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Total expenditure elasticity of spending on self-treatment and professional healthcare: a case of Russia

Author

Listed:
  • Evguenii Zazdravnykh

    (HSE University
    St. Petersburg University)

  • Andrey Aistov

    (HSE University)

  • Ekaterina Aleksandrova

    (Sechenov University)

Abstract

The studies on the demand for healthcare in low- and middle-income countries rarely take into consideration the fact that many people spend their income on self-treatment and professional treatment. The estimation of the income elasticity of demand for self-treatment and professional treatment can show a more precise picture of the affordability of professional care. This paper contributes to the discussion around estimates of income elasticity of health spending and discussion whether professional care and self-treatment are close to a luxury good and inferior good respectively in a middle-income country. We apply the switching regression model to explain the choice between self-treatment and professional healthcare via estimates of the income elasticity. Estimates are made with the use of the Russian Longitudinal Monitoring Survey — Higher School of Economics (RLMS-HSE), a nationally representative survey. While individual expenditure on professional treatment is higher than that on self-treatment, our estimates show that expenses on professional treatment can be income inelastic except when spending on medicines prescribed by a physician that are elastic. The results also indicate that cost of self-treatment is income elastic. In all cases, the considered income elasticities are statistically insignificant between professional and self-treatment.

Suggested Citation

  • Evguenii Zazdravnykh & Andrey Aistov & Ekaterina Aleksandrova, 2024. "Total expenditure elasticity of spending on self-treatment and professional healthcare: a case of Russia," International Journal of Health Economics and Management, Springer, vol. 24(1), pages 81-105, March.
    • Handle: RePEc:kap:ijhcfe:v:24:y:2024:i:1:d:10.1007_s10754-023-09353-0
    DOI: 10.1007/s10754-023-09353-0
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    References listed on IDEAS

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    1. Filip Novokmet & Thomas Piketty & Gabriel Zucman, 2018. "From Soviets to oligarchs: inequality and property in Russia 1905-2016," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 16(2), pages 189-223, June.
    2. Guy Lacroix & Natalia Radtchenko, 2011. "The changing intra-household resource allocation in Russia," Journal of Population Economics, Springer;European Society for Population Economics, vol. 24(1), pages 85-106, January.
    3. Catharina Hjortsberg, 2003. "Why do the sick not utilise health care? The case of Zambia," Health Economics, John Wiley & Sons, Ltd., vol. 12(9), pages 755-770, September.
    4. Pagan, Jose A. & Ross, Sara & Yau, Jeffrey & Polsky, Daniel, 2006. "Self-medication and health insurance coverage in Mexico," Health Policy, Elsevier, vol. 75(2), pages 170-177, January.
    5. Jeffrey J. Rous & David R. Hotchkiss, 2003. "Estimation of the determinants of household health care expenditures in Nepal with controls for endogenous illness and provider choice," Health Economics, John Wiley & Sons, Ltd., vol. 12(6), pages 431-451, June.
    6. Culyer, A J, 1989. "The Normative Economics of Health Care Finance and Provision," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 5(1), pages 34-58, Spring.
    7. Aurélia Lépine, 2015. "Is Health a Necessity in Sub‐Saharan Africa? An Investigation of Income‐Elasticity of Health Expenditures In Rural Senegal," Journal of International Development, John Wiley & Sons, Ltd., vol. 27(7), pages 1153-1177, October.
    8. Tulchinsky, T.H. & Varavikova, E.A., 1996. "Addressing the epidemiologic transition in the former Soviet Union: Strategies for health system and public health reform in Russia," American Journal of Public Health, American Public Health Association, vol. 86(3), pages 313-320.
    9. Michael Lokshin & Zurab Sajaia, 2004. "Maximum likelihood estimation of endogenous switching regression models," Stata Journal, StataCorp LLC, vol. 4(3), pages 282-289, September.
    10. Fwu‐Ranq Chang & Pravin K. Trivedi, 2003. "Economics of self‐medication: theory and evidence," Health Economics, John Wiley & Sons, Ltd., vol. 12(9), pages 721-739, September.
    11. Gerry, Christopher J. & Kaneva, Maria & Zasimova, Liudmila, 2017. "Reforming voluntary drug insurance in Russian healthcare: does social solidarity matter?," Health Policy, Elsevier, vol. 121(11), pages 1177-1185.
    12. Parker, Susan W. & Wong, Rebeca, 1997. "Household income and health care expenditures in Mexico," Health Policy, Elsevier, vol. 40(3), pages 237-255, June.
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