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dc.contributor.authorMcPake, Barbara
dc.date.accessioned2018-06-29T22:03:17Z
dc.date.available2018-06-29T22:03:17Z
dc.date.issued1993
dc.identifierER308
dc.identifier.citationMcPake, B. (1993) User charges for health care in developing countries : a review of the economic literature, Social Science & Medicine, vol. 36, , pp. 1397-1405,
dc.identifier.issn0277-9536
dc.identifier.urihttp://dx.doi.org/10.1016/0277-9536(93)90382-E
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/308
dc.description.abstractLiterature suggests that in theory, the efficiency of user charges for health services is related to the level of externality, the price elasticity of demand, the proportion of total costs which are private access costs, and the level of the government budget constraint. Theoretical models predict that price elasticity of demand for health services is likely to be higher for lower income groups and that user charges are therefore unlikely to promote equity, or reduce the discrepancies between the utilisation rates of the rich and poor, 'ceteris paribus'. Empirical evidence tends to confirm the latter prediction but to suggest that user charges in many countries provide the scope for welfare gains for the majority. Unfortunately, this scope is seldom exploited in practice. It is argued that many countries have little choice but to try to exploit the potential for majority gains, but that more emphasis should be placed on ensuring quality improvements than on superficial financial measures of success.
dc.description.abstractOur Research Report for 2000-2002 reflects an outstanding level of achievement throughout the institution and demonstrates once again our high level of commitment to strategic and applied research particularly in areas that enhance the quality of life.
dc.format.extent1397-1405
dc.publisherElsevier
dc.relation.ispartofSocial Science & Medicine
dc.titleUser charges for health care in developing countries : a review of the economic literature
dc.typearticle
dcterms.accessRightsnone
dc.description.facultysch_iih
dc.description.volume36
dc.identifier.doihttp://10.1016/0277-9536(93)90382-E
dc.description.ispublishedpub
dc.description.eprintid308
rioxxterms.typearticle
qmu.authorMcPake, Barbara
dc.description.statuspub
dc.description.number11


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