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The determinants of the health status in a developing country: results form the colombian case

Author

Listed:
  • Ramirez Manuel
  • Juan Miguel Gallego
  • Carlos Sepulveda
Abstract
ABSTRACT This paper tries to find empirical evidence of the health determinants, as a measure of health capital in a developing country after a deep reform of its health-care sector. It follows the Grossman model (1972) and also takes, besides individual and socioeconomic variables, institutional factors of the health sector. Two surveys from 1997 and 2000 in Colombia, with a subjective (self-report) health status of the individuals, and information about the health system affiliation type, were used. The estimation method is an order probit model. At the end, the results show an important connection between individual, institutional and socioeconomic variables with the health status of a person in Colombia. The effect of the type of access to medical care strengths the inequities in health outcome. *************************************************************************** RESUMEN El artículo busca encontrar evidencia empírica de los determinantes de la salud, como una medición de capital salud en un país en desarrollo después de una profunda reforma en el sector salud. Siguiendo el modelo de Grossman (1972) y tomando factores institucionales, además de las variables individuales y socioeconómicas. Se usaron las encuestas de 1997 y 2000 donde se responde subjetivamente sobre el estado de salud y tipo de afiliación al sistema de salud. El proceso de estimación usado es un probit ordenado. Los resultados muestran una importante conexión entre las variables individuales, institucionales y socioeconómicas con el estado de salud. El efecto de tipo de acceso al sistema de salud presiona las inequidades en salud.

Suggested Citation

  • Ramirez Manuel & Juan Miguel Gallego & Carlos Sepulveda, 2004. "The determinants of the health status in a developing country: results form the colombian case," Borradores de Investigación 3581, Universidad del Rosario.
  • Handle: RePEc:col:000091:003581
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    File URL: http://repository.urosario.edu.co/bitstream/handle/10336/10812/3581.pdf
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    References listed on IDEAS

    as
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    9. Antonio J. Trujillo, 2003. "Medical care use and selection in a social health insurance with an equalization fund: evidence from Colombia," Health Economics, John Wiley & Sons, Ltd., vol. 12(3), pages 231-246, March.
    10. Adam Wagstaff, 1993. "The demand for health: An empirical reformulation of the Grossman model," Health Economics, John Wiley & Sons, Ltd., vol. 2(2), pages 189-198, July.
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    Cited by:

    1. Yuri Reina-Aranza, 2015. "Violencia de pareja y estado de salud de la mujer en Colombia," Documentos de Trabajo Sobre Economía Regional y Urbana 13964, Banco de la República, Economía Regional.
    2. World Bank, 2009. "Colombia - Decentralization : Options and Incentives for Efficiency - Sector Annexes," World Bank Publications - Reports 3097, The World Bank Group.
    3. Gustavo Adolfo García Cruz. & Luís Miguel Tovar Cuevas, 2006. "La Percepción del Estado de Salud: Una Mirada a las Regiones desde la Encuesta de Calidad de Vida 2003," Documentos de Trabajo 3972, Universidad del Valle, CIDSE.
    4. Grupo GES, 2005. "Macroeconomía y salud en Colombia," Observatorio Seguridad Social 3183, Grupo de Economía de la Salud.
    5. World Bank, 2009. "Colombia - Decentralization : Options and Incentives for Efficiency - Main Report," World Bank Publications - Reports 3096, The World Bank Group.
    6. Luis Miguel Tovar Cuevas, 2005. "Determinantes del estado de salud de la población colombiana," Economía, Gestión y Desarrollo 2326, Universidad Javeriana - Cali.
    7. Yuri Carolina Reina-Aranza, 2017. "Acceso a los servicios de salud en las principales ciudades colombianas," Chapters, in: Jaime Bonet & Karelys Guzmán-Finol & Lucas Wilfried Hahn-De-Castro (ed.), La salud en Colombia: una perspectiva regional, chapter 9, pages 281-313, Banco de la Republica de Colombia.
    8. Adriana Camacho & Emily Conover, 2008. "Effects of Subsidized Health Insurance on Newborn Health in Colombia," Documentos CEDE 5007, Universidad de los Andes, Facultad de Economía, CEDE.
    9. Bonet-Morón, Jaime Alfredo & Guzmán-Finol, Karelys Katina & Hahn-de-Castro, Lucas Wilfried (ed.), 2017. "La salud en Colombia: una perspectiva regional," Books, Banco de la Republica de Colombia, number 2017a-12, August.
    10. Adolfo Meisel-Roca & Hernando Vargas-Herrera (ed.), 2018. "Ensayos sobre crecimiento económico en Colombia," Books, Banco de la Republica de Colombia, number 2018-06, August.
    11. Kossi Atsutsè Dziédzom Tsomdzo & Yacobou Sanoussi & Kodjo Evlo, 2022. "Investissement en santé et état de santé dans les pays de l'UEMOA: entre contribution publique et privée?," African Development Review, African Development Bank, vol. 34(2), pages 244-254, June.
    12. Grupo de Economía de la Salud & Jairo Humberto Restrepo, 2005. "Macroeconomía y salud en Colombia," Observatorio Seguridad Social 15590, Grupo de Economía de la Salud.

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    More about this item

    Keywords

    Demand for health; health production; developing countries; probit estimations;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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