IDEAS home Printed from https://ideas.repec.org/p/col/000091/003581.html
   My bibliography  Save this paper

The determinants of the health status in a developing country: results form the colombian case

Author

Listed:
  • Ramirez Manuel
  • Juan Miguel Gallego
  • Carlos Sepulveda

Abstract

ABSTRACT This paper tries to find empirical evidence of the health determinants, as a measure of health capital in a developing country after a deep reform of its health-care sector. It follows the Grossman model (1972) and also takes, besides individual and socioeconomic variables, institutional factors of the health sector. Two surveys from 1997 and 2000 in Colombia, with a subjective (self-report) health status of the individuals, and information about the health system affiliation type, were used. The estimation method is an order probit model. At the end, the results show an important connection between individual, institutional and socioeconomic variables with the health status of a person in Colombia. The effect of the type of access to medical care strengths the inequities in health outcome. *************************************************************************** RESUMEN El artículo busca encontrar evidencia empírica de los determinantes de la salud, como una medición de capital salud en un país en desarrollo después de una profunda reforma en el sector salud. Siguiendo el modelo de Grossman (1972) y tomando factores institucionales, además de las variables individuales y socioeconómicas. Se usaron las encuestas de 1997 y 2000 donde se responde subjetivamente sobre el estado de salud y tipo de afiliación al sistema de salud. El proceso de estimación usado es un probit ordenado. Los resultados muestran una importante conexión entre las variables individuales, institucionales y socioeconómicas con el estado de salud. El efecto de tipo de acceso al sistema de salud presiona las inequidades en salud.

Suggested Citation

  • Ramirez Manuel & Juan Miguel Gallego & Carlos Sepulveda, 2004. "The determinants of the health status in a developing country: results form the colombian case," Borradores de Investigación 3581, Universidad del Rosario.
    • Handle: RePEc:col:000091:003581
    as

    Download full text from publisher

    File URL: http://repository.urosario.edu.co/bitstream/handle/10336/10812/3581.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Michael Baker & Mark Stabile & Catherine Deri, 2004. "What Do Self-Reported, Objective, Measures of Health Measure?," Journal of Human Resources, University of Wisconsin Press, vol. 39(4).
    2. Andrew M. Jones & Nigel Rice & Paul Contoyannis, 2012. "The Dynamics of Health," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, Second Edition, chapter 2, Edward Elgar Publishing.
    3. repec:idb:brikps:42218 is not listed on IDEAS
    4. William D. Savedoff & T. Paul Schultz, 2000. "Earnings and the Elusive Dividends of Health," Research Department Publications 3108, Inter-American Development Bank, Research Department.
    5. Gerdtham, U. -G. & Johannesson, M. & Lundberg, L. & Isacson, D., 1999. "The demand for health: results from new measures of health capital," European Journal of Political Economy, Elsevier, vol. 15(3), pages 501-521, September.
    6. Orazio Attanasio & Carl Emmerson, 2001. "Differential mortality in the UK," IFS Working Papers W01/16, Institute for Fiscal Studies.
    7. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    8. John S. Akin & David K. Guilkey & Paul L. Hutchinson & Michael T. McIntosh, 1998. "Price elasticities of demand for curative health care with control for sample selectivity on endogenous illness: an analysis for Sri Lanka," Health Economics, John Wiley & Sons, Ltd., vol. 7(6), pages 509-531, September.
    9. Antonio J. Trujillo, 2003. "Medical care use and selection in a social health insurance with an equalization fund: evidence from Colombia," Health Economics, John Wiley & Sons, Ltd., vol. 12(3), pages 231-246, March.
    10. Adam Wagstaff, 1993. "The demand for health: An empirical reformulation of the Grossman model," Health Economics, John Wiley & Sons, Ltd., vol. 2(2), pages 189-198, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Yuri Reina-Aranza, 2015. "Violencia de pareja y estado de salud de la mujer en Colombia," Documentos de Trabajo Sobre Economía Regional y Urbana 13964, Banco de la República, Economía Regional.
    2. World Bank, 2009. "Colombia - Decentralization : Options and Incentives for Efficiency - Sector Annexes," World Bank Publications - Reports 3097, The World Bank Group.
    3. Gustavo Adolfo García Cruz. & Luís Miguel Tovar Cuevas, 2006. "La Percepción del Estado de Salud: Una Mirada a las Regiones desde la Encuesta de Calidad de Vida 2003," Documentos de Trabajo 3972, Universidad del Valle, CIDSE.
    4. Grupo GES, 2005. "Macroeconomía y salud en Colombia," Observatorio Seguridad Social 3183, Grupo de Economía de la Salud.
    5. World Bank, 2009. "Colombia - Decentralization : Options and Incentives for Efficiency - Main Report," World Bank Publications - Reports 3096, The World Bank Group.
    6. Luis Miguel Tovar Cuevas, 2005. "Determinantes del estado de salud de la población colombiana," Economía, Gestión y Desarrollo 2326, Universidad Javeriana - Cali.
    7. Yuri Carolina Reina-Aranza, 2017. "Acceso a los servicios de salud en las principales ciudades colombianas," Chapters, in: Jaime Bonet & Karelys Guzmán-Finol & Lucas Wilfried Hahn-De-Castro (ed.), La salud en Colombia: una perspectiva regional, chapter 9, pages 281-313, Banco de la Republica de Colombia.
    8. Adriana Camacho & Emily Conover, 2008. "Effects of Subsidized Health Insurance on Newborn Health in Colombia," Documentos CEDE 5007, Universidad de los Andes, Facultad de Economía, CEDE.
    9. Bonet-Morón, Jaime Alfredo & Guzmán-Finol, Karelys Katina & Hahn-de-Castro, Lucas Wilfried (ed.), 2017. "La salud en Colombia: una perspectiva regional," Books, Banco de la Republica de Colombia, number 2017a-12, March.
    10. Adolfo Meisel-Roca & Hernando Vargas-Herrera (ed.), 2018. "Ensayos sobre crecimiento económico en Colombia," Books, Banco de la Republica de Colombia, number 2018-06, March.
    11. Kossi Atsutsè Dziédzom Tsomdzo & Yacobou Sanoussi & Kodjo Evlo, 2022. "Investissement en santé et état de santé dans les pays de l'UEMOA: entre contribution publique et privée?," African Development Review, African Development Bank, vol. 34(2), pages 244-254, June.
    12. Grupo de Economía de la Salud & Jairo Humberto Restrepo, 2005. "Macroeconomía y salud en Colombia," Observatorio Seguridad Social 15590, Grupo de Economía de la Salud.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yuri Reina-Aranza, 2015. "Violencia de pareja y estado de salud de la mujer en Colombia," Documentos de Trabajo Sobre Economía Regional y Urbana 13964, Banco de la República, Economía Regional.
    2. Galama, Titus & Kapteyn, Arie, 2011. "Grossman’s missing health threshold," Journal of Health Economics, Elsevier, vol. 30(5), pages 1044-1056.
    3. Halliday, Timothy J. & He, Hui & Ning, Lei & Zhang, Hao, 2019. "Health Investment Over The Life-Cycle," Macroeconomic Dynamics, Cambridge University Press, vol. 23(1), pages 178-215, January.
    4. Galama, T. & Hullegie, P. & Meijer, E. & Outcault, S., 2012. "Empirical evidence for decreasing returns to scale in a health capital model," Health, Econometrics and Data Group (HEDG) Working Papers 12/05, HEDG, c/o Department of Economics, University of York.
    5. Jochen Hartwig & Jan-Egbert Sturm, 2018. "Testing the Grossman model of medical spending determinants with macroeconomic panel data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(8), pages 1067-1086, November.
    6. Anne Case & Angus S. Deaton, 2005. "Broken Down by Work and Sex: How Our Health Declines," NBER Chapters, in: Analyses in the Economics of Aging, pages 185-212, National Bureau of Economic Research, Inc.
    7. Burggraf, Christine, 2017. "Russian demand for dietary quality: Nutrition transition, diet quality measurement, and health investment theory," Studies on the Agricultural and Food Sector in Transition Economies 269539, Institute of Agricultural Development in Transition Economies (IAMO).
    8. Titus J. Galama & Hans van Kippersluis, 2013. "Health Inequalities through the Lens of Health-Capital Theory: Issues, Solutions, and Future Directions," Research on Economic Inequality, in: Health and Inequality, volume 21, pages 263-284, Emerald Group Publishing Limited.
    9. repec:zbw:iamost:269539 is not listed on IDEAS
    10. Titus J. Galama & Patrick Hullegie & Erik Meijer & Sarah Outcault, 2012. "Is There Empirical Evidence For Decreasing Returns To Scale In A Health Capital Model?," Health Economics, John Wiley & Sons, Ltd., vol. 21(9), pages 1080-1100, September.
    11. Galama, Titus & Kapteyn, Arie, 2011. "Grossman’s missing health threshold," Journal of Health Economics, Elsevier, pages 1044-1056.
    12. Kverndokk, Snorre, 2009. "Why do people demand health?," HERO Online Working Paper Series 2000:5, University of Oslo, Health Economics Research Programme.
    13. Cinzia Di Novi, 2010. "The influence of traffic‐related pollution on individuals' life‐style: results from the BRFSS," Health Economics, John Wiley & Sons, Ltd., vol. 19(11), pages 1318-1344, November.
    14. Hullegie, P.G.J., 2012. "Essays on health and labor economics," Other publications TiSEM dcc68fc9-7af1-4ba9-8f90-6, Tilburg University, School of Economics and Management.
    15. Burggraf, Christine, 2017. "Russian demand for dietary quality: Nutrition transition, diet quality measurement, and health investment theory," Studies on the Agricultural and Food Sector in Transition Economies, Leibniz Institute of Agricultural Development in Transition Economies (IAMO), volume 86, number 86.
    16. Lurås, Hilde, 2009. "A healthy lifestyle: The product of opportunities and preferences," HERO Online Working Paper Series 2001:11, University of Oslo, Health Economics Research Programme.
    17. Wang, Huixia & Wang, Chenggang & Halliday, Timothy J., 2018. "Health and health inequality during the great recession: Evidence from the PSID," Economics & Human Biology, Elsevier, vol. 29(C), pages 17-30.
    18. Maite Blázquez & Elena Cottini & Ainhoa Herrarte, 2014. "The socioeconomic gradient in health: how important is material deprivation?," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 12(2), pages 239-264, June.
    19. Maarten Lindeboom, 2012. "Health and Work of Older Workers," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, Second Edition, chapter 3, Edward Elgar Publishing.
    20. Ana Lucia Abeliansky & Holger Strulik, 2023. "Health and aging before and after retirement," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(4), pages 2825-2855, October.
    21. Manoj K. Pandey, 2013. "Elderly's Health Shocks and Household's Ex-ante Poverty in India," ASARC Working Papers 2013-01, The Australian National University, Australia South Asia Research Centre.

    More about this item

    Keywords

    Demand for health; health production; developing countries; probit estimations;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:col:000091:003581. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Facultad de Economía (email available below). General contact details of provider: https://edirc.repec.org/data/ferosco.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.