PATTERN OF HEALTH CARE EXPENDITURE OF PRIVATE AND PUBLIC: A CASE STUDY OF HOSPITAL PATIENTS IN KANNUR DISTRICT, KERALA, INDIA

Authors

  • Maneesh P Ph.D., Research Scholar, Department of Econometrics, School of Economics, Madurai Kamaraj University, Madurai, Tamil Nadu, India
  • Aicha EL ALAOUI Associate Professor, University Sultan My Slimane, BeniMellal, Morocco. Member of Laboratory of Economic and Social Sciences, BeniMellal

DOI:

https://doi.org/10.29121/granthaalayah.v6.i5.2018.1471

Keywords:

Healthcare Expenditure, Private-Public Hospitals, Socio-Economic Condition, Hospital's Performance

Abstract [English]

In Kerala, the disturbing trend is that the public health care system is getting alienated from the people since 1980’s. About 30% of the lower income families seeks medical service from the government hospitals. This is because of the fall in the quality of the services of the government hospitals. In the present situation, the rate of utilization of the private sector can be increased drastically pointing to the poor performance of the public health care system. The government hospital has some problems like poor physical or infrastructure facilities, ineffective leadership and unsatisfactory supply of drugs and medical supplies faculty of staffing procedure. These above stated problems do not exist in private hospitals. Therefore, the present study carried out to assess the healthcare expenditure of government and private hospitals patients in Kannur district. The study was conducted during 2015-16. The sample size of the survey contains a total of 120 respondents from Kannur district. The study analyses the interrelationship between health care expenditure and major socioeconomic factors such as monthly income, age, gender, marital status and occupation. The health care expenditure divided into two-direct and indirect health care cost. The direct health care cost includes- user fee charge, medical charge, diagnostic charge and surgical cost. The indirect health care cost comprises of transportation charge, food and bevarages charge and accommodation charges. The study found that the direct cost of health care is high in both private and public sector hospitals. Finally, the study suggests that an initiative along the role of government is requested to secure the health demands of poor as health care costs are growing over time.

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References

Anbori Ali,Sirajoon Noor Ghani, HematramYadev, AquilMuhammedDaha, (2010).Patient satisfaction and loyalty to the private hospital in Sanaia, Yemen.International Journal for Quality in Healthcare, 22 (4), 310-315.

CahaHavva, (2007).Service quality in private hospitals in Turkey.Journal of Economics and Social Research, 9 (1), 55-59.

Government of Kerala, Directorate of Health Services, (2014).Prepared by Health Information Cell, DHS, Tiruvanthapuram. www.dhs.kerala.gov.in, retrieved on 5/4/2016

Government of Kerala, Health policy, (2013). www.dhs.kerala.gov.in, retrieved on 5/4/2016

Irfan Syed Muhammad, AamirIjaz, SamanShabbaz, (2011). As assessment of service quality of private hospitals in Pakistan: A patient perspective, Indian Journal of Commerce and Management Studies, 2 (2), 20-30.

KarekarPrashant, AparnaTiwari, SakshamAgrawal, (2015). Comparison of service quality between private and government hospitals: An empirical evidence from Yavatmal city, Maharashtra.International Journal of Advance Research in Computer Science and management studies, 3 (6), 39-43.

KaushikKrishan K, Kurt K. Klein and Lawrence N. Arbensar, (2006). The Relationship between Health Status and Health Care Expenditure in a Developing Hill Economy: An Econometric Approach.The Indian Economic Association, and 89th IEA Annual Conference Volume.

Kayral Ibrahim H, (2014). Perceived service quality in healthcare organizations and a research in Ankara by hospital type, Journal of Ankara Studies, 2 (1), 22-34.

Kumar Chandanand and Ravi Prakash, (2011).Public private dichotomy in utilization of health service India.consilience: The Journal of Sustainable Development, 5 (1) 25-52.

Mukhopadhyay, Debes, (2006). The Private Health Sector in India-Tryst with Dispute.The Indian Economic Association, 89thAnnual Conference Volume.http://www.worldcat.org/title/economics-of-education-and-health-in-india/oclc/190760934. Date Accessed: 25/01/2017.

Raman Kutty V., (2000).Historical Analysis of the Development of HealthCare Facilities in Kerala State, India.Health Policy and Planning, 15(1), 103-109 DOI: https://doi.org/10.1093/heapol/15.1.103

Reddy K., N., (1994). Cost of health care: A household survey in an Indian District, foundation for research in community health Mumbai.

Saish B G and Manjunath S., J., (2010).Corporatization of Health care sector in India, Southern Economist, 48 (24), 49-51.

Shankar Prinja, Maninder Kumar, Andrew D, Pinto, Stephen Jan and Rajesh Kumar, (2013).Equity in Hospital Service Utilization in India.Economic and Political Weekly, March XL7 (12), 52-58.

Shyni M., C., (2015). A case study on the development of healthcare facilities in Kerala.International Journal of Management and Social Science Research (IJMSS), 4 (7), 74-78.

Singh Narinder Deep., (2010). Rural Healthcare and Indebtedness in Punjab.Economic and Political Weekly. 45(1), 22-25.

WHO, (1948).The World health report 2004, changes history WHO, Geneva.

World Health Organization, (1979).Global strategy for Health for all by the Year 2000, Health for all series 2, Geneva.

ZaimHalil, NizamettinBayyurt and SelimZaim, (2010).Service quality and determinants of customers Satisfaction in hospitals: Turkish Experience.International Business and Economic Research Journal, 9(5), 51-58.

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Published

2018-05-31

How to Cite

P, M., & EL ALAOUI, A. (2018). PATTERN OF HEALTH CARE EXPENDITURE OF PRIVATE AND PUBLIC: A CASE STUDY OF HOSPITAL PATIENTS IN KANNUR DISTRICT, KERALA, INDIA. International Journal of Research -GRANTHAALAYAH, 6(5), 431–449. https://doi.org/10.29121/granthaalayah.v6.i5.2018.1471