How big is the crowding-out effect of user fees in the rural areas of Ethiopia? Implications for equity and resources mobilization

被引：21

作者：

Asfaw, A ^{[1
]}

Von Braun, J

Klasen, S

机构：

[1] Univ Bonn, D-5300 Bonn, Germany

[2] Int Food Policy Res Inst, Washington, DC 20036 USA

[3] Univ Gottingen, D-3400 Gottingen, Germany

来源：

WORLD DEVELOPMENT | 2004年 / 32卷 / 12期

关键词：

Africa; Ethiopia; user fees; demand for health; demand reduction; demand diversion;

D O I：

10.1016/j.worlddev.2004.07.004

中图分类号：

F0 [经济学]; F1 [世界各国经济概况、经济史、经济地理]; C [社会科学总论];

学科分类号：

0201 ; 020105 ; 03 ; 0303 ;

摘要：

Using a nested multinomial logit model, this study investigates the demand "reduction" and "diversion" effects of user fees in rural areas of Ethiopia. The results reveal that an increase in user fees of public clinics, which are the most widely used alternative, can have a significant demand reduction effect on the poorest of the poor. This implies that despite cost recovery has been advocated as an alternative means of health care financing in most of the developing world, increasing user fees may drive the poorest segment of the population out of the health care market unless some protective measures are taken. (C) 2004 Elsevier Ltd. All rights reserved.

引用

页码：2065 / 2081

页数：17