IDEAS home Printed from https://ideas.repec.org/p/jmp/jm2013/pil50.html
   My bibliography  Save this paper

Demand for primary healthcare in rural north India

Author

Listed:
  • Richard Andrew Iles

Abstract

India's dynamic primary healthcare market is dominated, in rural north India, by the private sector that operates alongside a weak government system. The Indian healthcare market, in theory, offers several systems of medicine, a variance in the level of provider qualifications and incorporates both the formal and informal provider markets. However, in practice in rural north India, consumers have limited effective choice. A major constraint on our understanding of the rural north Indian primary healthcare market is the lack of data and analysis of consumers' preferences for unqualified doctors. This study estimates consumer demand for private unqualified and qualified 'doctors' and government doctors in three districts of India's largest state--Uttar Pradesh--for the treatment of mild to severe fever. Results demonstrate that unqualified 'doctor' services are normal goods and that government doctor utilization may be improved by increasing user fees to enable reduced patient travel distances.

Suggested Citation

  • Richard Andrew Iles, 2013. "Demand for primary healthcare in rural north India," 2013 Papers pil50, Job Market Papers.
    • Handle: RePEc:jmp:jm2013:pil50
    as

    Download full text from publisher

    File URL: https://ideas.repec.org/jmp/2013/pil50.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Lindelow, Magnus & Serneels, Pieter, 2006. "The performance of health workers in Ethiopia: Results from qualitative research," Social Science & Medicine, Elsevier, vol. 62(9), pages 2225-2235, May.
    2. Nazmul Chaudhury & Jeffrey Hammer & Michael Kremer & Karthik Muralidharan & F. Halsey Rogers, 2006. "Missing in Action: Teacher and Health Worker Absence in Developing Countries," Journal of Economic Perspectives, American Economic Association, vol. 20(1), pages 91-116, Winter.
    3. Daron Acemoglu & Simon Johnson, 2007. "Disease and Development: The Effect of Life Expectancy on Economic Growth," Journal of Political Economy, University of Chicago Press, vol. 115(6), pages 925-985, December.
    4. Hensher, David A., 2012. "Accounting for scale heterogeneity within and between pooled data sources," Transportation Research Part A: Policy and Practice, Elsevier, vol. 46(3), pages 480-486.
    5. Erlyana, Erlyana & Damrongplasit, Kannika Kampanya & Melnick, Glenn, 2011. "Expanding health insurance to increase health care utilization: Will it have different effects in rural vs. urban areas?," Health Policy, Elsevier, vol. 100(2-3), pages 273-281, May.
    6. Ching, Panfila, 1995. "User fees, demand for children's health care and access across income groups: The Philippine case," Social Science & Medicine, Elsevier, vol. 41(1), pages 37-46, July.
    7. Viton, Philip A., 1985. "On the interpretation of income variables in discrete-choice models," Economics Letters, Elsevier, vol. 17(3), pages 203-206.
    8. 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.
    9. Brownstone, David & Bunch, David S. & Train, Kenneth, 2000. "Joint mixed logit models of stated and revealed preferences for alternative-fuel vehicles," Transportation Research Part B: Methodological, Elsevier, vol. 34(5), pages 315-338, June.
    10. Christensen, Laurits R & Jorgenson, Dale W & Lau, Lawrence J, 1975. "Transcendental Logarithmic Utility Functions," American Economic Review, American Economic Association, vol. 65(3), pages 367-383, June.
    11. Majid S. Kermani & Hossein Ghaderi & Ayoub Yousefi, 2008. "Demand for medical care in the urban areas of Iran: an empirical investigation," Health Economics, John Wiley & Sons, Ltd., vol. 17(7), pages 849-862, July.
    12. Das, Jishnu & Hammer, Jeffrey, 2007. "Money for nothing: The dire straits of medical practice in Delhi, India," Journal of Development Economics, Elsevier, vol. 83(1), pages 1-36, May.
    13. Louviere,Jordan J. & Hensher,David A. & Swait,Joffre D., 2000. "Stated Choice Methods," Cambridge Books, Cambridge University Press, number 9780521788304, January.
    14. 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.
    15. Jeffery, Patricia & Jeffery, Roger, 2010. "Only when the boat has started sinking: A maternal death in rural north India," Social Science & Medicine, Elsevier, vol. 71(10), pages 1711-1718, November.
    16. Abhijit Banerjee & Angus Deaton & Esther Duflo, 2004. "Wealth, Health, and Health Services in Rural Rajasthan," American Economic Review, American Economic Association, vol. 94(2), pages 326-330, May.
    17. Brownstone, David & Bunch, David S. & Train, Kenneth, 2000. "Joint mixed logit models of stated and revealed preferences for alternative-fuel vehicles," Transportation Research Part B: Methodological, Elsevier, vol. 34(5), pages 315-338, June.
    18. William H. Dow, 1999. "Flexible Discrete Choice Demand Models Consistent With Utility Maximization: An Application to Health Care Demand," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 81(3), pages 680-685.
    19. Denzil G. Fiebig & Michael P. Keane & Jordan Louviere & Nada Wasi, 2010. "The Generalized Multinomial Logit Model: Accounting for Scale and Coefficient Heterogeneity," Marketing Science, INFORMS, vol. 29(3), pages 393-421, 05-06.
    20. Richard A Iles & John M Rose, 2013. "Stated Choice design comparison in a developing country: Attribute Nonattendance and choice task dominance," Discussion Papers in Economics economics:201305, Griffith University, Department of Accounting, Finance and Economics.
    21. Bijan J. Borah, 2006. "A mixed logit model of health care provider choice: analysis of NSS data for rural India," Health Economics, John Wiley & Sons, Ltd., vol. 15(9), pages 915-932, September.
    22. Honaker, James & King, Gary & Blackwell, Matthew, 2011. "Amelia II: A Program for Missing Data," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 45(i07).
    23. Kelvin J. Lancaster, 1966. "A New Approach to Consumer Theory," Journal of Political Economy, University of Chicago Press, vol. 74(2), pages 132-132.
    24. Cross, Jamie & MacGregor, Hayley Nan, 2010. "Knowledge, legitimacy and economic practice in informal markets for medicine: A critical review of research," Social Science & Medicine, Elsevier, vol. 71(9), pages 1593-1600, November.
    25. El Adlouni, Salaheddine & Favre, Anne-Catherine & Bobee, Bernard, 2006. "Comparison of methodologies to assess the convergence of Markov chain Monte Carlo methods," Computational Statistics & Data Analysis, Elsevier, vol. 50(10), pages 2685-2701, June.
    26. Das, Jishnu & Hammer, Jeffrey, 2005. "Which doctor? Combining vignettes and item response to measure clinical competence," Journal of Development Economics, Elsevier, vol. 78(2), pages 348-383, December.
    27. de Bartolome, Charles A. M. & Vosti, Stephen A., 1995. "Choosing between public and private health-care: A case study of malaria treatment in Brazil," Journal of Health Economics, Elsevier, vol. 14(2), pages 191-205, June.
    Full references (including those not matched with items on IDEAS)

    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. ILes, Richard, 2017. "Government Doctor Absenteeism And Its Effects On Consumer Demand In Rural North India," Working Papers 2018-9, School of Economic Sciences, Washington State University, revised 12 2018.
    2. Richard A. Iles, 2019. "Government doctor absenteeism and its effects on consumer demand in rural north India," Health Economics, John Wiley & Sons, Ltd., vol. 28(4), pages 475-491, April.
    3. Haghani, Milad & Bliemer, Michiel C.J. & Hensher, David A., 2021. "The landscape of econometric discrete choice modelling research," Journal of choice modelling, Elsevier, vol. 40(C).
    4. Richard T. Carson & Miko_aj Czajkowski, 2014. "The discrete choice experiment approach to environmental contingent valuation," Chapters, in: Stephane Hess & Andrew Daly (ed.), Handbook of Choice Modelling, chapter 9, pages 202-235, Edward Elgar Publishing.
    5. David Cutler & Angus Deaton & Adriana Lleras-Muney, 2006. "The Determinants of Mortality," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 97-120, Summer.
    6. Dhaliwal, Iqbal & Hanna, Rema, 2017. "The devil is in the details: The successes and limitations of bureaucratic reform in India," Journal of Development Economics, Elsevier, vol. 124(C), pages 1-21.
    7. repec:ehu:biltok:8011 is not listed on IDEAS
    8. Jack, William & Lewis, Maureen, 2009. "Health investments and economic growth : macroeconomic evidence and microeconomic foundations," Policy Research Working Paper Series 4877, The World Bank.
    9. Mariel, Petr & Ayala, Amaya de & Hoyos, David & Abdullah, Sabah, 2013. "Selecting random parameters in discrete choice experiment for environmental valuation: A simulation experiment," Journal of choice modelling, Elsevier, vol. 7(C), pages 44-57.
    10. Keane, Michael P. & Wasi, Nada, 2016. "How to model consumer heterogeneity? Lessons from three case studies on SP and RP data," Research in Economics, Elsevier, vol. 70(2), pages 197-231.
    11. John C. Whitehead & Daniel K. Lew, 2020. "Estimating recreation benefits through joint estimation of revealed and stated preference discrete choice data," Empirical Economics, Springer, vol. 58(4), pages 2009-2029, April.
    12. Dimitropoulos, Alexandros & Rietveld, Piet & van Ommeren, Jos N., 2013. "Consumer valuation of changes in driving range: A meta-analysis," Transportation Research Part A: Policy and Practice, Elsevier, vol. 55(C), pages 27-45.
    13. Alexandros Dimitropoulos & Piet Rietveld & Jos N. van Ommeren, 2011. "Consumer Valuation of Driving Range: A Meta-Analysis," Tinbergen Institute Discussion Papers 11-133/3, Tinbergen Institute.
    14. Das, Jishnu & Hammer, Jeffrey & Sánchez-Paramo, Carolina, 2012. "The impact of recall periods on reported morbidity and health seeking behavior," Journal of Development Economics, Elsevier, vol. 98(1), pages 76-88.
    15. Lehmann, Nico & Sloot, Daniel & Schüle, Christopher & Ardone, Armin & Fichtner, Wolf, 2023. "The motivational drivers behind consumer preferences for regional electricity – Results of a choice experiment in Southern Germany," Energy Economics, Elsevier, vol. 120(C).
    16. Powell-Jackson, Timothy & Mazumdar, Sumit & Mills, Anne, 2015. "Financial incentives in health: New evidence from India's Janani Suraksha Yojana," Journal of Health Economics, Elsevier, vol. 43(C), pages 154-169.
    17. Hensher, David A., 2012. "Accounting for scale heterogeneity within and between pooled data sources," Transportation Research Part A: Policy and Practice, Elsevier, vol. 46(3), pages 480-486.
    18. Lewis, Maureen & Pettersson, Gunilla, 2009. "Governance in health care delivery : raising performance," Policy Research Working Paper Series 5074, The World Bank.
    19. Martine Audibert & Yong He & Jacky Mathonnat, 2013. "Two-Period Comparison of Healthcare Demand with Income Growth and Population Aging in Rural China: Implications for Adjustment of the Healthcare Supply and Development," Working Papers halshs-00846088, HAL.
    20. Schuster, Monica & Vranken, Liesbet & Maertens, Miet, 2017. "You Can(’t) Always Get the Job You Want: Stated versus Revealed Employment Preferences in the Peruvian Agro-industry," Working Papers 254076, Katholieke Universiteit Leuven, Centre for Agricultural and Food Economics.
    21. Axsen, Jonn & Mountain, Dean C. & Jaccard, Mark, 2009. "Combining stated and revealed choice research to simulate the neighbor effect: The case of hybrid-electric vehicles," Resource and Energy Economics, Elsevier, vol. 31(3), pages 221-238, August.

    More about this item

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • C42 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods: Special Topics - - - Survey Methods

    NEP fields

    This paper has been announced in the following NEP Reports:

    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:jmp:jm2013:pil50. 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: RePEc Team (email available below). General contact details of provider: http://ideas.repec.org/jmp.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.