User fees and patient behaviour
Evidence from Niamey National Hospital
Bibliographic Data
| ID | 11490708 |
|---|---|
| Authors | Melanie R Weaver (0000-0003-2736-4085, University of Washington, corresponding author), Marcia Weaver |
| Year | 1995 |
| Volume | 10 |
| Issue | 4 |
| Pages | 350-361 |
| Publication date | 1995-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/10.4.350 |
| PMID | 10154359 |
| OpenAlex | W2001086481 |
| Language | EN |
| Citations received | 6 |
Evidence is presented on the effects of price changes on the delay before seeking care and on referral status in a sample of hospital patients in Niger. Price changes are measured as differences across patients at one hospital in whether or not they pay for care, rather than as differences in prices across several hospitals. User fees are charged, but the fee system allows exemptions for some payor categories such as government employees, students, and indigent patients. Evidence is also presented on the effect of income on the delay before seeking care and referral status. The analysis demonstrates a technical point on whether household consumption or current income is a more appropriate measure of income. The analysis shows that user fees affect patient behaviour, but the effects are not the same for outpatients and inpatients. Outpatients who pay for care wait longer before seeking care, but inpatients do not. Inpatients who pay for care are more likely to be referred, but outpatients are not. Patients with more income wait less time to seek care and are less likely to be referred than other patients. Further, household consumption explains patient behaviour better than current income.
Affect (linguistics) · Business · Consumption (sociology) · Demographic economics · Economic growth · Economics · Family medicine · Government (linguistics) · Health care · Household income · Inpatient care · Low income · Referral · Sample (material) · User fee · Global Health Care Issues · Global Maternal and Child Health · Healthcare Policy and Management · Medicine · Psychology
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Willingness to pay for child survival
The influence of user fees and patient demand on prescribers in rural Nepal
Hidden costs
| Unique citing works | 6 |
|---|---|
| Citations per year | 0,2 |
| Citation span | 1996 - 2012 (17) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 5 |