2014 | 4 | 1 | 31-40
Article title

Estimation of the demand for health for urban households using Grossman's model in Shiraz, Iran

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Purpose: To study the effects of socioeconomic variables on health stock using Grossman model in Shiraz, Iran. Materials and Methods: This was an applied, cross-sectional and analytical-descriptive study conducted in Iran, Shiraz in 2012. A sample of 1538 individuals from 769 households was determined using stratified sampling proportional to size and systematic random sampling methods. Health stock was measured using Quality of Life SF36 questionnaire, and an ordered probit model was used to econometrically estimate the demand for health equation. Results: The results showed that being male and having high school and university degrees had positive and significant effects on health stock (p<0.05). Also, ages over 44 years and being unemployed had negative, and significant effects on health stock (p <0.05). However, the estimated effects of monthly income level, public health insurance coverage status and supplementary health insurance coverage status were positive, but not significant. Conclusions: According to the results, the following suggestions can be made for improving individuals' health status: providing education opportunities and facilities for all, increasing health and wellness education programs at different education levels, providing health education for all people through the media at the appropriate time, implementing health subsidies and exemption from payment policies for the elderly, increasing recreational, and sports facilities for women, etc.
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  • Grossman M. The demand for health: a theoretical and empirical investigation. 1 ed. U.S.A., Cambridge: National Bureau of Economic Research, Inc; 1972.
  • Nocera S, Zweifel P. The demand for health: an empirical test of the Grossman model using panel data. Dev Health Econ Public Policy. 1998 6: 35-49.
  • Case A, Deaton AS. Broken down by work and sex: How our health declines. In: Wise DA, editor. Analyses in the Economics of Aging: University of Chicago Press; 2005. p 185-212. [Cited 2013 Dec 22]. Available from: c10361.pdf.
  • Leibowitz AA. The demand for health and health concerns after 30 years. J Health Econ. 2004 Jul; 23(4): 663-71.
  • Galama T, Kapteyn A. Grossman’s missing health threshold, RAND Working Paper No. WR-684. 2009 December. [Cited 2013 Dec 22]. Available from: http://www. pubs /working_papers/2009/RAND_WR684.pdf.
  • Tica J, Smolic S. Multivariate Cointegration Technique Estimation of Health Demand Function: The Case of Croatia. 2007 May. [Cited 2013 Dec 22]. Avalable from: http://web. pdf/Clanak %2007-06.pdf.
  • Grossman M. Handbook of health economics. In: (eds) AJCaJPN, editor. 1 ed. Amsterdam: Elsevier; 2000. Chapter 7. The human capital model. p 347-408.
  • Galama T, Kapteyn A, Fonseca R, Michaud P-C. Grossman's health threshold and retirement, RAND Working Paper No. WR-658. 2009 December. [Cited 2013 Dec 22].Available from: http://www.rand. org/content/ dam/rand/pubs/ working_papers/2009/RAND_WR658.pdf.
  • Lo T-F, Hsieh C-R. Dynamic profile of health investment and the evolution of elderly health. Soc Sci Med. 2013 Jan; 76: 134-42.
  • Cutler DM, Lleras-Muney A. Understanding differences in health behaviors by education. J Health Econ. 2010 Jan; 29(1): 1-28.
  • Birch S, Jerrett M, Wilson K, Law M, Elliott S, Eyles J. Heterogeneities in the production of health: smoking, health status and place. Health Policy. 2005 Jan; 72(3): 301-10.
  • Gerdtham U-G, Johannesson M. New estimates of the demand for health: results based on a categorical health measure and Swedish micro data. Soc Sci Med. 1999 Nov; 49(10): 1325-32.
  • Nocera S, Zweifel P. Health, the medical profession, and regulation. Springer.1998. The demand for health: an empirical test of the Grossman model using panel data: 35-49.
  • Wagstaff A. The demand for health: an empirical reformulation of the Grossman model. Health Econ. 1993 Jul; 2(2): 189-98.
  • Montazeri A, Gashtasebi A, Vahdaninia M. Translating, determining the reliability and validity of Persian format of SF-36 questionnaire. Payesh J. 2005 5(1): 49-56.
  • Vuorisalmi M, Sarkeala T, Hervonen A, Jylhä M. Among nonagenarians, congruence between self-rated and proxy-rated health was low but both predicted mortality. J Clin Epidemiol. 2012 May; 65(5): 553-9.
  • Bond J, Dickinson HO, Matthews F, Jagger C, Brayne C. Self-rated health status as a predictor of death, functional and cognitive impairment: a longitudinal cohort study. Eur J Ageing. 2006 Dec; 3(4): 193-206.
  • Vuorisalmi M, Lintonen T, Jylha M. Comparative vs. global self-rated health: associations of age and functional ability. Aging Clin Exp Res. 2006 Jun; 18(3): 211-7.
  • Vuorisalmi M, Lintonen T, Jylhä M. Global self-rated health data from a longitudinal study predicted mortality better than comparative self-rated health in old age. J Clin Epidemiol. 2005 Jul; 58(7): 680-7.
  • Wannamethee G, Shaper A. Self-assessment of health status and mortality in middle-aged British men. Int J Epidemiol. 1991 Mar; 20(1): 239-45.
  • Greene W. Econometric Analysis. 2 ed. New York: Macmillan Publishing Company; 1993.
  • Jones AM. Applied econometrics for health economists: a practical guide. 2 ed: Radcliffe Publishing; 2007.
  • Grossman M. On the concept of health capital and the demand for health. The Journal of Political Economy. 1972 Mar-Apr; 80(2): 223-55.
  • Zweifel P, Breyer F, Kifmann M. Health economics. 2 ed: Springer; 2009.
  • Van Doorslaer EK. Health, Knowledge, and the Demand for Medical Care: An Econometric Analysis. 1 ed: Van Gorcum Maastricht/ Wolfeboro, Hampshire; 1987.
  • Ehrlich I, Chuma H. A Model of the Demand for Longevity and the Value of Life Extension. J Polit Econ. 1990 Aug; 98(4): 761-82.
  • Jones AM. Health econometrics. Handbook of health economics. 2000 1: 265-344.
  • Gerdtham U-G, Johannesson M, Lundberg L, Isacson D. The demand for health: results from new measures of health capital. Eur J Polit Econ. 1999 Sep; 15(3): 501-21.
  • Galama T. A contribution to health capital theory, RAND Working Paper No. WR-831. 2011 January. [cited 2013 Dec 22]. Available from: http://works. bepress. com/titus_galama/1.
  • Grossman M, Kaestner R. Effects of education on health. In J.R. Behman and N. Stacey, eds., The Social Benefits of Education.: Michigan Press, Ann Arbor, MI; 1997.
  • Browning M, Moller Dano A, Heinesen E. Job displacement and stress‐related health outcomes. Health Econ. 2006 Oct; 15(10): 1061-75.
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