Healthcare Expenditure on Childbirth in India: Two Part Model Analysis
Open Access
- 8 October 2018
- journal article
- Published by Chitkara University Publications in Journal of Multidisciplinary Research in Healthcare
- Vol. 5 (1), 1–9
- https://doi.org/10.15415/jmrh.2018.51001
Abstract
The aim of the study is to estimate the extent and determinants of healthcare expenditure of inpatients on childbirth in India. The study is based on sample of 14510 women who gave birth to a child (whether live or still-birth, vaginal or caesarean). To estimate the determinants two-part models has been utilised. The results indicate that women spent on average around INR 9103 per childbirth in hospitals. There are also wide variations in the spending pattern of women on childbirth. Household size, economic status, occupation, religion, and caste impact the expenditure on childbirth in hospitals. There are also wide variations in the spending of women belonging to different geo-graphical locations of India. Surgeries/caesarean or utilisation of facilities like special room and diagnostic tests etc. also significantly increase the expenditure. Women opting for public health facilities or having insurance spend less as compared to others. Government of India should increase investment in health to strengthen its current infrastructure. There is dire need to improve the quality of public health facilities, to reduce the regional imbalances in health facilities, to improve the coverage of health insurance in India for equitable and pro-people health facilities.Keywords
This publication has 13 references indexed in Scilit:
- Two-Part Models for Zero-Modified Count and Semicontinuous DataPublished by Springer Science and Business Media LLC ,2019
- Two-Part and Related Regression Models for Longitudinal DataAnnual Review of Statistics and Its Application, 2017
- Household Bargaining and Excess Fertility: An Experimental Study in ZambiaAmerican Economic Review, 2014
- Financial burden of household out-of pocket health expenditure in Viet Nam: Findings from the National Living Standard Survey 2002–2010Social Science & Medicine (1982), 2013
- Health-seeking Behavior in Urban Delhi: An Exploratory StudyWorld Health & Population, 2013
- Regression models for analyzing costs and their determinants in health care: an introductory reviewInternational Journal for Quality in Health Care, 2011
- Institutional delivery in rural India: the relative importance of accessibility and economic statusBMC Pregnancy and Childbirth, 2010
- Two‐part regression models for longitudinal zero‐inflated count dataThe Canadian Journal of Statistics / La Revue Canadienne de Statistique, 2010
- Choosing Between and Interpreting the Heckit and Two-Part Models for Corner SolutionsHealth Services and Outcomes Research Methodology, 2003
- On the choice between sample selection and two-part modelsJournal of Econometrics, 1996