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Examining the changing health care seeking behavior in the era of health sector reforms in India:evidences from the National Sample Surveys 2004&2014

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Global Health Research and Policy 2017年第1期2卷 301-309页

作者： Arnab Jana Rounaq Basu Centre for Urban Science&Engineering Indian Institute of Technology BombayMumbaiMaharashtra 400076India Intelligent Transportation Systems Lab Department of Civil&Environmental EngineeringMassachusetts Institute of TechnologyCambridgeMA 02139USA

Background:Health policy formulations in India have witnessed a shift from a reactive approach to a more proactive approach over the last *** is therefore important to understand the effectiveness of recent national health policies(such as the National Rural Health Mission and the National Urban Health Mission)in addressing the varied needs of the heterogeneous population of ***:We use datasets from the National Sample Surveys carried out in 2004 and 2014 to understand the change in the health seeking behavior as a result of these *** choice of health care facilities and the associated expenditures are compared through descriptive analyses.A multinomial logistic regression is used to identify the significant parameters which contribute towards the share of health care providers in *** health status of two economically disparate Indian states(Bihar and Kerala)are also compared through specific metrics of ***:It is seen that due to increased availability of facilities in close proximity,both rural and urban residents prefer to avail of those facilities which will result in minimization of transportation *** effectiveness of national health policies is found to vary on a regional *** and health status have a strong correlation,thereby reinforcing that Bihar still lags far behind Kerala in terms of access to equitable health ***:Therefore,a hierarchical system,incorporating medical pluralism and tailor-made policies targeted at diverse health care demands,needs to be put in place to achieve Goal 3 of the Sustainable Development Goals as decreed by the United Nations,i.e.,“health for all”.

关键词： National health policies Health care seeking behavior Regional health status variation nss dataset Health care in India

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