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The demand for adult outpatient services in the Bicol region of the Philippines

Author

Listed:
  • Akin, John S.
  • Griffin, Charles C.
  • Guilkey, David K.
  • Popkin, Barry M.

Abstract

The absence of demand analysis for primary health care services has hampered efforts to finance these services and to make them permanent parts of Third World medical systems. This paper introduces a demand model for adult outpatient services, describes the types of data required for estimating it, and presents the results of a preliminary estimation using data from a poor rural region of the Philippines. The results indicate that prices and distance are not nearly as important as determinants of demand in this sample as has usually been assumed by planners. There appears to be considerable room for full or partial financing of outpatient services from user fees.

Suggested Citation

  • Akin, John S. & Griffin, Charles C. & Guilkey, David K. & Popkin, Barry M., 1986. "The demand for adult outpatient services in the Bicol region of the Philippines," Social Science & Medicine, Elsevier, vol. 22(3), pages 321-328, January.
    • Handle: RePEc:eee:socmed:v:22:y:1986:i:3:p:321-328
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    Cited by:

    1. Gilson, Lucy & Mills, Anne, 1995. "Health sector reforms in sub-Saharan Africa: lessons of the last 10 years," Health Policy, Elsevier, vol. 32(1-3), pages 215-243.
    2. Robert B. Begg, 1992. "Social and Spatial Context in Rural Development Strategies," International Regional Science Review, , vol. 15(1), pages 1-11, April.
    3. Ardeshir Sepehri & Robert Chernomas, 2001. "Are user charges efficiency- and equity-enhancing? A critical review of economic literature with particular reference to experience from developing countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 13(2), pages 183-209.
    4. NDA, Koffi C. & AKA, BEDIA F., 2018. "Households’ Therapeutic Behavior: An Empirical Study For Cote D´Ivoire," Applied Econometrics and International Development, Euro-American Association of Economic Development, vol. 18(1), pages 105-120.
    5. Takahiro Tsukahara & Takuma Sugahara & Seiritsu Ogura & Francis Wanak Hombhanje, 2019. "Effect of pecuniary costs and time costs on choice of healthcare providers among caregivers of febrile children in rural Papua New Guinea," Health Economics Review, Springer, vol. 9(1), pages 1-14, December.
    6. Trani, Jean-Francois & Bakhshi, Parul & Noor, Ayan A. & Lopez, Dominique & Mashkoor, Ashraf, 2010. "Poverty, vulnerability, and provision of healthcare in Afghanistan," Social Science & Medicine, Elsevier, vol. 70(11), pages 1745-1755, June.
    7. Pokhrel, Subhash & De Allegri, Manuela & Gbangou, Adijma & Sauerborn, Rainer, 2010. "Illness reporting and demand for medical care in rural Burkina Faso," Social Science & Medicine, Elsevier, vol. 70(11), pages 1693-1700, June.
    8. Hengjin Dong & Adjima Gbangou & Manuela Allegri & Subhash Pokhrel & Rainer Sauerborn, 2008. "The differences in characteristics between health-care users and non-users: implication for introducing community-based health insurance in Burkina Faso," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 9(1), pages 41-50, February.
    9. Kai Shen Lim & Wei Aun Yap & Winnie Yip, 2022. "Consumer choice and public‐private providers: The role of perceived prices," Health Economics, John Wiley & Sons, Ltd., vol. 31(9), pages 1898-1925, September.
    10. Lawson, David, 2004. "Determinants of Health Seeking Behaviour in Uganda - Is It Just Income and User Fees That Are Important?," Development Economics and Public Policy Working Papers 30553, University of Manchester, Institute for Development Policy and Management (IDPM).
    11. Mensah, Omer A. & Kumaranayake, Lilani, 2004. "Malaria incidence in rural Benin: does economics matter in endemic area?," Health Policy, Elsevier, vol. 68(1), pages 93-102, April.
    12. Miloud Kaddar & Friedeger Stierle & Bergis Schmidt-Ehry & Anastase Tchicaya, 2000. "L'accès des indigents aux soins de santé en Afrique subsaharienne," Revue Tiers Monde, Programme National Persée, vol. 41(164), pages 903-925.
    13. Bautista, Cristina M., 1995. "Patterns of Health Care Expenditures, Utilization and Demand for Medical Care in Sample Philippine Households," Discussion Papers DP 1995-09, Philippine Institute for Development Studies.
    14. Kara Hanson & Winnie C. Yip & William Hsiao, 2004. "The impact of quality on the demand for outpatient services in Cyprus," Health Economics, John Wiley & Sons, Ltd., vol. 13(12), pages 1167-1180, December.

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