Evaluation of socio-economic factors affecting the demand for health

Document Type : Review

Authors

Abstract

Introduction: Individual health has been proved to be under the influence of various factors such as the use of health care services, diet, smoking and alcohol, physical environment, and health-related behaviors. Therefore, the main determinants of health are factors such as income, education, and access to health services, and systematic changes in these factors lead to socio-economic injustice in health. The present study was carried out through library and internet search. Medline and Google Scholar databases were also utilized.Combining Contents and Results: According to the present study, an increase in health input expenses would inevitably lead to aggravation of the health situation and decrease in income would result in the worst health status of the poor. Moreover, people with higher education use less health inputs; however, they enjoy higher status than those with lower educational levels.Conclusion: Health demand approach provides only a part of the information needed for policy-makers and decision-makers in health system. Theoretical and empirical analyses of the health claim could indicate that policy actions are likely to be more effective in overcoming barriers to health but are not capable of determining which one is likely to be more cost-effective . The demand for information about the health only provides the necessary tools about the benefits of special policy making decisions. So the tool should be combined with other techniques including cost-effectiveness and cost-benefit analyses.Keywords: Health care demand, Injustice in health, Health production

  1. Wagstaff A. Inequality aversion, health inequalities and health achievement. J Health Econ. 2002;21(4):627-41.
  2. O’Donnell O, Van Doorslaer E, Wagstaff A. 17 Decomposition of inequalities in health and health care. The Elgar companion to health economics. 2006:179.
  3. Wagstaff A, van Doorslaer E, Watanabe N. On decomposing the causes of health sector inequalities, with an application to malnutrition inequalities in Vietnam.” Policy Research Working Paper (forthcoming). Washington, D.C: Development Research Group, World Bank; 2001.
  4. Fleurbaey M, Schokkaert E. Unfair inequalities in health and health care. Journal of Health Economics. 2009;28(1):73-90.
  5. Nocera S, Zweifel P. The demand for health: an empirical test of the Grossman model using panel data. Dev Health Econ Public Policy. 1998;6:35-49.
  6. Koç C, The productivity of health care and health production functions, journal of health economics, 2004 . 13(8) 739–747
  7. Wagstaff A. demand for health. Theory and applications.Journal of Health Economics. 1990;12:470- 490.
  8. Wagstaff, A., ‘the demand for health: some new empirical evidence’, Journal of Health Economics, (1986)5, 195-233.
  9. McCarthy R. On the dynamics of health capital accumulation. Soc Sci Med. 2006;63(3):817-28.
  10. Grossman M. The human capital model. Handbook of health economics. 2000;1:347-408.
  11. Grossman M. On the Concept of Health Capital and the Demand for Health. Journal of Political Economy. 1972;80(2):223.
  12. Wagstaff A. The demand for health: An empirical reformulation of the Grossman model. Health Economics. 1993;2(2):189-98.
  13. Van Doorslaer E, Koolman X. Explaining the differences in income related Health inequalities across European countries. Health Econ2004; 13:609–28.
  14. van Doorslaer E, Koolman X, Jones AM. Explaining income-related inequalities in doctor utilisation in Europe. Health Econ. 2004;13(7):629-47.
  15. Wagstaff A. Socioeconomic inequalities in child mortality: comparisons across nine developing countries. Bull World Health Organ. 2000;78(1):19-29.
  16. Leibowitz AA. The demand for health and health concerns after 30 years. Journal of Health Economics. 2004;23(4):663-71.
  17. Wedig GJ. Health status and the demand for health. Results on price elasticities. J Health Econ. 1988;7(2):151-63.
  18. van Doorslaer E, Jones AM. Inequalities in self-reported health: validation of a new approach to measurement. J Health Econ. 2003;22(1):61-87.
  19. Tenn S, Herman DA, Wendling B. The role of education in the production of health: an empirical analysis of smoking behavior. J Health Econ. 2010;29(3):404-17.
  20. Wagstaff A. Econometric studies in health economics. Journal of Health Economics. 1989;8(1):1-51.
  21. Cutler DM, Lleras-Muney A. Education and health: evaluating theories and evidence: National Bureau of Economic Research; 2006 Contract No.: Document Number|.
  22. Gerdtham D, Johansson M, Lundeberg L. Demand for health: results from new measures of health capital. Journal of political economy 2000:501- 21.
  23. Wagstaff A. The demand for health: an empirical finding of the Grossman model: journal of Health Economics 1993; 2: 189–198.
  24. Grossman M, Kaestner R. Effects of education on health: University of Michigan Press 1985; 69–123.