Utilization of public and private healthcare facilities: patient choice
Research Article
How to Cite
Davitadze A.P., Aleksandrova E.A. Utilization of public and private healthcare facilities: patient choice. Population. 2023. Vol. 26. No. 2. P. 139-152. DOI: https://doi.org/10.19181/population.2023.26.2.12 (in Russ.).
Abstract
Healthcare system in Russia lets patients choose where they want to get medical services: at public or private healthcare facilities. This choice may depend on several factors. According to Andersen’s healthcare utilization model, these factors can be divided into three groups: predisposing, enabling and need factors. The purpose of this study is to identify factors determining patient choice between public and private healthcare providers in Russia. Statistical and regression analysis was carried out using 2019 Rosstat data. We found that men and people from older age groups were more likely to attend public facilities, while people with higher education, employed and living in larger cities were more likely to attend private clinics. Higher income, having supplemental health insurance, and receiving medical services outside one’s city were associated with an increase in probability of using private healthcare providers. Analysis of need factors showed that worse health in individuals was associated with increased probability of choosing private medical organizations, whereas disability was associated with decreased probability of making the same choice.
Keywords:
consumer choice, healthcare system, patient choice, Andersen model, public healthcare facilities, private healthcare facilities
References
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2. Sheiman I., Shishkin S., Markelova H. Opportunities and limitations of patient choice: the case of the Russian Federation. Health Policy and Planning. 2014. Vol. 29(1). P. 106–114. DOI: 10.1093/heapol/czs139
3. Victoor A., Delnoij D., Friele R., Rademakers J. Determinants of patient choice of healthcare providers: a scoping review. BMC Health Services Research. 2012. No. 272. Available at: https:// pubmed.ncbi.nlm.nih.gov/22913549/. (Accessed: 10 January 2023.). DOI: 10.1186/1472–6963–12–272
4. Andersen R. M. Revisiting the Behavioral Model and Access to Medical Care: Does it Matter? Journal of Health and Social Behavior. 1995. Vol. 36(1). P. 1–10.
5. Gil M. R., Choi C. G. Factors affecting the choice of national and public hospitals among outpatient service users in South Korea. INQUIRY: The Journal of Health Care Organization, Provision, and Financing. 2019. Vol. 56. P. 1–11. DOI: 10.1177/0046958019833256
6. Zeng Y., Wan Y., Yuan Z., Fang Y. Healthcare-seeking behavior among Chinese older adults: patterns and predictive factors. International Journal of Environmental Research and Public Health. 2021. Vol. 18(6). DOI: 10.3390/ijerph18062969
7. Wang Q., Zhang D., Hou Z. Insurance coverage and socioeconomic differences in patient choice between private and public health care providers in China. Social Science & Medicine. 2016. Vol. 170. P. 124–132. DOI: 10.1016/j.socscimed.2016.10.016
8. Dey D. K., Mishra V. Determinants of choice of healthcare services utilization: empirical evidence from India. Indian Journal of Community Health. 2014. Vol. 26(4). P. 356–363.
9. Kundu J., Bharadwaz M. P., Kundu S., Bansod D. W. The interregional disparity in the choice of health care utilization among elderly in India. Clinical Epidemiology and Global Health. 2022. Vol. 13. DOI: 10.1016/j.cegh.2021.100929
10. Nguyen T. A., Giang L. T. Factors influencing the Vietnamese older persons in choosing healthcare facilities. Health Services Insights. 2021. Vol. 14. P. 1–14. DOI: 10.1177/11786329211017426
Article
Received: 31.01.2023
Accepted: 16.06.2023
Citation Formats
Other cite formats:
APA
Davitadze, A. P., & Aleksandrova, E. A. (2023). Utilization of public and private healthcare facilities: patient choice. Population, 26(2), 139-152. https://doi.org/10.19181/population.2023.26.2.12
Section
ESTIMATION OF POVERTY AND WAYS TO ITS REDUCTION
