Social Welfare and Demand for Health Care in the Urban Areas of Côte d’Ivoire
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Date
2008-07-02
Authors
Arsène Kouadio
Vincent Monsan
Mamad ou Gbongue
Journal Title
Journal ISSN
Volume Title
Publisher
AERC
Abstract
This paper analyses the relationship between the demand for health care and that for
health insurance by the population of Côte d’Ivoire. A Poisson model is used to estimate
the demand for health care and a multinomial logit model for estimating the demand for
insurance. The data on which the research was based were taken from a sample of 2,040
households that were interviewed as part of a survey on Recours aux soins et dépenses
de santé or PSA 92 (Health care use and health expenses, or PSA 92), which was carried
out in 1992 in Yopougon, a working class neighbourhood of Abidjan. The results show
that the length of the illness appears to be the factor that triggers the use of modern
health care. They also indicate that employment and age are important factors in making
decisions about which insurance to take. Extending the data collection system to the
rural population, or generalizing it to the whole population, and gaining a better definition
of the variables “state of health”, “consulting a health service”, “behaviour of the insured
person and of the insurance company vis-à-vis health services” should be envisaged to
refine the research. All this will lead to a better grasp of the problems of moral hazard
and adverse selection in Côte d’Ivoire’s health system as a result of the minimizing costs
of the implementation of the expected Universal Health Insurance (AMU)
Description
RA 410.55 .C85 K68 2008
Keywords
Health Insurance - Cote DÍvoire , Public Welfare - Cote dÏvoire , Urban Health - Cote d:Ivoire , Demand for health care, , demand for insurance,