ECONOMIC DETERMINANTS OF CHOICE OF HEALTH CARE SERVICES AND PROVIDERS IN NASARAWA STATE: A CASE STUDY OF NASARAWA STATE UNIVERSITY
Resumo
It is disheartening that in developing countries, people often fall sick and die of diseases that are preventable and treatable. Most of such individuals do not benefit from modern health knowledge and technology which could help restore their health. Some communities do not have access to good and efficient health services; while some other people in communities with health facilities do fail to make appropriate use of them. This study thus explicitly examined the economic determinants of choice of health care services and providers among students in Nigeria, using Nasarawa State University as a case study. Descriptive method of analysis was adopted, while independent sample t-test was utilized to test the stated hypothesis. Findings from the study revealed that the level of income has a significant effect on choice of healthcare service provider and the Individuals who have sufficient incomes preferred to use modern health care facility irrespective of where it is located and provided they can afford them. In addition, the finding revealed that price of medical care has a significant influence in the choice of healthcare service providers. The distance to health facility was revealed to have had a significant impact on choice of healthcare service provider. It demonstrated that distance to health facility is an important factor associated with decrease in seeking of health care services. The study thus recommends that there is the need for government to subsidize cost of health care services particularly for the students and indigent citizens. In citing health care service, federal and state medical boards should also put into consideration the students. This is to enable them access health care services in the face of the rising income constraint by this group of people.
Referências
Acton, J.P, (2015). Non-Monetary Factors in the Demand for Medical Services: Some Empirical Evidence. Journal of Political Economy, 83:595-614.
Akin ,J.S. Griffin C.C; and Guilkey,D.K(2015).“The demand for primary health services in the third world”,New York Rowman and Allan head publishers.
Akin, J, Griffin, C, Guilky, B.M, Popkin, BM (1986). The demand for primary care in the Bicol region of the Philippines. Economic Development and Cultural Change, 34(4): 755-782.
Asuzu M.C, (2014); The necessity for a health systems reform in Nigeria (commentary). Journal of Community Medicine & Primary Health Care.; 16 (1): 1-3.
Arhin-Tenkorang D. (2000). “Mobilizing Resources for Health: The Case for User Fees Revisited”, CMH Working Paper Series.
Bir A, Eggleston K (2012). Public/Private Corporation: Theory and Evidence on the Quality Impact of Dual Provision in Indonesia. Boston Massachusetts: Harvard Medical School, Department of HealthcarePolicy.
Bornstein BH, Marcus D, Cassidy W(2000); Choosing a doctor: an exploratory study of factors influencing patients' choice of a primary care doctor. J EvalClinPract., 2000; 6:255-262.
Chawla M, Ellis R 2010. The impact of financing and quality changes on health care demand in Niger. Health Care Policy and Planning, 15(1): 76 – 84
Cueto M(2014). The Origins of Primary Health Care and Selective primary health care. Am J Public Health. 2014; 94 (11): 1864-1874.
Dijs-Elsinga J, Otten W, Versluijs M, Smeets H, Kievit J, Vree R et al.(2010); Choosing a hospital for surgery: the importance of information on quality of care. Med Decis Making,30:544.
Galama, T. (2011).”A Contribution to Health Capital Theory “ Working P a p er, Rand Labor and Population.
Grossman. (1972). “On the Concept of Health Capital and the Demand for Health.” Journal of Political Economy, 80:223-55.
Gupta, and P. Dasgupta (2012). “Demand for Curative Health Care in Rural India: Choosing between Private, Public and No Care”, Indian National Council of Applied Economic Research, Working Paper Series No. 82
Howell E, Gardiner B, ConcatoJ(2002); Do women prefer female obstetricians? Obstetrics & Gynecology; 99:1031-1035.
Kabene SM, Orchard C, Howard JM, Soriano MA, Leduc R(2006); The importance of human resources management in health care: a global context. Human Resources for Health, 4:20.
King M (Ed.) (1973). Medical Care in Developing Countries. London: Oxford University Press.
Kolstad JT, ChernewME(2009); Quality and consumer decision making in the market for health insurance and health care services. Med Care Res Rev., 66:28S-52S.
Lavy V, Quigley JM (1995). Willingness to pay for the quality and intensity of medical care: Low income household in Ghana. Living Standards Measurement Study Paper, No 94, Washington D.C.: World Bank
Lavy, Jean–Marc,(1994). Quality and cost in health care choice in developing countries. Living Standards Measurement Study Paper, No. 105. Washington D.C: World Bank.
Litvack, JI, Bodart C (1993). User fees plus quality equals improved access to health care: Results of a field experiment in Cameroon. Social Science and Medicine, 37: 369 – 383.
Lux MP, Fasching PA, Schrauder M, LohbergC, Thiel F, Bani MR (2011). The era of centers:the influence of establishing specialized centers on patients' choice of hospital. Arch GynecolObstet.,, 283:559-568.
Mariko M (2013). Quality of care and the demand for health services in Bamako, Mali, the specific role of structure, and outcome components. Social Scienceand Medicine, 56(6): 118 1196.
Mwabu GM, Ainsworth M, Nyamete A (1994). Quality of medical care and choice of medical treatment in Kenya; An empirical analysis. Journal of Human Resources, 28(4): 838 – 862.
Nguyen T, Lofgren c, Lindholm L, Thi Kim Cluc N (2008). Choice of Healthcare Provider Following Reform in Vietnam, BMC Health Service Research. From
Ntembe AN (2009). User charges and health care provider choice in Cameroon. International Review of Business Research Papers, 5(6): 33 – 49
Orr D, Sidiki SS, McGhee CN(1998); Factors that influence patient choice of an excimer laser treatment center. J Cataract Refract Surg., 24:335- 340.
Tai W, Porell F, Adams E(2004); Hospital choice of rural Medicare beneficiaries: patient, hospital attributes, and the patient-physician relationship. BMC Health Serv Res., 2004; 39:1903 1922.
Van Etten G (1972). Towards research on health development in Tanzania.
Social Science Medicine, 6: 342 – 343.
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