Access to Health Care Services in Peru and the Equity of its Financing

Authors

Keywords:

Access to health care, Demand for health services, Equity, Health financing, Peru, Health expenditures

Abstract

This study develops a methodology to analize the demand for health services. It is based on dichotomic regressions aimed at determining why consumers prefer certain services and do not demand other. It discusses the possible impact on the number of medical visits of changes in health costs and households income, and focuses on highlighting some criteria regarding the efficiency and fairness of current policies of coverage and finance. The empirical analysis uses information from the National Survey on Health Expenditures (Endesa, 1995), which obtained data on health and demographic variables from a sample of 1,290 households and 6,366 individuals.

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References

Akin, J. S., Griffin, C., Guilkey, D., & Popkin, B. (1984). The demand for primary health services in the Third World. Rowman and Allanheld.

Akin, J., Griffin, C., Guilkey, D., & Popkin, B. (1986). The demand for primary health care services in the Bicol region of the Philippines. Journal of Labour Economics.

Alvarado, B., et al. (1996). Estudio de costos de los servicios de salud [Mimeo]. Centro de Investigación de la Universidad del Pacífico, USAID-PERU.

Bitran, R. A. (1989a, marzo). Health care financing in Latin America and the Caribbean.

Bitran, R. A. (1989b). Household demand for medical care in Santo Domingo, Dominican Republic. World Bank.

Bitran, R. A., & McInnes, D. K. (1993). The demand for health care in Latin America. Lessons from the Dominican Republic and El Salvador. World Bank. https://doi.org/10.1596/0-8213-2341-5

Cauley, S. D. (1987). The time price of medical care. The Review of Economics and Statistics, 69(1). https://doi.org/10.2307/1937901

CEPAL. (1984). Estructura del gasto de consumo de los hogares según finalidad del gasto, por grupos de ingreso (Cuadernos de la CEPAL).

Cortez, R. (1996a, abril). La evolución de las necesidades y la demanda de salud familiar: El caso peruano 1991-1994. Centro de Investigación de la Universidad del Pacífico.

Cortez, R. (1996b, junio). Las necesidades y el estado de la salud familiar: El caso peruano 1991-1994 [Mimeo]. Centro de Investigación de la Universidad del Pacífico.

Cortez, R. (1996c). La demanda de salud infantil en el Perú: Un análisis empírico. In ¿Cómo estamos? Cuanto S.A.

Cortez, R., & Beltrán, A. (1996). Análisis de la demanda por servicios de salud: Perú 1995 [Mimeo]. Centro de Investigación de la Universidad del Pacífico.

Dressler, W. W. (1994). Social status and the health of families: A model. Social Science and Medicine, 39(12). https://doi.org/10.1016/0277-9536(94)90074-4

Gertler, P. (1986, mayo). Demanda de servicios de salud en el Perú (Informe Técnico N.º 2).

Gertler, P., & Van der Gaag, J. (1988). The willingness to pay for medical care. Johns Hopkins University Press.

Gertler, P., Locay, L., & Sanderson, W. (1987). Are user fees regressive? The welfare implications of health care financing proposals in Peru. Journal of Econometrics, 36(1), 67–88. https://doi.org/10.1016/0304-4076(87)90044-3

Gómez, L. (1989). Household demand for health care in El Salvador (Vol. 1). The Resources for Child Health.

Heller, P. (1982). A model of demand for medical and health services in Peninsular Malaysia. Social Science and Medicine, 16(3). https://doi.org/10.1016/0277-9536(82)90337-9

Instituto Cuanto. (1994). ENNIV 1991. Encuesta de niveles de vida.

Instituto Cuanto & UNICEF. (1996). ¿Cómo estamos?

Joseph, A. E., & Cloutier, D. S. (1990). A framework for modelling the consumption of health services by the rural elderly. Social Science and Medicine, 30(1). https://doi.org/10.1016/0277-9536(90)90328-p

Maddala, G. S. (1983). Limited dependent and qualitative variables in econometrics. Cambridge University Press.

Miners, L. A. (1981). The family's demand for health: Evidence from a rural community. Advances in Health Economics and Health Services Research.

Musgrove, P. (1983). Family health care spending in Latin America. Journal of Health Economics, 2. https://doi.org/10.1016/s0167-6296(83)80004-6

Musgrove, P. (1985). Reflexiones sobre la demanda por salud en América Latina. Cuadernos de Economía, 22(66).

Mwabu, G. A. (1984). A model of household choice among medical treatment alternatives in rural Kenya. Boston University.

Mwabu, G. A. (1986). Health care decisions and the household level: Results of rural health survey in Kenya. Social Science and Medicine, 2(3). https://doi.org/10.1016/0277-9536(86)90129-2

Schwartz, J. B., Akin, J. S., & Popkin, B. M. (1985). Price and income elasticities of demand for modern health care: The case of infant delivery in the Philippines. The World Bank Economic Review, 2(1), 49–76.

Van Doorslaer, V., & Geurts, J. (1987). Supplier-induced demand for physiotherapy in the Netherlands. Social Science and Medicine, 24(11). https://doi.org/10.1016/0277-9536(87)90285-1

Wounters, A. V. (1993). Patrones de utilización de la atención de salud en países en desarrollo: Función del medio tecnológico en la derivación de la demanda de atención de salud. Boletín de la Organización Panamericana de la Salud, 115(2).

Published

1996-10-31

How to Cite

Cortez, R. (1996). Access to Health Care Services in Peru and the Equity of its Financing. Economic Analysis Review, 11(2), 155–185. Retrieved from https://www.rae-ear.org/index.php/rae/article/view/162

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