IDEAS home Printed from https://ideas.repec.org/p/pra/mprapa/65203.html
   My bibliography  Save this paper

Partial mean and inequality effects on catastrophic health payments: methods with application to Malawi

Author

Listed:
  • Mussa, Richard

Abstract

This paper develops distribution-sensitive partial mean effects of determinants of out-of-pocket (OOP) catastrophic health payments. It also proposes methods that can be used to measure how changes in the distribution of the correlates of catastrophic health payments affect the incidence of catastrophic health payments; an inequality effect. The proposed methods are then applied to Malawian data from the Third Integrated Household Survey. The empirical application shows that a failure to account for these inequalities in the correlates, at least normatively, leads to a mismeasurement of the magnitudes of their partial effects. The results also indicate that the signs of the combined effects of a ceteris paribus unit increase in the mean and inequality effects are mixed; for some variables the inequality effect dominates the mean effect while for other variables a reverse pattern is observed.

Suggested Citation

  • Mussa, Richard, 2015. "Partial mean and inequality effects on catastrophic health payments: methods with application to Malawi," MPRA Paper 65203, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:65203
    as

    Download full text from publisher

    File URL: https://mpra.ub.uni-muenchen.de/65203/1/MPRA_paper_65203.pdf
    File Function: original version
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Rama Pal, 2012. "Measuring incidence of catastrophic out-of-pocket health expenditure: with application to India," International Journal of Health Economics and Management, Springer, vol. 12(1), pages 63-85, March.
    2. Eddy van Doorslaer & Xander Koolman, 2004. "Explaining the differences in income‐related health inequalities across European countries," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 609-628, July.
    3. Owen O'Donnell & Eddy van Doorslaer & Adam Wagstaff & Magnus Lindelow, 2008. "Analyzing Health Equity Using Household Survey Data : A Guide to Techniques and Their Implementation," World Bank Publications - Books, The World Bank Group, number 6896.
    4. Robert Sparrow & Ellen Van de Poel & Gracia Hadiwidjaja & Athia Yumna & Nila Warda & Asep Suryahadi, 2014. "Coping With The Economic Consequences Of Ill Health In Indonesia," Health Economics, John Wiley & Sons, Ltd., vol. 23(6), pages 719-728, June.
    5. Wagstaff, Adam & van Doorslaer, Eddy & Watanabe, Naoko, 2003. "On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam," Journal of Econometrics, Elsevier, vol. 112(1), pages 207-223, January.
    6. Adam Wagstaff & Eddy van Doorslaer, 2003. "Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993–1998," Health Economics, John Wiley & Sons, Ltd., vol. 12(11), pages 921-933, November.
    7. World Bank, 2013. "Malawi Public Expenditure Review," World Bank Publications - Reports 20586, The World Bank Group.
    8. Menno Pradhan & Nicholas Prescott, 2002. "Social risk management options for medical care in Indonesia," Health Economics, John Wiley & Sons, Ltd., vol. 11(5), pages 431-446, July.
    9. Alexander J. Cowell, 2006. "The relationship between education and health behavior: some empirical evidence," Health Economics, John Wiley & Sons, Ltd., vol. 15(2), pages 125-146, February.
    10. Michael Grossman, 1999. "The Human Capital Model of the Demand for Health," NBER Working Papers 7078, National Bureau of Economic Research, Inc.
    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. Mussa, Richard, 2015. "Catastrophic health payments in Malawi: analysis of determinants using a zero-inflated beta regression," MPRA Paper 65201, University Library of Munich, Germany.
    2. Richard Mussa, 2016. "Exit from catastrophic health payments: a method and an application to Malawi," International Journal of Health Economics and Management, Springer, vol. 16(2), pages 163-174, June.
    3. Eddy van Doorslaer & Owen O'Donnell, 2008. "Measurement and Explanation of Inequality in Health and Health Care in Low-Income Settings," WIDER Working Paper Series DP2008-04, World Institute for Development Economic Research (UNU-WIDER).
    4. Ligane Séne & Momath Cissé, 2015. "Catastrophic out-of-pocket payments for health and poverty nexus: evidence from Senegal," International Journal of Health Economics and Management, Springer, vol. 15(3), pages 307-328, September.
    5. Mohammad Abu-Zaineh & Habiba Romdhane & Bruno Ventelou & Jean-Paul Moatti & Arfa Chokri, 2013. "Appraising financial protection in health: the case of Tunisia," International Journal of Health Economics and Management, Springer, vol. 13(1), pages 73-93, March.
    6. Sowmya Dhanaraj, 2014. "Health Shocks and Coping Strategies: State Health Insurance Scheme of Andhra Pradesh, India," WIDER Working Paper Series wp-2014-003, World Institute for Development Economic Research (UNU-WIDER).
    7. Tomson Ogwang & Germano Mwabu, 2024. "Adaptation of the Foster‐Greer‐Thorbecke poverty measures for the measurement of catastrophic health expenditures," Health Economics, John Wiley & Sons, Ltd., vol. 33(10), pages 2419-2436, October.
    8. Rama Pal, 2012. "Measuring incidence of catastrophic out-of-pocket health expenditure: with application to India," International Journal of Health Economics and Management, Springer, vol. 12(1), pages 63-85, March.
    9. Indrani Gupta, 2015. "Financing for Health Coverage in India: Issues and Concerns," Working Papers id:7008, eSocialSciences.
    10. Owen O’Donnell & Eddy van Doorslaer & Adam Wagstaff, 2012. "Decomposition of Inequalities in Health and Health Care," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, Second Edition, chapter 17, Edward Elgar Publishing.
    11. Rama Pal, 2010. "Analysing Catastrophic OOP Health Expenditure in India: Concepts, Determinants and Policy Implications," Working Papers id:2420, eSocialSciences.
    12. Veruska Oppedisano & Gilberto Turati, 2010. "What are the causes of educational inequalities and of their evolution over time in Europe? Evidence from PISA," Working Papers XREAP2010-16, Xarxa de Referència en Economia Aplicada (XREAP), revised Dec 2010.
    13. McGovern, Mark E., 2014. "Comparing the relationship between stature and later life health in six low and middle income countries," The Journal of the Economics of Ageing, Elsevier, vol. 4(C), pages 128-148.
    14. Owen (O.A.) O'Donnell, 2019. "Financial Protection Against Medical Expense," Tinbergen Institute Discussion Papers 19-010/V, Tinbergen Institute.
    15. Azam, Mehtabul, 2018. "Does Social Health Insurance Reduce Financial Burden? Panel Data Evidence from India," World Development, Elsevier, vol. 102(C), pages 1-17.
    16. Ligane Massamba Séne & Ousmane Badiane, 2016. "Out-of-pocket health payments: a catalyst for agriculturalproductivity growth, but with potentially impoverishingeffects in Senegal," Review of Agricultural, Food and Environmental Studies, INRA Department of Economics, vol. 97(1), pages 29-49.
    17. John E. Ataguba, 2022. "A short note revisiting the concentration index: Does the normalization of the concentration index matter?," Health Economics, John Wiley & Sons, Ltd., vol. 31(7), pages 1506-1512, July.
    18. Niko Speybroeck & Peter Konings & John Lynch & Sam Harper & Dirk Berkvens & Vincent Lorant & Andrea Geckova & Ahmad Hosseinpoor, 2010. "Decomposing socioeconomic health inequalities," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(4), pages 347-351, August.
    19. M.D. Azharuddin Akhtar & Nadeem Ahmad & Indrani Roy Chowdhury, 2020. "Measuring Socio-Economic Inequality in Self-Reported Morbidity in India: Decomposition Analysis," Review of Development and Change, , vol. 25(1), pages 89-111, June.
    20. Mussa, Richard, 2017. "Poverty in Malawi: Policy Analysis with Distributional Changes," MPRA Paper 75980, University Library of Munich, Germany.

    More about this item

    Keywords

    Mean effect; inequality effect; Malawi;
    All these keywords.

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

    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:pra:mprapa:65203. 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: Joachim Winter (email available below). General contact details of provider: https://edirc.repec.org/data/vfmunde.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.