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Demand for health care and utility maximization model

Year 2019, Volume: 44 Issue: 4, 1484 - 1494, 29.12.2019
https://doi.org/10.17826/cumj.553276

Abstract

Health, the center of social welfare is also an important element of economic and social development. As social welfare will be possible with healthy individuals, health services should be provided to all individuals in the society within the framework of the principle of efficiency and equality. Therefore, effective delivery of health services brings about an efficient functioning health sector as well as improving the health level of the individual and society. At this stage, it is necessary to deal with the supply and demand elements, which are effective tools in the examination of the sector, and to plan health services and resources, to organize the system and to formulate the policies according to the results obtained by working regionally and nationwide in this direction. However, in order to carry out investigations in the health sector, the factors affecting the demand should be identified and put forward. Therefore, in order to achieve maximum improvement in the field of health in terms of individual and society, it is important to conduct analysis for the demand for health care services. In this study, first of all, the demand for health care services is explained conceptually, then the models developed for demand are discussed and the utility maximization model developed in this direction is discussed. The aim of this study is to explain the demand for health care services and the model of utility maximization from the models developed in this direction and to help the studies on this subject by examining the literature about the model.

References

  • 1. World Health Organization (WHO). Basic Documents. 40th Edition, Geneva, 1994. http://apps.who.int/gb/bd/pdf/bd48/basic-documents-48th-edition-en.pdf (erişim: Nisan 2019)
  • 2. Bilgili E, E. Ecevit. Sağlık Hizmetleri Piyasasında Asimetrik Bilgiye Bağlı Problemler ve Çözüm Önerileri. Hacettepe Sağlık İdaresi Dergisi, 2008;11(2):202-228.
  • 3. Sayım F. Sağlık Piyasası ve Etik. MKM Yayıncılık, Bursa, 2011.
  • 4. Kılıç D, Çalışkan Z. Sağlık Hizmetleri Kullanımı ve Davranışsal Model. Nevşehir Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2013; 2: 192-206.
  • 5. Fuchs VR. Essays in The Economics of Health and Medical Care. NBER Books. 1972.
  • 6. Ünsal E. Mikro İktisat. Dokuzuncu Baskı, İmaj Yayınevi, Ankara, 2012.
  • 7. Çelik Y. Sağlık Ekonomisi, Siyasal Kitabevi, İkinci Baskı, Ankara, 2013.
  • 8. Mutlu A, A.Kadir I. Sağlık Ekonomisine Giriş. Üçüncü Baskı, Ekin Basım Yayın, Bursa, 2012.
  • 9. Mooney GH. Economics, Medicine and Health Care. Pearson Education, England, 2003.
  • 10. Morris S, Devlin N, Parkin D, Anne S. Economic Analysis in Health Care. Second Edition, John Wiley & Sons, Ltd, United Kingdom, 2012.
  • 11. Grossman M. Demand and Reimbursement for Medical Services. In: Handbook Of Health Economics=348-405, Volume 1A (Eds: Anthony J. Culyer, Joseph P. Newhouse). Elsevier Science B.V, The Netherlands, 2000.
  • 12. Jack W. Principles of health economics for developing countries. World Bank Publications, 1999.
  • 13. Sarma SK. Demand for outpatient health care in rural India: A Nested Multinomial Logit Approach. University of Manitoba, 2003.
  • 14. Grossman M. On the concept of health capital and the demand for health. Journal of Political Economy.1972;80(2): 223-255.
  • 15. Phelps C. Health Economics. Harper Collins Publishers, New York, 1992.
  • 16. Feldstein Paul J. Research on the demand for health services. The Milbank Memorial Fund Quarterly. 1966;44.3:128-165.
  • 17. Adhikari SR. A Methodological review of demand analysis: An example of health care services. Economic Journal of Development Issues. 2011; 1- 2(13-14):119-130.
  • 18. Phelps C. Health Economics. Fourth Edition, Pearson, USA, 2010.
  • 19. Acton JP. Nonmonetary factors in the demand for medical services: some empirical evidence. Journal of Political Economy.1975; 83(3): 595-614.
  • 20. Christianson JB. Evaluating locations for outpatient medical care facilities. Land Economics. 1976; 52(3): 299-313.
  • 21. Mwabu G, Ainsworth, M, Nyamete A. Quality Of Medical Care And Choice Of Medical Treatment İn Kenya: An Empirical Analysis. Journal of Human Resources. 1993:838-862.
  • 22. Kalin Y. Access to and Utilization of Health Services in Rural Bangladesh A Gender Perspective (Masters’s Thesis). Lund University, School of Economics and Management, Sweden, 2011.
  • 23. Ssewanyana S, Nabyonga OJ, Kasirye İ, Lawson D. Demand for health care services in Uganda implications for poverty reduction. Economic Policy Research Centre, 2006.
  • 24. Gertler P, Locay L, Sanderson W. Are user fees regressive?: The welfare implications of health care financing proposals in Peru. Journal of Econometrics.1987;36(1-2): 67-88.
  • 25. Bautista MCG. Markets in health care: an analysis of demand, supply and the market structure of health care in the Philippines (Doctoral dissertation). London School of Hygiene & Tropical Medicine, 1995.
  • 26. Acton JP. Demand for health care among the urban poor, with special emphasis on the role of time. In The Role Of Health İnsurance İn The Health Services Sector.1976:163-214.NBER.
  • 27. Heller PS. A model of the demand for medical and health services in Peninsular Malaysia. Social Science & Medicine. 1982;16(3): 267-284.
  • 28. Akin JS, Guilkey DK, Hazel E. Quality of services and demand for health care in Nigeria: a multinomial probit estimation. Social Science & Medicine. 1995;40(11): 1527-1537.
  • 29. Akin JS, Guilkey DK, Hutchinson PL, McIntosh MT. Price elasticities of demand for curative health care with control for sample selectivity on endogenous illness: an analysis for Sri Lanka. Health Economics. 1998;7(6): 509-531.
  • 30. Glick P, Razafindravonona J, Randretsa I. Education and health services in Madagascar: utilization patterns and demand determinants, Cornell University, 2000.
  • 31. Sahn DE, Younger SD, Genicot G. The demand for health care services in rural Tanzania. Oxford Bulletin of Economics and Statistics. 2003;65(2):241- 260.
  • 32. Muriithi MK. The determinants of health-seeking behavior in a Nairobi Slum: The Role Of Qualıty And Informatıon. European Scientific Journal. 2013; 9(8).
  • 33. Gupta I, Dasgupta P. Demand for Curative Health Care in Rural India: Choosing between Private, Public and No care. National Council of Applied Economic Research Working Papers, New Delhi January 2002.
  • 34. Ellis RP, Mwabu GM. The demand for outpatient medical care in rural Kenya. Institute for Economic Development, Boston University, 2004.
  • 35. Sarma S. Demand for outpatient healthcare. Applied health economics and health policy. 2009;7(4): 265-277.
  • 36. Hidayat B. Are there differences between unconditional and conditional demand estimates? implications for future research and policy. Cost Effectiveness and Resource Allocation. 2008;6(1):15.
  • 37. Akin JS, Griffin CC, Guilkey DK, Popkin BM. The demand for primary health care services in the Bicol region of the Philippines. Economic Development and Cultural Change. 1986;34(4): 755-782.
  • 38. Cisse A. Analysis of health care utilization in Côte d'Ivoire. AERC Research Paper 201, October 2011.
  • 39. Qian D, Pong RW, Yin A, Nagarajan KV, Meng Q. Determinants of health care demand in poor, rural China: the case of Gansu Province. Health Policy and Planning.2009;24(5):324-334.
  • 40. Asfaw A. How poverty affects the health status and the healthcare demand behavior of households: The case of rural Ethiopia. In International conference on staying poor: Chronic poverty and development policy, Manchester, 2003, p.7-9.
  • 41. Mariko M. Quality of care and the demand for health services in Bamako, Mali: the specific roles of structural, process, and outcome components. Social Science & Medicine. 2003;56(6):1183-1196.
  • 42. Bitran R. Household demand for medical care in Santo Domingo Dominican Republic. State University of New York at Stony Brook, Group Health Association of America (GHAA), International Resources Group, Ltd. (IRG), Research Report No. 9, Stony Brook, NY, March, 1989.
  • 43. Amaghionyeodiwe LA. Determinants of the choice of health care provider in Nigeria. Health Care Management Science. 2008;11(3): 215-227.
  • 44. Mocan HN, Tekin E, Zax JS. The demand for medical care in urban China. World Development. 2004;32(2):289-304.
  • 45. Ichoku EH, Leibbrandt M. Demand for healthcare services in Nigeria: A multivariate nested logit model. African Development Review. 2003;15(2‐3):396- 424.
  • 46. Özkoç H. Hastaların sağlık kurumu tercihlerini etkileyen faktörlerin belirlenmesi: uygunluk analizi ve nested logit model. Dokuz Eylül Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2013;15(2):267-280.
  • 47. Yaylalı M, Kaynak S, Karaca Z. Saglık Hizmetleri Talebi: Erzurum İlinde Bir Araştırma/Health Services Demand: A Study in Erzurum. Ege Akademik Bakis. 2012;12(4):563.
  • 48. Saraçoğlu S, Fahriye Ö. Sağlık Hizmetlerine Yönelik Talebin Belirleyicileri: Türkiye Üzerine Bir Uygulama. İş ve Hayat. 2017;2(4): 293-342.
  • 49. Öztürk Yaprak Z. Kayseri İlinde Sağlık Hizmetleri Talebinin Belirleyicileri: Nested Multinominal Logit Model Analizi (Doktora Tezi). Erciyes Üniversitesi Sosyal Bilimler Enstitüsü, Kayseri, 2018.

Sağlık hizmetleri talebi ve fayda maksimizasyonu modeli

Year 2019, Volume: 44 Issue: 4, 1484 - 1494, 29.12.2019
https://doi.org/10.17826/cumj.553276

Abstract

Sağlık, toplumsal refahın merkezi ayrıca ekonomik ve sosyal gelişmenin önemli bir unsurudur. Toplumsal refah ise sağlıklı bireylerle mümkün olacağından sağlık hizmetleri toplumdaki tüm bireylere etkinlik ve eşitlik ilkesi çerçevesinde sağlanmalıdır. Dolayısıyla sağlık hizmetlerinin etkin sunumu bireyin ve toplumun sağlık düzeyinin iyileştirilmesinin yanında verimli işleyen bir sağlık sektörünü de beraberinde getirmektedir. Bu aşamada sektörün incelenmesinde etkili araçlardan olan arz ve talep unsurlarının ele alınması ve bu yönde bölgesel ve ülke çapında çalışmalar yaparak elde edilen sonuçlara göre sağlık hizmetlerinin ve kaynaklarının planlanması, sistemin düzenlenmesi, politikaların biçimlendirilmesi gerekmektedir. Ancak sağlık sektöründe incelemelerin yapılabilmesi için öncelikle talebi etkileyen faktörlerin belirlenmesi ve ortaya koyulması gerekmektedir. Dolayısıyla sağlık alanında birey ve toplum bazında maksimum iyileşme sağlayabilmek için sağlık hizmetleri talebine yönelik analizin yapılması önem arz etmektedir. Bu çalışmada öncelikle sağlık hizmetleri talebi kavramsal olarak açıklanmış daha sonra talebe yönelik geliştirilen modellerden bahsedilerek bu yönde geliştirilen fayda maksimizasyonu modeli ele alınmıştır. Bu çalışmanın amacı sağlık hizmetleri talebini ve bu yönde geliştirilen modellerden fayda maksimizasyonu modelini açıklamak ve modele yönelik literatürü inceleyerek bu konudaki çalışmalara yardımcı olmaktır.

References

  • 1. World Health Organization (WHO). Basic Documents. 40th Edition, Geneva, 1994. http://apps.who.int/gb/bd/pdf/bd48/basic-documents-48th-edition-en.pdf (erişim: Nisan 2019)
  • 2. Bilgili E, E. Ecevit. Sağlık Hizmetleri Piyasasında Asimetrik Bilgiye Bağlı Problemler ve Çözüm Önerileri. Hacettepe Sağlık İdaresi Dergisi, 2008;11(2):202-228.
  • 3. Sayım F. Sağlık Piyasası ve Etik. MKM Yayıncılık, Bursa, 2011.
  • 4. Kılıç D, Çalışkan Z. Sağlık Hizmetleri Kullanımı ve Davranışsal Model. Nevşehir Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2013; 2: 192-206.
  • 5. Fuchs VR. Essays in The Economics of Health and Medical Care. NBER Books. 1972.
  • 6. Ünsal E. Mikro İktisat. Dokuzuncu Baskı, İmaj Yayınevi, Ankara, 2012.
  • 7. Çelik Y. Sağlık Ekonomisi, Siyasal Kitabevi, İkinci Baskı, Ankara, 2013.
  • 8. Mutlu A, A.Kadir I. Sağlık Ekonomisine Giriş. Üçüncü Baskı, Ekin Basım Yayın, Bursa, 2012.
  • 9. Mooney GH. Economics, Medicine and Health Care. Pearson Education, England, 2003.
  • 10. Morris S, Devlin N, Parkin D, Anne S. Economic Analysis in Health Care. Second Edition, John Wiley & Sons, Ltd, United Kingdom, 2012.
  • 11. Grossman M. Demand and Reimbursement for Medical Services. In: Handbook Of Health Economics=348-405, Volume 1A (Eds: Anthony J. Culyer, Joseph P. Newhouse). Elsevier Science B.V, The Netherlands, 2000.
  • 12. Jack W. Principles of health economics for developing countries. World Bank Publications, 1999.
  • 13. Sarma SK. Demand for outpatient health care in rural India: A Nested Multinomial Logit Approach. University of Manitoba, 2003.
  • 14. Grossman M. On the concept of health capital and the demand for health. Journal of Political Economy.1972;80(2): 223-255.
  • 15. Phelps C. Health Economics. Harper Collins Publishers, New York, 1992.
  • 16. Feldstein Paul J. Research on the demand for health services. The Milbank Memorial Fund Quarterly. 1966;44.3:128-165.
  • 17. Adhikari SR. A Methodological review of demand analysis: An example of health care services. Economic Journal of Development Issues. 2011; 1- 2(13-14):119-130.
  • 18. Phelps C. Health Economics. Fourth Edition, Pearson, USA, 2010.
  • 19. Acton JP. Nonmonetary factors in the demand for medical services: some empirical evidence. Journal of Political Economy.1975; 83(3): 595-614.
  • 20. Christianson JB. Evaluating locations for outpatient medical care facilities. Land Economics. 1976; 52(3): 299-313.
  • 21. Mwabu G, Ainsworth, M, Nyamete A. Quality Of Medical Care And Choice Of Medical Treatment İn Kenya: An Empirical Analysis. Journal of Human Resources. 1993:838-862.
  • 22. Kalin Y. Access to and Utilization of Health Services in Rural Bangladesh A Gender Perspective (Masters’s Thesis). Lund University, School of Economics and Management, Sweden, 2011.
  • 23. Ssewanyana S, Nabyonga OJ, Kasirye İ, Lawson D. Demand for health care services in Uganda implications for poverty reduction. Economic Policy Research Centre, 2006.
  • 24. Gertler P, Locay L, Sanderson W. Are user fees regressive?: The welfare implications of health care financing proposals in Peru. Journal of Econometrics.1987;36(1-2): 67-88.
  • 25. Bautista MCG. Markets in health care: an analysis of demand, supply and the market structure of health care in the Philippines (Doctoral dissertation). London School of Hygiene & Tropical Medicine, 1995.
  • 26. Acton JP. Demand for health care among the urban poor, with special emphasis on the role of time. In The Role Of Health İnsurance İn The Health Services Sector.1976:163-214.NBER.
  • 27. Heller PS. A model of the demand for medical and health services in Peninsular Malaysia. Social Science & Medicine. 1982;16(3): 267-284.
  • 28. Akin JS, Guilkey DK, Hazel E. Quality of services and demand for health care in Nigeria: a multinomial probit estimation. Social Science & Medicine. 1995;40(11): 1527-1537.
  • 29. Akin JS, Guilkey DK, Hutchinson PL, McIntosh MT. Price elasticities of demand for curative health care with control for sample selectivity on endogenous illness: an analysis for Sri Lanka. Health Economics. 1998;7(6): 509-531.
  • 30. Glick P, Razafindravonona J, Randretsa I. Education and health services in Madagascar: utilization patterns and demand determinants, Cornell University, 2000.
  • 31. Sahn DE, Younger SD, Genicot G. The demand for health care services in rural Tanzania. Oxford Bulletin of Economics and Statistics. 2003;65(2):241- 260.
  • 32. Muriithi MK. The determinants of health-seeking behavior in a Nairobi Slum: The Role Of Qualıty And Informatıon. European Scientific Journal. 2013; 9(8).
  • 33. Gupta I, Dasgupta P. Demand for Curative Health Care in Rural India: Choosing between Private, Public and No care. National Council of Applied Economic Research Working Papers, New Delhi January 2002.
  • 34. Ellis RP, Mwabu GM. The demand for outpatient medical care in rural Kenya. Institute for Economic Development, Boston University, 2004.
  • 35. Sarma S. Demand for outpatient healthcare. Applied health economics and health policy. 2009;7(4): 265-277.
  • 36. Hidayat B. Are there differences between unconditional and conditional demand estimates? implications for future research and policy. Cost Effectiveness and Resource Allocation. 2008;6(1):15.
  • 37. Akin JS, Griffin CC, Guilkey DK, Popkin BM. The demand for primary health care services in the Bicol region of the Philippines. Economic Development and Cultural Change. 1986;34(4): 755-782.
  • 38. Cisse A. Analysis of health care utilization in Côte d'Ivoire. AERC Research Paper 201, October 2011.
  • 39. Qian D, Pong RW, Yin A, Nagarajan KV, Meng Q. Determinants of health care demand in poor, rural China: the case of Gansu Province. Health Policy and Planning.2009;24(5):324-334.
  • 40. Asfaw A. How poverty affects the health status and the healthcare demand behavior of households: The case of rural Ethiopia. In International conference on staying poor: Chronic poverty and development policy, Manchester, 2003, p.7-9.
  • 41. Mariko M. Quality of care and the demand for health services in Bamako, Mali: the specific roles of structural, process, and outcome components. Social Science & Medicine. 2003;56(6):1183-1196.
  • 42. Bitran R. Household demand for medical care in Santo Domingo Dominican Republic. State University of New York at Stony Brook, Group Health Association of America (GHAA), International Resources Group, Ltd. (IRG), Research Report No. 9, Stony Brook, NY, March, 1989.
  • 43. Amaghionyeodiwe LA. Determinants of the choice of health care provider in Nigeria. Health Care Management Science. 2008;11(3): 215-227.
  • 44. Mocan HN, Tekin E, Zax JS. The demand for medical care in urban China. World Development. 2004;32(2):289-304.
  • 45. Ichoku EH, Leibbrandt M. Demand for healthcare services in Nigeria: A multivariate nested logit model. African Development Review. 2003;15(2‐3):396- 424.
  • 46. Özkoç H. Hastaların sağlık kurumu tercihlerini etkileyen faktörlerin belirlenmesi: uygunluk analizi ve nested logit model. Dokuz Eylül Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2013;15(2):267-280.
  • 47. Yaylalı M, Kaynak S, Karaca Z. Saglık Hizmetleri Talebi: Erzurum İlinde Bir Araştırma/Health Services Demand: A Study in Erzurum. Ege Akademik Bakis. 2012;12(4):563.
  • 48. Saraçoğlu S, Fahriye Ö. Sağlık Hizmetlerine Yönelik Talebin Belirleyicileri: Türkiye Üzerine Bir Uygulama. İş ve Hayat. 2017;2(4): 293-342.
  • 49. Öztürk Yaprak Z. Kayseri İlinde Sağlık Hizmetleri Talebinin Belirleyicileri: Nested Multinominal Logit Model Analizi (Doktora Tezi). Erciyes Üniversitesi Sosyal Bilimler Enstitüsü, Kayseri, 2018.
There are 49 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Review
Authors

Zeynep Öztürk Yaprak 0000-0002-1661-0167

Eyyup Ecevit 0000-0002-2417-4043

Publication Date December 29, 2019
Acceptance Date May 21, 2019
Published in Issue Year 2019 Volume: 44 Issue: 4

Cite

MLA Öztürk Yaprak, Zeynep and Eyyup Ecevit. “Sağlık Hizmetleri Talebi Ve Fayda Maksimizasyonu Modeli”. Cukurova Medical Journal, vol. 44, no. 4, 2019, pp. 1484-9, doi:10.17826/cumj.553276.