“…At the micro level, many studies have focused on the income elasticity of OOPHE in developing countries and have relied on cross sectional datasets [ 7 , 8 , 9 , 10 ]. Results tend to vary among studies.…”
Section: Brief Literature Reviewmentioning
confidence: 99%
“…There is now a gradual transition of focus from the analysis of healthcare efficiency towards equity in healthcare provisions, with growing interest to align healthcare costs to household income levels [ 6 , 7 ]. At the same time, there is a shift towards the demand side determinants of healthcare at the household level [ 7 , 8 , 9 ].…”
Section: Introductionmentioning
confidence: 99%
“…As per Nundoochan [ 13 ], the phenomena of rising OOPHE, which brings in its wake catastrophic health expenditure and impoverishment, could be partially explained by increasing unmet demands of patients attending public facilities as a result of the inefficient use of resources and who in turn have recourse to private healthcare against payment. As explained by Mahumud et al [ 8 ], payment out-of-pocket is not an equitable or efficient financing mechanism. This expansion can mean growing inequalities in access in the free healthcare system.…”
A free universal healthcare provision exists in Mauritius. Yet the share of out-of-pocket healthcare expenditure out of total household expenditure has been growing over time. This study estimates income elasticity of out-of-pocket healthcare expenditure using Mauritian household data within an Engel curve framework. In the absence of longitudinal data on out-of-pocket healthcare expenditure patterns, the study proposes the application of the pseudo-panel approach using cross-sectional Household Budget Survey waves from 1996/97 to 2017. Income elasticity of out-of-pocket healthcare expenditure is estimated to be 0.938, which is just below unity. This implies that out-of-pocket healthcare demand is not considered to be a luxury, but a necessity in Mauritius. In order to see the differences in income elasticities by income groups, separate regressions are estimated for each income quartile over different years. The results indicate that income elasticities of out-of-pocket healthcare expenditure vary non-monotonically.
“…At the micro level, many studies have focused on the income elasticity of OOPHE in developing countries and have relied on cross sectional datasets [ 7 , 8 , 9 , 10 ]. Results tend to vary among studies.…”
Section: Brief Literature Reviewmentioning
confidence: 99%
“…There is now a gradual transition of focus from the analysis of healthcare efficiency towards equity in healthcare provisions, with growing interest to align healthcare costs to household income levels [ 6 , 7 ]. At the same time, there is a shift towards the demand side determinants of healthcare at the household level [ 7 , 8 , 9 ].…”
Section: Introductionmentioning
confidence: 99%
“…As per Nundoochan [ 13 ], the phenomena of rising OOPHE, which brings in its wake catastrophic health expenditure and impoverishment, could be partially explained by increasing unmet demands of patients attending public facilities as a result of the inefficient use of resources and who in turn have recourse to private healthcare against payment. As explained by Mahumud et al [ 8 ], payment out-of-pocket is not an equitable or efficient financing mechanism. This expansion can mean growing inequalities in access in the free healthcare system.…”
A free universal healthcare provision exists in Mauritius. Yet the share of out-of-pocket healthcare expenditure out of total household expenditure has been growing over time. This study estimates income elasticity of out-of-pocket healthcare expenditure using Mauritian household data within an Engel curve framework. In the absence of longitudinal data on out-of-pocket healthcare expenditure patterns, the study proposes the application of the pseudo-panel approach using cross-sectional Household Budget Survey waves from 1996/97 to 2017. Income elasticity of out-of-pocket healthcare expenditure is estimated to be 0.938, which is just below unity. This implies that out-of-pocket healthcare demand is not considered to be a luxury, but a necessity in Mauritius. In order to see the differences in income elasticities by income groups, separate regressions are estimated for each income quartile over different years. The results indicate that income elasticities of out-of-pocket healthcare expenditure vary non-monotonically.
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