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Inpatient and outpatient health care demand in Cairo, Egypt

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  • Randall P. Ellis
  • D. Keith McInnes
  • Elizabeth H. Stephenson

Abstract

This paper uses the results of a household survey conducted in Cairo, Egypt in 1992 to examine the factors that influence the demand for inpatient and outpatient health services. Multi‐stage discrete choice models of the demand for health care, which identify the importance of individual, household, and facility level variables on each treatment decision, are estimated separately for outpatients and inpatients. Consumers are assumed to decide whether to seek any treatment and then choose between three categories of providers: a large public hospital (Embaba Hospital), all other public providers, and private/charitable providers. The results confirm that more affluent consumers prefer the higher cost, higher quality private and charitable hospitals. Age, sex, education, and insurance are also found to strongly impact the use of medical services. The results are suggestive but do not conclusively show that inpatient care is less price responsive than outpatient care. Price responsiveness of inpatient and outpatient demand are imprecisely estimated because price is highly correlated with quality, and the available data on facility quality do not permit us to adequately control for quality variations across facilities.

Suggested Citation

  • Randall P. Ellis & D. Keith McInnes & Elizabeth H. Stephenson, 1994. "Inpatient and outpatient health care demand in Cairo, Egypt," Health Economics, John Wiley & Sons, Ltd., vol. 3(3), pages 183-200, May.
    • Handle: RePEc:wly:hlthec:v:3:y:1994:i:3:p:183-200
    DOI: 10.1002/hec.4730030307
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    References listed on IDEAS

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    3. Gertler, Paul & Locay, Luis & Sanderson, Warren, 1987. "Are user fees regressive? : The welfare implications of health care financing proposals in Peru," Journal of Econometrics, Elsevier, vol. 36(1-2), pages 67-88.
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    Cited by:

    1. Conrad Y. Puozaa, 2016. "The Determinants of Hospital Length of Stay in Nigeria," International Journal of Business and Economic Sciences Applied Research (IJBESAR), Democritus University of Thrace (DUTH), Kavala Campus, Greece, vol. 9(3), pages 34-42, December.
    2. Zi Yang Wang & Jie Song & Xing Lin Feng, 2023. "A prediction model of patient satisfaction: policy evaluation and sensitivity analysis," Flexible Services and Manufacturing Journal, Springer, vol. 35(2), pages 455-486, June.
    3. Jaume Puig & Marc Sáez & Esther Martínez Garcia, 1998. "Health care provider choice in the case of patient-initiated contacts. An extended version of discrete choice of model demand," Working Papers, Research Center on Health and Economics 308, Department of Economics and Business, Universitat Pompeu Fabra.
    4. Moussa Dieng & Martine Audibert & Jean-Yves Le Hesran & Anta Ta Dial, 2015. "Déterminants de la demande de soins en milieu péri-urbain dans un contexte de subvention à Pikine, Sénégal," CERDI Working papers halshs-01027504, HAL.
    5. Ahmed Shoukry Rashad & Mesbah Fathy Sharaf & Elhussien Ibrahim Mansour, 2019. "Does Public Health Insurance Increase Maternal Health Care Utilization in Egypt?," Journal of International Development, John Wiley & Sons, Ltd., vol. 31(6), pages 516-520, August.
    6. Dr B C Purohit, "undated". "Structural Adjustment and the Health Care Sector in India: some policy issues in financing," QEH Working Papers qehwps02, Queen Elizabeth House, University of Oxford.
    7. 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.
    8. Anta TA DIAL & Moussa DIENG & Martine AUDIBERT & Jean-Yves LE HESRAN, 2014. "Déterminants de la demande de soins en milieu péri-urbain dans un contexte de subvention à Pikine, Sénégal," Working Papers 201415, CERDI.
    9. 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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