impact on system outcomes such as . Evidence on the performance of both the private and public healthcare sectors is used to examine the characteristics of private providers that are associated with their performance, and the implications for how these factors might interrelate to influence progress towards UHC. Studies of private sector performance have focused on three main dimensions: quality, equity of access, and efficiency. We found that the characteristics of patients, the structures of both the public and private sectors, and the regulation of the sector influence the types of health services delivered, and outcomes. Combined with characteristics of private providers including their size, objectives, and technical competence the interaction of these factors influences how the sector performs within different contexts. Changing the performance of the private sector will require interventions which target the sector as a whole, rather than individual providers alone. In particular, the performance of the private sector appears to be intrinsically linked to the structure and performance of the public sector, which suggests that deriving population benefit from the private health sector requires a regulatory response focused on the health sector as a whole. Key messages The critical policy relevant question about the private sector is not its performance in isolation, or relative to the public sector, but the extent to which it supports or detracts from progress towards Universal Health Coverage  There is a dearth of evidence on factors affecting system level performance, reflecting the complexity and heterogeneity of the private health sector and the difficulty in exploring the inter-relationships of factors at the system level, and their effect on overall performance.  Deriving population benefit from the private health sector will require interventions which target the sector as a whole, rather than individual providers alone.

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Section: Characteristics Of Patientsmentioning

confidence: 99%

Performance of private sector health care: implications for universal health coverage

2016

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“…To assess these relationships, the current study follows a number of international studies that have restricted analysis to specific types of illness (Pillai et al [14]; Borah [18]; Luong et al [19]). This has approach rarely been adopted in China.…”

Section: Introductionmentioning

confidence: 98%

“…Furthermore, while the demand for private care providers has received extensive attention in other developing countries (Dow [20]; Sahn et al [21]; Habtoma and Ruys [22]), there are hardly any such studies for urban China. Finally, some international studies show that children have their own patterns of health care demand and utilization (Borah [18]; Mwabu et al [23]; Damen [24]; Pokhrel and Sauerborn [25]) but there are few such studies involving children in urban China. This paper attempts to fill each of these gaps in the available literature.…”

Section: Introductionmentioning

confidence: 99%

Determinants of the use of different types of health care provider in urban China: A tracer illness study of URTI

et al. 2010

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“…The health care demand model that we estimate in this study is similar to Borah (2006). Consider a representative consumer i who derives utility from consumption of medical and non-medical goods.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Does Distance Matter for Institutional Delivery in Rural India: An Instrumental Variable Approach

Kumar

Murray

2012

SSRN Journal

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ABSTRACT:Skilled attendance at childbirth is crucial for decreasing maternal and neonatal mortality, yet many women in low-and middle-income countries deliver outside of health facilities, without skilled help. Distance to health facility is considered to be an important nonmonetary barrier that impede utilization of health facilities. In this paper, we examine if access to health facilities affects institutional births in a resource-constrained country like India. We use Two-Stage Residual Inclusion (2SRI) and IV-Probit models to account for endogenous placement of health facilities. Our findings indicate that women living closer to health facilities have a higher probability of giving birth in health facility. An increase of one kilometer in the distance to the nearest health facility decreases the probability of institutional delivery by 4.4%. The results from policy simulation suggest that restricting the maximum distance to 5 kilometers would increase institutional delivery by 10%. Overall, our findings show that distance is an important barrier to service utilization and increasing the density of health facilities or improving transport infrastructure may be an important policy tool to improve facility-based delivery in developing countries.

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A mixed logit model of health care provider choice: analysis of NSS data for rural India

Cited by 81 publications

References 35 publications

Performance of private sector health care: implications for universal health coverage

Performance of private sector health care: implications for universal health coverage

Determinants of the use of different types of health care provider in urban China: A tracer illness study of URTI

Does Distance Matter for Institutional Delivery in Rural India: An Instrumental Variable Approach

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