Bypassing Health Providers : The Quest for Better Price and Quality of Health Care in Chad
This paper investigates individuals' bypassing behavior in the health sector in Chad and the determinants of individuals' facility choice. The authors introduce a new way to measure bypassing using the patients' own knowledge of alte...
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| Format: | Policy Research Working Paper |
| Language: | English |
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World Bank, Washington, DC
2012
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| Online Access: | http://documents.worldbank.org/curated/en/2008/01/8913823/bypassing-health-providers-quest-better-price-quality-health-care-chad http://hdl.handle.net/10986/6456 |
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okr-10986-64562021-04-23T14:02:30Z Bypassing Health Providers : The Quest for Better Price and Quality of Health Care in Chad Gauthier, Bernard Wane, Waly ABILITY TO PAY ACCESS TO HEALTH SERVICES AILMENT ANIMAL HEALTH BEDS BIRTHS CLINICS DEATHS DIAGNOSIS DIRECT COSTS DISTRICTS DOCTOR DOCTORS DRUGS DWELLING ECONOMIC DEVELOPMENT EXPENDITURES GENDER HEALTH CARE HEALTH CARE CENTERS HEALTH CARE INFRASTRUCTURE HEALTH CARE MARKETS HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE QUALITY HEALTH CARE SERVICES HEALTH CENTERS HEALTH CENTRES HEALTH CLINICS HEALTH FACILITIES HEALTH INDICATORS HEALTH POLICIES HEALTH POLICY HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH WORKERS HOMES HOSPITALIZATION HOSPITALS HOUSEHOLDS HUMAN DEVELOPMENT ILLNESS ILLNESSES INCOME INFECTIOUS DISEASES INFORMAL CARE INHABITANTS INTERVENTION LIFE EXPECTANCY MEDICAL CARE MEDICAL FACILITIES MEDICAL PERSONNEL MEDICAL TREATMENT MEDICATION MEDICINE MIDWIVES MORTALITY MORTALITY RATE MOTHER NEIGHBORHOOD NURSES PATIENT PATIENTS PHARMACIES PRIMARY CARE PRIMARY HEALTH CARE PROBABILITY PUBLIC HEALTH QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE RURAL AREA RURAL AREAS SOCIAL SCIENCE URBAN AREAS URBAN POPULATIONS VACCINATION VILLAGES VISITS WORK FORCE WORKERS This paper investigates individuals' bypassing behavior in the health sector in Chad and the determinants of individuals' facility choice. The authors introduce a new way to measure bypassing using the patients' own knowledge of alternative health providers available to them instead of assuming that information as previously done. The authors analyze how perceived health care quality and prices impact patients' bypassing decisions. The analysis uses data from a Quantitative Service Delivery Survey in Chad's health sector carried out in 2004. The survey covers 281 primary health care centers and 1,801 patients. The matching of facility data and patient data allows the analysis to control for a wide range of important patient and facility characteristics, such as income, severity of illness, quality of health care, or price of services. The findings show that income inequalities translate into health service inequalities. There is evidence of two distinct types of bypassing activities in Chad: (1) patients from low-income households bypass high-quality facilities they cannot afford to go to low-quality facilities, and (2) rich individuals bypass low-quality facilities and aim for more expensive facilities that also offer a higher quality of care. These significant differences in patients' facility choices are observed across income groups as well as between rural and urban areas. 2012-05-25T19:19:52Z 2012-05-25T19:19:52Z 2008-01 http://documents.worldbank.org/curated/en/2008/01/8913823/bypassing-health-providers-quest-better-price-quality-health-care-chad http://hdl.handle.net/10986/6456 English Policy Research Working Paper; No. 4462 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research Africa Chad |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
ABILITY TO PAY ACCESS TO HEALTH SERVICES AILMENT ANIMAL HEALTH BEDS BIRTHS CLINICS DEATHS DIAGNOSIS DIRECT COSTS DISTRICTS DOCTOR DOCTORS DRUGS DWELLING ECONOMIC DEVELOPMENT EXPENDITURES GENDER HEALTH CARE HEALTH CARE CENTERS HEALTH CARE INFRASTRUCTURE HEALTH CARE MARKETS HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE QUALITY HEALTH CARE SERVICES HEALTH CENTERS HEALTH CENTRES HEALTH CLINICS HEALTH FACILITIES HEALTH INDICATORS HEALTH POLICIES HEALTH POLICY HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH WORKERS HOMES HOSPITALIZATION HOSPITALS HOUSEHOLDS HUMAN DEVELOPMENT ILLNESS ILLNESSES INCOME INFECTIOUS DISEASES INFORMAL CARE INHABITANTS INTERVENTION LIFE EXPECTANCY MEDICAL CARE MEDICAL FACILITIES MEDICAL PERSONNEL MEDICAL TREATMENT MEDICATION MEDICINE MIDWIVES MORTALITY MORTALITY RATE MOTHER NEIGHBORHOOD NURSES PATIENT PATIENTS PHARMACIES PRIMARY CARE PRIMARY HEALTH CARE PROBABILITY PUBLIC HEALTH QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE RURAL AREA RURAL AREAS SOCIAL SCIENCE URBAN AREAS URBAN POPULATIONS VACCINATION VILLAGES VISITS WORK FORCE WORKERS |
| spellingShingle |
ABILITY TO PAY ACCESS TO HEALTH SERVICES AILMENT ANIMAL HEALTH BEDS BIRTHS CLINICS DEATHS DIAGNOSIS DIRECT COSTS DISTRICTS DOCTOR DOCTORS DRUGS DWELLING ECONOMIC DEVELOPMENT EXPENDITURES GENDER HEALTH CARE HEALTH CARE CENTERS HEALTH CARE INFRASTRUCTURE HEALTH CARE MARKETS HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE QUALITY HEALTH CARE SERVICES HEALTH CENTERS HEALTH CENTRES HEALTH CLINICS HEALTH FACILITIES HEALTH INDICATORS HEALTH POLICIES HEALTH POLICY HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH WORKERS HOMES HOSPITALIZATION HOSPITALS HOUSEHOLDS HUMAN DEVELOPMENT ILLNESS ILLNESSES INCOME INFECTIOUS DISEASES INFORMAL CARE INHABITANTS INTERVENTION LIFE EXPECTANCY MEDICAL CARE MEDICAL FACILITIES MEDICAL PERSONNEL MEDICAL TREATMENT MEDICATION MEDICINE MIDWIVES MORTALITY MORTALITY RATE MOTHER NEIGHBORHOOD NURSES PATIENT PATIENTS PHARMACIES PRIMARY CARE PRIMARY HEALTH CARE PROBABILITY PUBLIC HEALTH QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE RURAL AREA RURAL AREAS SOCIAL SCIENCE URBAN AREAS URBAN POPULATIONS VACCINATION VILLAGES VISITS WORK FORCE WORKERS Gauthier, Bernard Wane, Waly Bypassing Health Providers : The Quest for Better Price and Quality of Health Care in Chad |
| geographic_facet |
Africa Chad |
| relation |
Policy Research Working Paper; No. 4462 |
| description |
This paper investigates
individuals' bypassing behavior in the health sector in
Chad and the determinants of individuals' facility
choice. The authors introduce a new way to measure bypassing
using the patients' own knowledge of alternative health
providers available to them instead of assuming that
information as previously done. The authors analyze how
perceived health care quality and prices impact
patients' bypassing decisions. The analysis uses data
from a Quantitative Service Delivery Survey in Chad's
health sector carried out in 2004. The survey covers 281
primary health care centers and 1,801 patients. The matching
of facility data and patient data allows the analysis to
control for a wide range of important patient and facility
characteristics, such as income, severity of illness,
quality of health care, or price of services. The findings
show that income inequalities translate into health service
inequalities. There is evidence of two distinct types of
bypassing activities in Chad: (1) patients from low-income
households bypass high-quality facilities they cannot afford
to go to low-quality facilities, and (2) rich individuals
bypass low-quality facilities and aim for more expensive
facilities that also offer a higher quality of care. These
significant differences in patients' facility choices
are observed across income groups as well as between rural
and urban areas. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Gauthier, Bernard Wane, Waly |
| author_facet |
Gauthier, Bernard Wane, Waly |
| author_sort |
Gauthier, Bernard |
| title |
Bypassing Health Providers : The Quest for Better Price and Quality of Health Care in Chad |
| title_short |
Bypassing Health Providers : The Quest for Better Price and Quality of Health Care in Chad |
| title_full |
Bypassing Health Providers : The Quest for Better Price and Quality of Health Care in Chad |
| title_fullStr |
Bypassing Health Providers : The Quest for Better Price and Quality of Health Care in Chad |
| title_full_unstemmed |
Bypassing Health Providers : The Quest for Better Price and Quality of Health Care in Chad |
| title_sort |
bypassing health providers : the quest for better price and quality of health care in chad |
| publisher |
World Bank, Washington, DC |
| publishDate |
2012 |
| url |
http://documents.worldbank.org/curated/en/2008/01/8913823/bypassing-health-providers-quest-better-price-quality-health-care-chad http://hdl.handle.net/10986/6456 |
| _version_ |
1764399978998923264 |