ANALYSIS WITH NESTED MULTINOMIAL LOGIT MODEL OF DEMAND FOR HEALTHCARE: AN APPLICATION IN KAYSERI PROVINCE

Year 2019, Volume: 6 Issue: 2, 273 - 285, 29.08.2019

Zeynep Öztürk Yaprak , Eyyup Ecevit

https://doi.org/10.30798/makuiibf.520696

Cited By: 3

Abstract

Determining the factors affecting the demand for
healthcare services are important in terms of providing health services more
effectively and a more efficient health system. In addition, effective
provision of healthcare services is an important element in terms of basic
socio-economic development of countries. The primary aim of this study is to
determine the factors which affect the demand for healthcare services. In that
framework, factors related to household’s choice of applying to a healthcare
facility because of a health problem and the factors related to household’s
healthcare facility choice are investigated using the data collected in Kayseri
province with survey method. Within the scope of the study, Nested Logit Model
was implemented to the data set using Full Information Maximum Likelihood
(FIML) technique which estimates both decision levels simultaneously. According
to the results obtained, the factors which affect the choice of applying to the
healthcare facility were found as the educational level of the household head,
severity of the disease and some health problem complaints. Among the factors
which affect healthcare facility choice, educational level of the patient
reduces the likelihood of applying to both public and private healthcare
facilities. Furthermore, likelihood of applying to public healthcare facilities
reduces with the age of the patient.

Keywords

Health, Demand for Healthcare, Discrete Choice Models, Choice Models, Nested Multinomial Logit Model, Kayseri, Turkey

SAĞLIK HİZMETLERİ TALEBİNİN NESTED MULTİNOMİNAL LOGİT MODEL İLE ANALİZİ: KAYSERİ İLİNDE BİR UYGULAMA

Abstract

Sağlık hizmetleri talebini etkileyen faktörlerin
belirlenmesi sağlık hizmetlerinin daha etkin sunulması ve daha verimli işleyen
bir sağlık sistemi açısından önemlidir. Ayrıca sağlık hizmetlerinin etkin
sunumu ülkelerin temel sosyo-ekonomik gelişimleri açısından da önemli bir unsurdur.  Bu çalışmada temel amaç sağlık hizmetlerine
olan talebi etkileyen faktörleri belirlemektir. Bu çerçevede Kayseri ilinde
anket yöntemi ile toplanan veriler kullanılarak, hanehalkının bir sağlık
problemine bağlı olarak sağlık kuruluşuna başvuru tercihi ile ilişkili
faktörler ve sağlık kuruluşu tercihleri ile ilişkili faktörler incelenmiştir.
Veri seti Kayseri ilinde hanehalkı anket uygulaması ile oluşturulmuştur.
Çalışma kapsamında veri setine her iki karar seviyesini aynı anda tahmin eden
tam bilgiye dayalı maksimum olabilirlik (FIML) tekniği kullanılarak Nested
Multinominal Logit Model uygulanmıştır. Elde edilen sonuçlara göre sağlık
kuruluşuna başvuru tercihini etkileyen faktörler olarak hanehalkı reisinin
eğitim seviyesi, hastalık şiddeti ve bazı sağlık problemi şikayetleri
bulunmuştur. Sağlık kuruluşu tercihini etkileyen faktörlerden hastanın eğitim
seviyesi hem kamu hem de özel sağlık kuruluşuna başvurma olasılığını
azaltmaktadır. Ayrıca kamu sağlık kuruluşlarına başvurma olasılığı hastanın yaşı
ile birlikte azalmaktadır.

Keywords

Sağlık, Sağlık Hizmetleri Talebi, Kesikli Tercih Modelleri, Nested Multinominal Logit Model, Kayseri, Turkey

References

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