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The determinants of out-of-pocket payments: evidence from selected hospitals in Ankara, Turkey

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  • Julide Yildirim
  • Erdogan Yilmaz
  • Nebile Korucu

Abstract

The aim of this study is to explore the determinants of the out-of-pocket expenditures on health in selected hospitals of the capital city Ankara, Turkey. Maximum likelihood logistic analysis is used to estimate the relationship between the likelihood of incurring out-of-pocket payments and a set of individual- and facility-level covariates, such as income, education level and wealth of the patient. Empirical findings indicate that as the level of education, age and income increase the likelihood of making out-of-payment expenditures on health increases. Additionally, the attitudes of patients towards the health-care system and their possible impacts on the decision of out-of-pocket payments have also been considered. The distrust in the public health-care system is reflected in patients' choices regarding the first applied medical centre. It appears that patients with high levels of income prefer private health-care rather than the public health-care services.

Suggested Citation

  • Julide Yildirim & Erdogan Yilmaz & Nebile Korucu, 2011. "The determinants of out-of-pocket payments: evidence from selected hospitals in Ankara, Turkey," Applied Economics Letters, Taylor & Francis Journals, vol. 18(12), pages 1159-1162.
    • Handle: RePEc:taf:apeclt:v:18:y:2011:i:12:p:1159-1162
    DOI: 10.1080/13504851.2010.528351
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    1. Balabanova, Dina & McKee, Martin, 2002. "Understanding informal payments for health care: the example of Bulgaria," Health Policy, Elsevier, vol. 62(3), pages 243-273, December.
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