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Income and consumption of medical care through the lens of protected goods' approach

Author

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  • Chubarova, T.

    (Institute of Economics, Russian Academy of Sciences, Moscow, Russia)

Abstract

The article examines the influence of income on the level of consumption of medical care in the context of the theory of patronased goods, that implies active participation of the state in the development of health care system. Based on literature review and analisys of empirical data, relevant methodological problems are discussed, including the direction of influence of income on health status and consumption of medical care, with an emphasis on the organization and financing of health care. The specificity of the situation in Russia is noted, where the low level of public funding alongside the expansion of fee for service due to development of private medicine and the possibility of charging fees by public medical organizations potentially create barriers to access to medical care for low-income citizens. However, the state health care system remains an important factor in mitigating the problem; therefore, the influence of income on utilisation of medical care in Russia is indirect. The author suggests that in order to neutralize the impact of income on consumption of medical care, it is necessary to ensure universal access to healh care, an important condition being adequate public funding rather than increase of people's income.

Suggested Citation

  • Chubarova, T., 2020. "Income and consumption of medical care through the lens of protected goods' approach," Journal of the New Economic Association, New Economic Association, vol. 47(3), pages 190-196.
  • Handle: RePEc:nea:journl:y:2020:i:47:p:190-196
    DOI: 10.31737/2221-2264-2020-47-3-10
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    References listed on IDEAS

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    2. Daron Acemoglu & Amy Finkelstein & Matthew J. Notowidigdo, 2013. "Income and Health Spending: Evidence from Oil Price Shocks," The Review of Economics and Statistics, MIT Press, vol. 95(4), pages 1079-1095, October.
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    4. Amélie Adeline & Eric Delattre, 2017. "Some microeconometric evidence on the relationship between health and income," Health Economics Review, Springer, vol. 7(1), pages 1-18, December.
    5. Marion Devaux, 2015. "Income-related inequalities and inequities in health care services utilisation in 18 selected OECD countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(1), pages 21-33, January.
    6. Braveman, P.A. & Cubbin, C. & Egerter, S. & Williams, D.R. & Pamuk, E., 2010. "Socioeconomic disparities in health in the united States: What the patterns tell us," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 186-196.
    7. Martinson, M.L., 2012. "Income inequality in health at all ages: A comparison of the United States and England," American Journal of Public Health, American Public Health Association, vol. 102(11), pages 2049-2056.
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    Cited by:

    1. Enkai Guo & Huamei Zhong & Yang Gao & Jing Li & Zhaohong Wang, 2022. "Socioeconomic Disparities in Health Care Consumption: Using the 2018-China Family Panel Studies," IJERPH, MDPI, vol. 19(12), pages 1-14, June.

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    More about this item

    Keywords

    population income; consumption of medical care; inequality; health financing; public health spending; out-of-pocket payments;
    All these keywords.

    JEL classification:

    • D31 - Microeconomics - - Distribution - - - Personal Income and Wealth Distribution
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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