Cost effect in the choice of healthcare provider in a mixed system The case of Mexico

• Autores: Miguel Ángel Bonilla Zarrazaga
• Localización: Economía y Sociedad, ISSN 1870-414X, Vol. 19, Nº. 32, 2015, págs. 41-52
• Idioma: inglés
• Enlaces
  • Texto completo (pdf)
• Resumen

  • This paper shows that, in Mexico, the decision of attending to a private health facility versus a public one is mainly determined by the time of transportation. In our study, we analyzed data from the National Survey of Health and Nutrition (2012) in Mexico to estimate the likelihood of attending to a private clinic using a Linear Probability Model. Another remarkable finding is that consultation cost is not a determinant factor due the low economic cost of receiving medical attention by private doctors in pharmacies. Our results also suggest that a health reform should focus on improving the physical availability (proximity) of public health care centers.

• Referencias bibliográficas
  • ANGRIST, Joshua D.; PISCHKE, Jörn-Steffen. Mostly harmless econometrics: An empiricist›s companion. Princeton university press, 2008.
  • BASTIDA, E., BROWN III, H. and PAGÁN, J. (2008). Persistent disparities in the use of health care along the US–Mexico border: an ecological...
  • COX, David Roxbee; SNELL, E. Joyce. Analysis of binary data. CRC Press, 1989.
  • CHU, M. and GARCIA, R. Farmacias Similares - Private and public health care for the base of the pyramid in Mexico. Harvard Business school....
  • MEXICO. FEDERAL MEXICAN GOVERNMENT. (2013). Stats of the Country. National Report of the Federal Government 2013. Available in: http://www.presidencia.gob.mx/informe/...
  • LEAL, G. (2011). Is it really “desirable” the universal coverage? (In spanish. Original title:¿ Es realmente” deseable” la cobertura universal?)....
  • HARVARD INITIATIVE FOR GLOBAL HEALTH, MEXICO MINISTRY OF HEALTH, and NATIONAL INSTITUTE OF PUBLIC HEALTH (MEX). (2005). Mexico Health Metrics.
  • Cambridge, MA: Harvard Initiative for Global Health. JOHNSTON, John; DINARDO, John. Econometric methods. McGraw-Hill: New York, 1997
  • LAUREL A. S. (2007). Granting Universal Access to Health Care: The experience of the Mexico City Government. A case study commissioned by...
  • LEVY S. (2007). Productivity, growth and poverty in Mexico. What is next after Progresa-Oportunidades? (In spanish. Original title: Productividad,...
  • LEVY, S. (2010). Good intentions, bad outcomes: Social policy, informality, and economicgrowth in Mexico. Brookings Institution Press.
  • OECD (2005). Reviews of Health System. Mexico. OECD 2005 http://www.borderhealth.org/files/res_839.pdf
  • PÉREZ, R., SESMA, S. and PUENTES, E. Gastos catastróficos por motivos de salud en México: estudio comparativo por grado de marginación. Salud...
  • PRESIDENCY OF MEXICO, Anexo Estadístico, Primer Informe de Gobierno 2013. http://www.presidencia.gob.mx/informe/
  • PUIG, A., PAGÁN, J. A. and WONG, R. (2009). Assessing Quality across Health Care Subsystems in Mexico. The Journal of ambulatory care management,32(2),...