Economic Analysis of Health Care Utilization and Perceived Illness : Ethnicity and Other Factors
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World Bank, Washington, DC
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Paqueo and Gonzalez look at the
determinants of health-seeking behavior of the Mexican
population and within this context focus on the effect of
ethnicity. They address the following questions: To what
extent are the indigenous people at a disadvantage health
care-wise and in what particular health services are they
disadvantaged? Is the health care gap due to indigenous
cultures by itself as opposed to the impact of socioeconomic
differences? What policy instruments can be used to reduce
the gap? The authors find that contrary to expectations, the
indigenous people in Mexico tend to have a positive behavior
toward modern preventive care compared with the
nonindigenous population, holding socioeconomic factors
constant. Apparently, there is no cultural barrier in regard
to these services. But ethnicity remains negatively
associated with the use of inpatient hospital care and
medical and dental consultations. Insurance has a
significant and positive effect on health care use.
Therefore, it appears to be an effective instrument for
addressing the health care disadvantages faced by the
indigenous population in regard to inpatient care and the
use of outpatient services of doctors, nurses, and dentists.
Palabras clave
AGED, AILMENTS, BASIC HEALTH CARE, BASIC HEALTH SERVICES, COMMODITIES, COMMUNITIES, DENTAL SERVICES, DENTISTS, DOCTORS, ECONOMIC ANALYSIS, EMPLOYMENT, ENVIRONMENTAL HEALTH, EXPENDITURES, FAMILY PLANNING, HEALTH CARE, HEALTH CARE PROVIDERS, HEALTH CARE SERVICES, HEALTH CARE UTILIZATION, HEALTH EDUCATION, HEALTH INDICATORS, HEALTH INSURANCE, HEALTH INSURANCE COVERAGE, HEALTH INTERVENTIONS, HEALTH POLICY, HEALTH PROGRAMS, HEALTH PROVIDERS, HEALTH SECTOR, HEALTH SERVICES, HEALTH STATUS, HEALTH SYSTEM, HOSPITAL BEDS, HOSPITAL CARE, HOSPITAL SERVICES, HOSPITAL UTILIZATION, HOSPITALISATION, HOSPITALIZATION, HOUSEHOLD STRUCTURE, HOUSEHOLDS, HOUSING, ILLNESSES, IMMUNIZATION, INCOME, INFANT MORTALITY, INFANT MORTALITY RATE, INFECTIOUS DISEASES, INHABITANTS, INPATIENT CARE, INSURANCE, LIFE EXPECTANCY, LIVING CONDITIONS, MALARIA, MALNUTRITION, MEDICAL INSURANCE, MORBIDITY, MORTALITY, MOTHERS, NURSES, NUTRITION, OUTPATIENT SERVICES, POLICY RESEARCH, POPULATION GROUPS, PREVENTIVE HEALTH CARE, PREVENTIVE HEALTH SERVICES, PRIMARY CARE, PRIMARY HEALTH CARE, PUBLIC HEALTH, RURAL AREAS, SOCIOECONOMIC FACTORS, TRADITIONAL MEDICINE, URBAN AREAS, URBAN POPULATION, WATER SUPPLY ECONOMIC ANALYSIS, HEALTH CARE PLANNING, ETHNIC GROUPS, INDIGENOUS POPULATION, HEALTH ISSUES, HEALTH CARE, DENTAL CARE, INCOME, EMPLOYMENT, EDUCATION, WATER, SANITATION, HOUSING, ECONOMIC ANALYSIS, WATER SUPPLY