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A Double-Hurdle Model of Healthcare Expenditures across Income Quintiles and Family Size: New Insights from a household Survey

Ahmad Reshad Osmani and Albert Okunade ()

EconStor Open Access Articles and Book Chapters, 2021, 246

Abstract: The decision-making processes and outcomes of male and female household heads differ due to gender-based differences in preferences. In this paper we assess the impact of this heterogeneity on household healthcare consumption in Thailand. Past studies modeling healthcare expenditures using household survey data used a gender dummy in regression models to control for household gender headship at the household level. Due to the endogeneity and self-selection bias in the past modelling approach, we separately modeled health expenditures for male and female household head decision makers. Using household dataset from an earlier work, this study finds, using the double-hurdle model with dependent errors, that out-of-pocket health care spending tends to behave like a necessity across the income quintiles, household sizes, and differently for the separately modeled household gender heads. Moreover, male and female headed households responded differently to a major economic shock when adjusting household healthcare spending.

Keywords: household-head gender; household health expenditure; double hurdle model; elasticity; Health Capital (search for similar items in EconPapers)
JEL-codes: C50 D13 I12 I15 (search for similar items in EconPapers)
Date: 2021
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Journal Article: A Double-Hurdle Model of Healthcare Expenditures across Income Quintiles and Family Size: New Insights from a Household Survey (2021) Downloads
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