Publication:
Health Care Decisions as a Family Matter: Intrahousehold Education Externalities and the Utilization of Health Services

dc.contributor.authorLindelöw, Magnus
dc.date.accessioned2013-06-25T17:30:22Z
dc.date.available2013-06-25T17:30:22Z
dc.date.issued2004-06
dc.description.abstractThe 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.en
dc.identifierhttp://documents.worldbank.org/curated/en/2004/06/4999222/health-care-decisions-family-matter-intra-household-education-externalities-utilization-health-services
dc.identifier.doi10.1596/1813-9450-3324
dc.identifier.urihttps://hdl.handle.net/10986/14175
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, D.C.
dc.relation.ispartofseriesPolicy Research Working Paper;No.3324
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACHIEVEMENT
dc.subjectAGED
dc.subjectAGRICULTURAL INNOVATION
dc.subjectAGRICULTURAL SCHOOLS
dc.subjectCHILD HEALTH SERVICES
dc.subjectCHILD NUTRITION
dc.subjectCOMPLEXITY
dc.subjectEDUCATION VARIABLES
dc.subjectEDUCATIONAL ACHIEVEMENT
dc.subjectEDUCATIONAL REFORM
dc.subjectEFFECTIVE EDUCATION
dc.subjectFEED
dc.subjectFORMAL EDUCATION
dc.subjectGENDER
dc.subjectHEALTH CARE
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH SERVICES
dc.subjectILLITERATES
dc.subjectINNOVATION
dc.subjectLEVEL OF EDUCATION
dc.subjectLITERACY
dc.subjectLITERATURE
dc.subjectLIVING CONDITIONS
dc.subjectMEASLES
dc.subjectMORTALITY
dc.subjectMOTHERS
dc.subjectPAPERS
dc.subjectPOLIO
dc.subjectPREGNANCY
dc.subjectPRIMARY EDUCATION
dc.subjectPRIMARY HEALTH CARE
dc.subjectREPETITION
dc.subjectSCHOOLING
dc.subjectSCHOOLS
dc.subjectSECONDARY EDUCATION
dc.subjectTECHNICAL EDUCATION
dc.subjectTERTIARY EDUCATION HEALTH CARE DELIVERY
dc.subjectFAMILY HEALTH CARE
dc.subjectFAMILY LIFE EDUCATION
dc.subjectHEALTH SERVICES
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectHEALTH EDUCATION
dc.subjectHOUSEHOLD MANAGEMENT
dc.subjectEDUCATION & TRAINING
dc.subjectMATERNAL HEALTH SERVICES
dc.subjectCHILD HEALTH SERVICES
dc.subjectIMMUNIZATION OF CHILDREN
dc.subjectMOTHERS' EDUCATION
dc.subjectEDUCATIONAL LEVEL
dc.subjectGENDER DIFFERENCES
dc.subjectCASE STUDIES
dc.titleHealth Care Decisions as a Family Matter: Intrahousehold Education Externalities and the Utilization of Health Servicesen
dspace.entity.typePublication
okr.crossref.titleHealth Care Decisions as a Family Matter: Intrahousehold Education Externalities and the Utilization of Health Services
okr.date.doiregistration2025-04-10T10:34:10.525381Z
okr.doctypePublications & Research::Policy Research Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2004/06/4999222/health-care-decisions-family-matter-intra-household-education-externalities-utilization-health-services
okr.globalpracticeEducation
okr.globalpracticeHealth, Nutrition, and Population
okr.guid234771468757836645
okr.identifier.doi10.1596/1813-9450-3324
okr.identifier.externaldocumentum000012009_20040804140329
okr.identifier.internaldocumentum4999222
okr.identifier.reportWPS3324
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2004/08/04/000012009_20040804140329/Rendered/PDF/WPS3324.pdfen
okr.region.administrativeAfrica
okr.region.countryMozambique
okr.topicEducation::Primary Education
okr.topicHealth Monitoring and Evaluation
okr.topicAgricultural Knowledge and Information Systems
okr.topicCurriculum and Instruction
okr.topicEarly Child and Children's Health
okr.topicHealth, Nutrition and Population::Public Health Promotion
okr.topicTeaching and Learning
okr.unitOff of Sr VP Dev Econ/Chief Econ (DECVP)
okr.volume1 of 1
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relation.isAuthorOfPublication.latestForDiscoveryd6df2a53-bb3c-5376-8494-5d7b3af636f6
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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