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Measuring Income Elasticity of Healthcare-Seeking Behavior in India: A Conditional Quantile Regression Approach
Journal of Quantitative Economics Pub Date : 2021-07-30 , DOI: 10.1007/s40953-021-00245-z
Jay Dev Dubey 1
Affiliation  

The paper evaluates the differential effect of income on healthcare payments according to the extent of need by estimating the income elasticity of out-of-pocket (OOP) expenditure using the conditional quantile regression (CQR) method in the Indian context. The study uses two recent NSSO waves of household health expenditure surveys. The estimates of elasticity prove that health expenditure is a necessity for households in both waves. However, strengthening income causes the CQR estimates to yield income elasticity of a lower magnitude during the second wave. The results indicate that in times of severe health crisis needing expensive treatments, any income increase would cause a higher allocation in curative expenditure than minor healthcare needs, leading to catastrophic consequences to the economically underprivileged and many among them to impoverish. Ailment episodes needing costly treatments are income inelastic than less expensive treatments when insurance is accessible, showing that risk pooling schemes protect households against economic distortion of heavy healthcare payments. Seeking private-provided treatment is associated with a higher magnitude of income elasticity at the lower expenditure level, revealing that commercial health institutions are preferred for financially low-cost healthcare needs. In contrast, non-communicable ailment generates lower elasticity value for similar requirements, unveiling the desire to procrastinate the treatment.



中文翻译:

衡量印度寻求医疗保健行为的收入弹性:条件分位数回归方法

本文通过在印度背景下使用条件分位数回归 (CQR) 方法估计自付费用 (OOP) 支出的收入弹性,根据需求程度评估收入对医疗保健支付的不同影响。该研究使用了最近两次 NSSO 家庭健康支出调查。弹性估计证明,卫生支出是两波家庭的必需品。然而,收入增加导致 CQR 估计在第二波期间产生较低幅度的收入弹性。结果表明,在需要昂贵治疗的严重健康危机时期,与次要的医疗保健需求相比,任何收入的增加都会导致治疗性支出的分配更高,给经济上的弱势群体带来灾难性的后果,其中许多人陷入贫困。当可以获得保险时,需要昂贵治疗的疾病与较便宜的治疗相比收入缺乏弹性,这表明风险分担计划可以保护家庭免受巨额医疗费用的经济扭曲。寻求私人提供的治疗与较低支出水平下较高的收入弹性相关,这表明商业医疗机构更适合满足经济上低成本的医疗需求。相比之下,非传染性疾病对类似要求产生较低的弹性值,揭示了拖延治疗的愿望。表明风险分担计划保护家庭免受巨额医疗保健支付的经济扭曲。寻求私人提供的治疗与较低支出水平下较高的收入弹性相关,这表明商业医疗机构更适合满足经济上低成本的医疗需求。相比之下,非传染性疾病对类似要求产生较低的弹性值,揭示了拖延治疗的愿望。表明风险分担计划保护家庭免受巨额医疗保健支付的经济扭曲。寻求私人提供的治疗与较低支出水平下较高的收入弹性相关,这表明商业医疗机构更适合满足经济上低成本的医疗需求。相比之下,非传染性疾病对类似要求产生较低的弹性值,揭示了拖延治疗的愿望。

更新日期:2021-07-30
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