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Understanding the Puzzle of Healthcare Use: Evidence from India
https://agi.repo.nii.ac.jp/records/268
https://agi.repo.nii.ac.jp/records/2688fd3f436-c87a-4417-a88b-d9b8cef004a0
名前 / ファイル | ライセンス | アクション |
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Item type | 報告書 / Research Paper(1) | |||||
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公開日 | 2023-01-27 | |||||
タイトル | ||||||
タイトル | Understanding the Puzzle of Healthcare Use: Evidence from India | |||||
言語 | en | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_18ws | |||||
資源タイプ | research report | |||||
研究代表者 |
スール, プラモッド・クマール
× スール, プラモッド・クマール |
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報告年度 | ||||||
日付 | 2021-03 | |||||
日付タイプ | Issued | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | In India, households’ use of healthcare services is a puzzle. The puzzle is as follows. Even though most private healthcare providers have no formal medical qualifications, a significant fraction of households uses fee-charging private healthcare services, which are not covered by insurance. While the absence of public healthcare providers could, in part, explain the high use of the private sector, this cannot be the only explanation. The private share of primary healthcare use is higher even in the market with a qualified doctor offering free care through public clinics, and still majority of primary healthcare visits are made to providers with no formal medical qualification. This paper examines the reasons for the existence of such a puzzle in India. Combining contemporary household-level data with archival records, I examine the aggressive family planning program implemented during the emergency rule in the 1970s and explore whether the coercion, disinformation, and carelessness under which the program was undertaken could partly explain the puzzle. Exploiting the timing of emergency rule, state-level variation in the number of sterilizations, and an IV approach, I show that the states heavily affected by sterilization policy have a lower level of public healthcare usage today. I also provide the mechanism for this practice showing that the states heavily affected by forced sterilization have a lower level of confidence towards the government hospitals and doctors and a higher level of confidence towards private hospitals and doctors in providing good treatment. |
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言語 | en | |||||
著者版フラグ | ||||||
出版タイプ | NA | |||||
出版タイプResource | http://purl.org/coar/version/c_be7fb7dd8ff6fe43 |