Health Demand: Empirical Study of Effective Urban Households Demand in Indonesia
DOI:
https://doi.org/10.3889/oamjms.2021.6532Keywords:
Health demand, Health stock, Sick and disturbed days, Health insurance, Grossman modelAbstract
BACKGROUND: Grossman's health demand model recognizes medical price as a determinant of the estimation model. This article aims to examine the role of medical expenses in health demand by utilizing the number of sick and disturbed days obtained from Susenas, a survey on the expenditure of household food and non-food consumption conducted by the Central Bureau of Statistics to measure health demand and health insurance as a medical price in a reduction model. Health insurance can replace medical expenses because those who have health insurance face relatively low medical costs and face lower medical prices than those without health insurance.
METHODS: Using the Ordinary Least Squares (OLS) estimation technique, sebuah teknik estimasi model regresi for 6,642 households this was obtained through three stages: First, using 71,932 sample households of susenas that relied fully on the Susenas sampling method by BPS; Second, find households that have experienced health problems during the last 6 months; Third, find households that have health expenditures of 24,341. Furthermore, the estimation model is based on 6,642 households identified to be in urban areas using the Ordinary Least Squares (OLS) estimation method.
FINDINGS: The health demand estimation model that can be used to determine the behavior of health demand among urban households is limited to households with formal primary school (SD) education levels. Taking advantage of certain wages, age, cigarette expenditure, and sports expenses, it was found that the number of sick days and felt disturbed in the household group that had health insurance was 5.68 days relatively greater than those without health insurance. However, expanding to higher education and older age was found to be 1.47 days and 1.57 days. Aging tends to decrease good health and health insurance tends to increase it.
CONCLUSION: It was found that health stocks differed between insured households and households without health insurance in those with aging.
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Mills A, Bannet S, Gilson L. Health, Economic Development, and Household Poverty: The Role of the Health Sector. London, United Kingdom: Rudtledge; 2008. DOI: https://doi.org/10.4324/9780203023570
Ballard DH, Burton KR, Lakomkin N, Kim S, Rajiah P, Patel MJ, et al. The role of imaging in health screening: Overview, rationale of screening, and screening economics. Acad Radiol. 2021;28(4):540-7. PMid:32409140 DOI: https://doi.org/10.1016/j.acra.2020.03.038
Alsen M, Bloom D, Canning D, Jamison D. The Consequences of Population Health for Economic Performance. United Kingdom: Rudtledge; 2008. DOI: https://doi.org/10.4324/9780203023570.ch2
Jacob V, Chattopadhyay SK, Hopkins DP, Reynolds JA, Xiong KZ, Jones CD, et al. Economics of community health workers for chronic disease: Findings from community guide systematic reviews. Am J Prev Med. 2019;56(3):e95-106. https://doi.org/10.1016/j.amepre.2018.10.009 PMid:30777167 DOI: https://doi.org/10.1016/j.amepre.2018.10.009
McIntyre D, Thiede M. Illness, Health Service Cost and Their Consequences for Households. United Kingdom: Rudtledge; 2008. DOI: https://doi.org/10.4324/9780203023570.ch5
Coyan GN, Sultan I, Seese LM, Chu D, Schuchert MJ, Kinnunen A, et al. Implementation of a protocol to increase the academic productivity of cardiothoracic surgery resident physicians. J Thoracic Cardiovasc Surg. 2020;S0022-5223(20)32734-43. https://doi.org/10.1016/j.jtcvs.2020.09.122 PMid:33131886 DOI: https://doi.org/10.1016/j.jtcvs.2020.09.122
Becker GS. A theory of the allocation of time. Economic. 1965;75(299):493-517. DOI: https://doi.org/10.2307/2228949
Leibowitz A. The demand for health and health concerns after 30 years. J Health Econ. 2004;23(4):663-71. https://doi.org/10.1016/j.jhealeco.2004.04.005 PMid:15587693 DOI: https://doi.org/10.1016/j.jhealeco.2004.04.005
Grossman M. The Demand for Health: A Theoretical and Empirical Investigation. New York: Columbus University Press; 1972.
Abdul-Rahman MF. The Demand for Physical Activity an Application of Grossman’s Health Demand Model to Elderly Population. Ohio: Disertasi Tidak Dipublikasikan, School of the Ohio State University; 2008.
Aranda LG. Health Economics, Compression of Morbidity, and the Grossman Model. Italy: Disertasi Tidak Dipublikasikan, Universitas Ca’Foscari Venezia; 2010.
Gerdtham UG, Johannesson M, Lundberg L, Isacson D. The demand for health: Results from new measures of health capital. Eur J Pol Econ. 1999;15(3):501. https://doi.org/10.1016/s0176-2680(99)00026-9 DOI: https://doi.org/10.1016/S0176-2680(99)00026-9
Grossman M. On the concept of health capital and the demand for health. J Pol Econ. 1972;80(2):223-55. DOI: https://doi.org/10.1086/259880
Zhao Z. Health Demand and Health Determinant in China, Discussion Paper Series, IZA DP No. 4098. Germany: IZA Institute of Labor Economics; 2007.
Mocan HN, Tekin E, Zax JS. The demand for medical care in urban China. World Dev. 2004;32(2):209-304. https://doi.org/10.1016/j.worlddev.2003.07.006 DOI: https://doi.org/10.1016/j.worlddev.2003.07.006
Karanfil F, Pierru A. The opportunity cost of domestic oil consumption for an oil exporter: Illustration for Saudi Arabia. Energy Econ. 2021;96:105161. https://doi.org/10.1016/j.eneco.2021.105161 DOI: https://doi.org/10.1016/j.eneco.2021.105161
Vo TT, Hoang Van P. Can health insurance reduce household vulnerability? Evidence from Viet Nam. World Dev. 2019;124:104645. https://doi.org/10.1016/j.worlddev.2019.104645 DOI: https://doi.org/10.1016/j.worlddev.2019.104645
Yiadom MY, McWade CM, Awoonor-Williams K, Appiah-Denkyira E, Moresky RT. Public health rationale for investments in emergency medicine in developing countries-Ghana as a case study. J Emerg Med. 2018;55(4):537-43. https://doi.org/10.1016/j.jemermed.2018.07.021 PMid:30181077 DOI: https://doi.org/10.1016/j.jemermed.2018.07.021
Gerdtham UG, Johannesson M. New estimates of the demand for health: Results based on a categorical health measure and Swedish micro data. J Soc Sci Med. 1997;49(10):1325-32. https://doi.org/10.1016/s0277-9536(99)00206-3 PMid:10509823 DOI: https://doi.org/10.1016/S0277-9536(99)00206-3
Pandey MK. Association Between Marital Sattus and Health: Examining the Role of Age and Gender. India: ASARC Working Paper; 2009.
Shehzad S. The determinants of child health in Pakistan: An economic analysis. Soc Ind Res. 2006;78:531-56. https://doi.org/10.1007/s11205-005-3247-2 DOI: https://doi.org/10.1007/s11205-005-3247-2
Vork A. An Empirical Estimation of the Grossman Health Demand Model Using Estonian Survey Data. Norway: Department of Economics, University of Bergen; 2000.
Wagstaff A. The demand for health: An empirical reformulation of the Grossman model. Health Econ. 1993;2(2):189-98. https://doi.org/10.1002/hec.4730020211 DOI: https://doi.org/10.1002/hec.4730020211
Gupta ND, Grave J. Overweight and Obesity and the Demand for Primary Physician Care. Germany: IZA Institute of Labor Economics; 2009.
Khanam R, Nghiem HS, Connelly LB. Child health and the income gradient: Evidence from Australia. J Health Econ. 2009;28(4):805-17. https://doi.org/10.1016/j.jhealeco.2009.05.001 PMid:19525024 DOI: https://doi.org/10.1016/j.jhealeco.2009.05.001
Geda A, Simeles A. Demand for Health in Ethiopia: Exploratory Analysis from Welfare Monitoring Surveys. Assam: AERC; 2009.
Ichwan M. Permintaan Kesehatan Di Indonesia: Studi Empiris Pada Rumah Tangga Yang Mengalami Gangguan Kesehatan. Semarang, Indonesia: Disertasi, Universitas Diponegoro; 2013.
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Copyright (c) 2021 Mohamad Ichwan, Firmansyah Firmansyah, Eko Jokolelono (Author)
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