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The determinants of out-of-pocket payments: evidence from selected hospitals in Ankara, Turkey

Julide Yildirim, Erdogan Yilmaz and Nebile Korucu ()

Applied Economics Letters, 2011, vol. 18, issue 12, 1159-1162

Abstract: The aim of this study is to explore the determinants of the out-of-pocket expenditures on health in selected hospitals of the capital city Ankara, Turkey. Maximum likelihood logistic analysis is used to estimate the relationship between the likelihood of incurring out-of-pocket payments and a set of individual- and facility-level covariates, such as income, education level and wealth of the patient. Empirical findings indicate that as the level of education, age and income increase the likelihood of making out-of-payment expenditures on health increases. Additionally, the attitudes of patients towards the health-care system and their possible impacts on the decision of out-of-pocket payments have also been considered. The distrust in the public health-care system is reflected in patients' choices regarding the first applied medical centre. It appears that patients with high levels of income prefer private health-care rather than the public health-care services.

Date: 2011
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Working Paper: The Determinants of Out-of-Pocket Payments: Evidence from Selected Hospitals In Ankara,Turkey (2009) Downloads
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DOI: 10.1080/13504851.2010.528351

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