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Health provider choice and implicit rationing in healthcare: Evidence from Mozambique
Authors:Vincenzo Salvucci
Institution:1. Development Economics Research Group, University of Copenhagen;2. and Resident Advisor, Direc??o Nacional de Estudos e Análise de Políticas, Ministério da Planifica??o e Desenvolvimento, Av. Ahmed Sekou Touré 21, Maputo, Mozambique.vincenzo.salvucci@gmail.com
Abstract:An analysis of health provider choice together with a model of implicit rationing in healthcare is presented using Mozambique as a case study. We make use of the Mozambican Household Surveys on Living Conditions 2002/3 and 2008/9. Updated and sometimes contrasting results with respect to similar analyses on older Mozambican data are obtained. In particular, we find that the role of income is more important in 2002/3 and in 2008/9 than it was in 1996/7. In consequence, we further expand the analysis by studying how socioeconomic disparities among other factors influence implicit rationing in healthcare. When using the 2008/9 survey only, moderate evidence that some sort of implicit healthcare rationing is in place is found; that is, some people do not seek care because they foresee they will not be granted quality healthcare access or treatment.
Keywords:healthcare demand  rationing  Mozambique
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