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      The Determinants of the Health Status in a Developing Country: Results from the Colombian Case Translated title: Les déterminants de l'état de santé dans un pays en voie de développement: les résultats du cas de la Colombie Translated title: Determinantes del estado de salud en un país en vía de desarrollo: resultados del caso colombiano

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          Abstract

          We 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. We use the model of Grossman and take, besides individual and socioeconomic variables, institutional variables. Two surveys from 1997 and 2000, 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. The results show an important connection of individual, institutional and socioeconomic variables with the health status. Although the access to medical care seems to strength the inequities in health outcome, the purpose of the social security reform of affiliating the vulnerable population is met.

          Translated abstract

          Cet article se propose de présenter de l'évidence empirique sur les déterminants de l'état de santé en Colombie après la réforme de 1993. D'après le modèle de Grossman, nous faisons une analyse des caractéristiques individuelles et socio-économiques, ainsi que des variables institutionnelles du secteur. Nous avons utilisé deux enquêtes, l'un de 1997 et l'autre de 2000, qui ont mesuré subjectivement l'état de santé des individus et qui apportent de l'information sur le type d'affiliation. L'estimation a été faite avec un Modèle Econométrique Probit Ordonné. Les résultats montrent un rapport entre les variables individuelles, socio-économiques et institutionnelles et l'état de santé des personnes. Finalement, bien que le type d'affiliation au système de santé semble augmenter les disparités dans l'accès aux services de santé, on a atteint le but de couverture des secteurs de la population à risque.

          Translated abstract

          Este artículo encuentra evidencia empírica sobre los determinantes del estado de salud en Colombia, después de la reforma de 1993. El artículo usa la teoría de Grossman y analiza, además de características individuales y socioeconómicas, variables institucionales del sector. Se usaron dos encuestas para los años 1997 y 2000, las cuales cuentan con una medida subjetiva del estado de salud y con información sobre el tipo de afiliación. Se uso modelo econométrico Probit ordenado. Los resultados muestran una relación entre variables individuales, socioeconómicas, e institucionales con el estado de salud de las personas. Finalmente, aunque el tipo de afiliación al sistema parece aumentar las desigualdades en el estado de salud, se cumple el objetivo de enfocar la cobertura en sectores poblacionales vulnerables.

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          Econometric analysis

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            The demand for health: an empirical reformulation of the Grossman model.

            Previous tests of Grossman's model of the demand for health have been based on Grossman's own empirical formulation. This paper argues that this formulation fails to capture the dynamic character of the model. It proposes an alternative formulation, which appears to be more consistent with Grossman's theoretical model and which may also explain the apparent rejections of the model by the data in the author's earlier empirical work. The paper also presents some empirical results obtained using the new formulation, which are, on the whole, consistent with the predictions of Grossman's theoretical model.
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              Does Medical Insurance Contribute to Socioeconomic Differentials in Health?

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                le
                Lecturas de Economía
                Lect. Econ.
                Universidad de Antioquia (Medellín )
                0120-2596
                July 2005
                : 0
                : 63
                : 111-135
                Affiliations
                [1 ] Universite de Toulouse
                [2 ] Universidad del Rosario Colombia
                [3 ] Boston University USA
                Article
                S0120-25962005000200004
                0996719f-bb60-4801-8085-ec3c8364f52a

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Colombia

                Self URI (journal page): http://www.scielo.org.co/scielo.php?script=sci_serial&pid=0120-2596&lng=en
                Categories
                ECONOMICS

                General economics
                demande de santé,production de santé,pays en voie de développement,estimations Probit,Demand for health,health production,developing countries,probit estimations,Demanda por salud,Producción de salud,Países en desarrollo,Estimaciones Probit

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