Hefty fee for a healthy life: finding predictors by econometric comparison.

Aim: Bangladesh has made notable progress on many health indicators. However, out-of-pocket (OOP) healthcare costs continue to burden patients and their families as the need for public spending in the health sector grows. This article examines the effects of selected variables on OOP healthcare expe...

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Published in:Journal of Public Health: From Theory to Practice (2198-1833) Vol. 29; no. 4; pp. 957 - 967
Main Authors: Imtiaz, Asif, Johnson, Shanthi, Khan, Noor Muhammad, Hossain, Md. Akram
Format: Article
Published: Springer Nature Aug2021
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Aug2021
      vid: 29
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      pub: Springer Nature
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        151525768
        10.1007/s10389-020-01212-3
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      tig:
        atl: Hefty fee for a healthy life: finding predictors by econometric comparison.
      aug:
        au:
          Imtiaz, Asif
          Johnson, Shanthi
          Khan, Noor Muhammad
          Hossain, Md. Akram
        affil:
          Department of Management Information Systems, University of Dhaka, 1000, Dhaka, Bangladesh
          School of Public Health, University of Alberta, 3-300 Edmonton Clinic Health Academy, 11405 – 87 Ave, T6G 1C9, Edmonton, Alberta, Canada
          Department of Statistics, Mawlana Bhashani Science and Technology University, Santosh, 1902, Tangail, Bangladesh
      su:
        Bangladesh
        Chronic diseases
        Cross-sectional method
        Medical care costs
        Socioeconomic factors
        Regression analysis
        Descriptive statistics
        Questionnaires
        Medical referrals
        Statistical models
      sug:
        subj:
          Chronic diseases
          Cross-sectional method
          Medical care costs
          Socioeconomic factors
          Bangladesh
          Regression analysis
          Descriptive statistics
          Questionnaires
          Medical referrals
          Statistical models
      keyword:
        Consultation time
        Healthcare service provider
        OOP healthcare expenditure
        Patient satisfaction
        Waiting time
        Consultation time
        Healthcare service provider
        OOP healthcare expenditure
        Patient satisfaction
        Waiting time
      ab: Aim: Bangladesh has made notable progress on many health indicators. However, out-of-pocket (OOP) healthcare costs continue to burden patients and their families as the need for public spending in the health sector grows. This article examines the effects of selected variables on OOP healthcare expenditure which have not previously been well researched. Subject and methods: Data from the Bangladesh Household Income and Expenditure Survey (HIES) 2010/2011 (n = 4025) was analyzed. This study applied the double-hurdle model, the Tobit Model, and the truncated regression model to analyze the effects of selected independent variables on OOP healthcare expenditure. Results: The presence of chronic illness, or any symptoms of illness, make people spend more on healthcare. People tend to expend more on those healthcare service providers who provide sufficient consultation time. If the healthcare service provider is chosen because of better treatment quality, people will pay more for the service. The study also showed that the time needed to reach the service provider and the waiting time to be treated by the service provider have a significant positive relationship with OOP healthcare expenditure. Conclusion: The desire for a healthy life motivates people to spend money on healthcare within or beyond their ability. People, in general, want to live healthy throughout their lifetime. Thus, the demand for seeking better healthcare service is inelastic in terms of income and price. These seemingly inevitable and high OOP payments are posing an economic burden for the patients and their families. An optimized payment policy can enhance the welfare of both the patients and the service providers.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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