Institute for Social and Economic Change

Established in 1972 by Professor V K R V Rao, ISEC is an All-India Institute for Interdisciplinary Research and Training in the Social Sciences

Inequity in Outpatient Healthcare Use and Utilization of Public Healthcare Facilities: Empirical Evidence from NSS Data – isec

Inequity in Outpatient Healthcare Use and Utilization of Public Healthcare Facilities: Empirical Evidence from NSS Data

Abstract

The purpose of this study is to assess the socioeconomic inequities in healthcare outcomes by place of residence, using two rounds of NSSO data. The healthcare outcomes of interest were utilization of outpatient healthcare services and choice of care captured in the survey with fifteen days’ recall period. Horizontal Inequity [HI] index was employed to measure inequities in healthcare outcomes. Further, determinants of healthcare outcomes were estimated using non-linear regression models. Our findings show that inequities in outpatient care utilization were largely concentrated among wealthier groups, while the utilization of government health facilities were disproportionately concentrated among poorer sections of the population, not only in Karnataka but also in India at large. Though the inequities in outpatient care utilization were positive, yet the magnitude of inequities declined over a decade, suggesting that the healthcare system is tending towards equitable provision of care, based on need.

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