Socioeconomic and Institutional Determinants of Healthcare Provider Choice in India

Arindam Nandi, Ashvin Ashok, Itamar Megiddo, Ramanan Laxminarayan

Research output: Working paper

Abstract

The healthcare delivery system in India has been broadly characterized, yet micro-evidence on the determinants of healthcare provider choice is inadequate. Using nationally representative data from the District Level Household Survey (DLHS-3) 2007–08 of India, we built a multinomial probit model to examine the determinants of a household’s choice of treatment provider among a government hospital, primary or community health center, other public healthcare facility, and a private provider. We find that poorer or ethnic and religious minorities are more likely to visit a public healthcare provider than a private provider. Supply-side and quality perception data on public facilities suggest that supply-side inputs, such as medical staff, hospital equipment, and availability of drugs, do not have a strong association with choice patterns, but quality perception is positively correlated with choice. Additionally, distance to facilities and the level of dissatisfaction with public providers within the community have a strong negative influence on a household’s choice of public healthcare facilities.
Original languageEnglish
Place of PublicationWashington DC
Pages27
Publication statusPublished - 18 Jun 2013

Keywords

  • provider choice
  • treatment seeking demand
  • health seeking behaviour
  • India
  • public providers
  • private providers

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