RESUMO
This article describes a discrete choice model for the demand for médical care, derived from a theoretical model that implies a natural interrelationship between price and income. The model is based on data from a 1984 household survey in Perú. In the context of the model, if health is a normal food, then the price elasticity of the demand for health care should decline as income increases. Unlike previous studies, the authors found that price plays a significant role in the demand for health care, and that demand becomes more elasticincome falls. This implies that user fees would refuce access to health care for the poor proportionaly more than for the rich. Possible frameworks were simuled for the impact of two different levels of fees on health care and welfare; it was shown that although user fees can generate substantial revenues for the health services, they would also produce a significant reduction in aggregate consumer welfare, to the detriment of the poor. Utilizing the frameworks, two specific cases were studied: in the first, persons in the bottom quintile of income were exempted from a fee increase, and in the second, the income generated by such an increase was used to construct more clinics and public hospitals. It was observed that when private physicians raised their prices proportionately to the increase, the frequency of visits of persons in the bottom quintile dropped
Assuntos
Honorários Médicos , Atenção à Saúde/economia , Serviços de Saúde/economia , Financiamento Governamental/tendências , Necessidades e Demandas de Serviços de Saúde/economia , Peru , Fatores SocioeconômicosRESUMO
La presente publicación explora el estudio sobre localización geográfica e institucional de los recursos humanos del sector salud, así como la mayoría de las variables contenidas en un archivo, tomado de la información del Censo Nacional de 1981 para los casos de médicos, químico-farmacéuticos, enfermeros y para médicos(AU)
Assuntos
Pessoal de Saúde , Diagnóstico da Situação de Saúde , PeruRESUMO
El presente informe se refiere a la demanda por servicios de salud en dos regiones del Perú en 1084; la ciudad de Lima, incluyendo los pueblos jóvenes y la sierra urbana, La sección 2 se refiere a los conceptos de necesidad y demanda por servicios de salud, en la sección 3 se trata acerca del trabajo empírico realizado aaaaaaaanteriormente respecto de la demanda de estos servicios en países en desarrollo. En la sección 4, se describe el modelo empleado para analizar los resultados de la Encuesta Nacional de Nutrición y Salud (ENNSA). Los resultados de la estimación aparecen en la sección 5. En la sección 6 se utiliza el modelo estimado para una serie de simulaciones a fin de examinar posibles preguntas relativas a políticas de salud(AU)
Assuntos
Serviços de Saúde , Necessidades e Demandas de Serviços de Saúde , Acessibilidade aos Serviços de Saúde , PeruRESUMO
El presente informe se refiere a la demanda por servicios de salud en dos regiones del Perú en 1084; la ciudad de Lima, incluyendo los pueblos jóvenes y la sierra urbana, La sección 2 se refiere a los conceptos de necesidad y demanda por servicios de salud, en la sección 3 se trata acerca del trabajo empírico realizado aaaaaaaanteriormente respecto de la demanda de estos servicios en países en desarrollo. En la sección 4, se describe el modelo empleado para analizar los resultados de la Encuesta Nacional de Nutrición y Salud (ENNSA). Los resultados de la estimación aparecen en la sección 5. En la sección 6 se utiliza el modelo estimado para una serie de simulaciones a fin de examinar posibles preguntas relativas a políticas de salud
Assuntos
Acessibilidade aos Serviços de Saúde , Necessidades e Demandas de Serviços de Saúde , Serviços de Saúde , PeruRESUMO
La presente publicación explora el estudio sobre localización geográfica e institucional de los recursos humanos del sector salud, así como la mayoría de las variables contenidas en un archivo, tomado de la información del Censo Nacional de 1981 para los casos de médicos, químico-farmacéuticos, enfermeros y para médicos
Assuntos
Diagnóstico da Situação de Saúde , Pessoal de Saúde , PeruRESUMO
This report has been prepared with the financial support of US Agency for International Development (USAID)
Assuntos
Distribuição de Médicos , Ocupações em Saúde , PeruRESUMO
This article describes a discrete choice model for the demand for medical care, derived from a theoretical model that implies a natural interrelationship between price and income. The model is based on data from a 1984 household survey in Peru. In the context of the model, if health is a normal food, then the price elasticity of the demand for health care should decline as income increases. Unlike previous studies, the authors found that price plays a significant role in the demand for health care, and that demand becomes more elasticincome falls. This implies that user fees would refuce access to health care for the poor proportionaly more than for the rich. Possible frameworks were simuled for the impact of two different levels of fees on health care and welfare; it was shown that although user fees can generate substantial revenues for the health services, they would also produce a significant reduction in aggregate consumer welfare, to the detriment of the poor. Utilizing the frameworks, two specific cases were studied: in the first, persons in the bottom quintile of income were exempted from a fee increase, and in the second, the income generated by such an increase was used to construct more clinics and public hospitals. It was observed that when private physicians raised their prices proportionately to the increase, the frequency of visits of persons in the bottom quintile dropped
