收入和健康保险对加纳农村现代求医行为的影响:所涉偏见的性质和程度

IF 1.9 Q2 ECONOMICS

INTERNATIONAL JOURNAL OF SOCIAL ECONOMICS Pub Date : 2023-10-24 DOI:10.1108/ijse-03-2023-0223

Samuel Sekyi, Philip Kofi Adom, Emmanuel Agyapong Wiafe

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引用次数: 0

摘要

目的研究收入和医疗保险对农村居民就医行为的影响，解决内生性和异质性偏差的问题。设计/方法/方法采用两阶段剩余纳入来纠正健康保险会员资格产生的基于自我选择的内生性问题。本研究为Andersen的行为模型(ABM)提供了支持。收入和医疗保险对农村居民利用现代医疗卫生服务具有正向促进作用，但如果作为外生因素来看待，则保险的作用存在向下倾斜的风险。此外，健康保险的效果在男性和女性之间以及在成年人和老年人之间存在差异。原创性/价值本研究推进了文献，认为在ABM框架内，使能因素(即收入和保险)和诱发因素(即年龄和性别)在解释农村居民使用现代卫生服务方面相互补充。同行评议本文的同行评议历史可在:https://publons.com/publon/10.1108/IJSE-03-2023-0223

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Income and health insurance effects on modern health-seeking behaviours in rural Ghana: nature and extent of bias involved

Purpose This study examined the influence of income and health insurance on the health-seeking behaviour of rural residents, addressing the concerns of endogeneity and heterogeneity bias. Design/methodology/approach A two-stage residual inclusion was utilised to correct self-selection-based endogeneity problems arising from health insurance membership. Findings This study provides support for Andersen's behavioural model (ABM). Income and health insurance positively stimulate rural residents' use of modern healthcare services, but the effect of insurance risks a downward bias if treated as exogenous. Further, the effect of health insurance differs between males and females and between adults and the elderly. Originality/value This study advances the literature, arguing that, within the ABM framework, enabling (i.e. income and insurance) and predisposing factors (i.e. age and gender) complement each other in explaining rural residents' use of modern health services. Peer review The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-03-2023-0223

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来源期刊

INTERNATIONAL JOURNAL OF SOCIAL ECONOMICS ECONOMICS-

CiteScore

3.20

自引率

5.30%

发文量

期刊介绍： The International Journal of Social Economics publishes original and peer-reviewed theoretical and empirical research in the field of social economics. Its focus is on the examination and analysis of the interaction between economic activity, individuals and communities. Social economics focuses on the relationship between social action and economies, and examines how social and ethical norms influence the behaviour of economic agents. It is inescapably normative and focuses on needs, rather than wants or preferences, and considers the wellbeing of individuals in communities: it accepts the possibility of a common good rather than conceiving of communities as merely aggregates of individual preferences and the problems of economics as coordinating those preferences. Therefore, contributions are invited which analyse and discuss well-being, welfare, the nature of the good society, governance and social policy, social and economic justice, social and individual economic motivation, and the associated normative and ethical implications of these as they express themselves in, for example, issues concerning the environment, labour and work, education, the role of families and women, inequality and poverty, health and human development.