Health Care Decisions as a Family Matter: Intrahousehold Education Externalities and the Utilization of Health Services
The author is concerned with the role of education as a determinant of health care choices. His central premise is that utilization of health services is determined not solely by an individual's own education, but rather by a notion of effecti...
| Main Author: | |
|---|---|
| Format: | Policy Research Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, D.C.
2013
|
| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2004/06/4999222/health-care-decisions-family-matter-intra-household-education-externalities-utilization-health-services http://hdl.handle.net/10986/14175 |
| id |
okr-10986-14175 |
|---|---|
| recordtype |
oai_dc |
| spelling |
okr-10986-141752021-04-23T14:03:21Z Health Care Decisions as a Family Matter: Intrahousehold Education Externalities and the Utilization of Health Services Lindelöw, Magnus ACHIEVEMENT AGED AGRICULTURAL INNOVATION AGRICULTURAL SCHOOLS CHILD HEALTH SERVICES CHILD NUTRITION COMPLEXITY EDUCATION VARIABLES EDUCATIONAL ACHIEVEMENT EDUCATIONAL REFORM EFFECTIVE EDUCATION FEED FORMAL EDUCATION GENDER HEALTH CARE HEALTH OUTCOMES HEALTH SERVICES ILLITERATES INNOVATION LEVEL OF EDUCATION LITERACY LITERATURE LIVING CONDITIONS MEASLES MORTALITY MOTHERS PAPERS POLIO PREGNANCY PRIMARY EDUCATION PRIMARY HEALTH CARE REPETITION SCHOOLING SCHOOLS SECONDARY EDUCATION TECHNICAL EDUCATION TERTIARY EDUCATION HEALTH CARE DELIVERY FAMILY HEALTH CARE FAMILY LIFE EDUCATION HEALTH SERVICES ACCESS TO HEALTH SERVICES HEALTH EDUCATION HOUSEHOLD MANAGEMENT EDUCATION & TRAINING MATERNAL HEALTH SERVICES CHILD HEALTH SERVICES IMMUNIZATION OF CHILDREN MOTHERS' EDUCATION EDUCATIONAL LEVEL GENDER DIFFERENCES CASE STUDIES The author is concerned with the role of education as a determinant of health care choices. His central premise is that utilization of health services is determined not solely by an individual's own education, but rather by a notion of effective education, which incorporates the educational attainment of other household members. The author sets out a general framework for representing intra-household education externalities, and proposes a number of specific hypotheses concerning the way in which the education of different household members affects health care choices. He tests these hypotheses on data from Mozambique, focusing on maternity services and child immunizations. The author draws five major conclusions from the analysis. First, while maternal education seems to be the education variable of primary importance for the health care choices under consideration, the education of other household members has a significant and sometimes large effect. Second, his analysis suggests that while the education of the person (non-spouse) in the household with the highest-level education is important, the level of education of additional household members does not have an impact on health care choices. Third, the data provide no evidence of a gender difference in education externalities. Fourth, the author examines the merits of two alternative representations of the education externality, but is unable to conclude unambiguously in favor of one specification over the other. Finally, although the analysis highlights the importance of both education and a number of other explanatory variables in understanding health care choices, spatial fixed effects remain highly significant. 2013-06-25T17:30:22Z 2013-06-25T17:30:22Z 2004-06 http://documents.worldbank.org/curated/en/2004/06/4999222/health-care-decisions-family-matter-intra-household-education-externalities-utilization-health-services http://hdl.handle.net/10986/14175 English en_US Policy Research Working Paper;No.3324 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, D.C. Publications & Research :: Policy Research Working Paper Publications & Research Africa Mozambique |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ACHIEVEMENT AGED AGRICULTURAL INNOVATION AGRICULTURAL SCHOOLS CHILD HEALTH SERVICES CHILD NUTRITION COMPLEXITY EDUCATION VARIABLES EDUCATIONAL ACHIEVEMENT EDUCATIONAL REFORM EFFECTIVE EDUCATION FEED FORMAL EDUCATION GENDER HEALTH CARE HEALTH OUTCOMES HEALTH SERVICES ILLITERATES INNOVATION LEVEL OF EDUCATION LITERACY LITERATURE LIVING CONDITIONS MEASLES MORTALITY MOTHERS PAPERS POLIO PREGNANCY PRIMARY EDUCATION PRIMARY HEALTH CARE REPETITION SCHOOLING SCHOOLS SECONDARY EDUCATION TECHNICAL EDUCATION TERTIARY EDUCATION HEALTH CARE DELIVERY FAMILY HEALTH CARE FAMILY LIFE EDUCATION HEALTH SERVICES ACCESS TO HEALTH SERVICES HEALTH EDUCATION HOUSEHOLD MANAGEMENT EDUCATION & TRAINING MATERNAL HEALTH SERVICES CHILD HEALTH SERVICES IMMUNIZATION OF CHILDREN MOTHERS' EDUCATION EDUCATIONAL LEVEL GENDER DIFFERENCES CASE STUDIES |
| spellingShingle |
ACHIEVEMENT AGED AGRICULTURAL INNOVATION AGRICULTURAL SCHOOLS CHILD HEALTH SERVICES CHILD NUTRITION COMPLEXITY EDUCATION VARIABLES EDUCATIONAL ACHIEVEMENT EDUCATIONAL REFORM EFFECTIVE EDUCATION FEED FORMAL EDUCATION GENDER HEALTH CARE HEALTH OUTCOMES HEALTH SERVICES ILLITERATES INNOVATION LEVEL OF EDUCATION LITERACY LITERATURE LIVING CONDITIONS MEASLES MORTALITY MOTHERS PAPERS POLIO PREGNANCY PRIMARY EDUCATION PRIMARY HEALTH CARE REPETITION SCHOOLING SCHOOLS SECONDARY EDUCATION TECHNICAL EDUCATION TERTIARY EDUCATION HEALTH CARE DELIVERY FAMILY HEALTH CARE FAMILY LIFE EDUCATION HEALTH SERVICES ACCESS TO HEALTH SERVICES HEALTH EDUCATION HOUSEHOLD MANAGEMENT EDUCATION & TRAINING MATERNAL HEALTH SERVICES CHILD HEALTH SERVICES IMMUNIZATION OF CHILDREN MOTHERS' EDUCATION EDUCATIONAL LEVEL GENDER DIFFERENCES CASE STUDIES Lindelöw, Magnus Health Care Decisions as a Family Matter: Intrahousehold Education Externalities and the Utilization of Health Services |
| geographic_facet |
Africa Mozambique |
| relation |
Policy Research Working Paper;No.3324 |
| description |
The author is concerned with the role of
education as a determinant of health care choices. His
central premise is that utilization of health services is
determined not solely by an individual's own education,
but rather by a notion of effective education, which
incorporates the educational attainment of other household
members. The author sets out a general framework for
representing intra-household education externalities, and
proposes a number of specific hypotheses concerning the way
in which the education of different household members
affects health care choices. He tests these hypotheses on
data from Mozambique, focusing on maternity services and
child immunizations. The author draws five major conclusions
from the analysis. First, while maternal education seems to
be the education variable of primary importance for the
health care choices under consideration, the education of
other household members has a significant and sometimes
large effect. Second, his analysis suggests that while the
education of the person (non-spouse) in the household with
the highest-level education is important, the level of
education of additional household members does not have an
impact on health care choices. Third, the data provide no
evidence of a gender difference in education externalities.
Fourth, the author examines the merits of two alternative
representations of the education externality, but is unable
to conclude unambiguously in favor of one specification over
the other. Finally, although the analysis highlights the
importance of both education and a number of other
explanatory variables in understanding health care choices,
spatial fixed effects remain highly significant. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Lindelöw, Magnus |
| author_facet |
Lindelöw, Magnus |
| author_sort |
Lindelöw, Magnus |
| title |
Health Care Decisions as a Family Matter: Intrahousehold Education Externalities and the Utilization of Health Services |
| title_short |
Health Care Decisions as a Family Matter: Intrahousehold Education Externalities and the Utilization of Health Services |
| title_full |
Health Care Decisions as a Family Matter: Intrahousehold Education Externalities and the Utilization of Health Services |
| title_fullStr |
Health Care Decisions as a Family Matter: Intrahousehold Education Externalities and the Utilization of Health Services |
| title_full_unstemmed |
Health Care Decisions as a Family Matter: Intrahousehold Education Externalities and the Utilization of Health Services |
| title_sort |
health care decisions as a family matter: intrahousehold education externalities and the utilization of health services |
| publisher |
World Bank, Washington, D.C. |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2004/06/4999222/health-care-decisions-family-matter-intra-household-education-externalities-utilization-health-services http://hdl.handle.net/10986/14175 |
| _version_ |
1764430541492322304 |