Gender Differences in Healthcare Utilisation Among the Elderly in Malaysia: A Decomposition Analysis

Authors

  • Zurina Kefeli @ Zulkefli Faculty of Economics and Muamalat Universiti Sains Islam Malaysia, Malaysia

DOI:

https://doi.org/10.32890/ijms2015.22.2.5

Keywords:

Inequalities, socioeconomic differences, decomposition analysis, healthcare utilisation

Abstract

In improving the health status of the people, Malaysia continuously provides a more equitable distribution of facilities and efficient health services. Due to the increasing proportion of the aging population in the country, this paper examines the differences in the utilisation of the health services among the elderly in Malaysia and identifies the factors responsible for the observed changes between 1996 and 2006 by using the non-linear decomposition approach. The empirical analysis uses the second and third National Health and Morbidity Survey (NHMSII and NHMSIII) data which were conducted in 1996 and 2006. Overall, the findings of this research suggest that other than being sick, the raw differentials in the utilisation of healthcare among the elderly are influenced by socioeconomic status such as education, income, and job status. From this study, it is hoped that by understanding the factors that contribute to the differentials in public and private hospital admissions, and individual’s behaviour towards the use of healthcare services, the government can develop strategies for eliminating socially-caused inequity in health. Reducing financial barriers to care, especially among the private health providers, may benefit the lower socioeconomic group.
 
Keywords: Inequalities, socioeconomic differences, decomposition analysis, healthcare utilisation, gender

Downloads

Download data is not yet available.

References

Ahmed, S. M., Adams, A. M., Chowdhury, M., & Bhuiya, A. (2000). Gender, socioeconomic development and health-seeking behaviour in Bangladesh. Social Science & Medicine, 51(3), 361–371. Allin, S., Masseria, C., Mossialos, E., Oliver, A., Dixon, A., Le Grand,

J., & Berkey, D. B. (2008). Equity in healthcare use among older people in the United Kingdom: An analysis of panel data. London: Taylor & Francis.

Andersen, R. M. (1995). Revisiting the behavioural model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(March), 1–10.

Balarajan, R., Yuen, P., Machin, D. (1987). Socio-economic differences in the uptake of medical care in Great Britain. Journal of Epidemiology and Community Health, 41, 196–199.

Braveman, P., & Gruskin, S. (2003). Defining equity in health: Theory and methods. Journal of Epidemiology & Community Health, 57(4), 254–258.

Dunlop, S., Coyte, P., & McIsaac, W. (2000). Socio-economic status and the utilization of physicians, services: Results from the Canadian National Population Health Survey. Social Science & Medicine, 51(1), 123–133.

Fairlie, R. W. (2005). An extension of the Blinder-Oaxaca decomposition technique to logit and probit models. Journal of Economics and Social Measurement, 30, 305–316.

Fernandez de la Hoz, K., & Leon, D. A. (1996). Self-perceived health status and inequalities in use of health services in Spain. International Journal of Epidemiology, 25(3), 593–603.

Fernandez, E., Schiaffino, A., Rajmil, L., Badia, X., & Segura, A. (1999). Gender inequalities in health and healthcare services use in Catalonia (Spain). Journal of Epidemiology Community Health, 53, 218−222.

Gerritsen, A. A. M., & Deville, W. L. (2009). Gender differences in health and healthcare utilisation in various ethnic groups in the Netherlands: A cross-sectional study. BMC Public Health, 9(109). doi:10.1186/1471-2458-9-109.

Grundy, E., & Holt, G. (2001). The socio-economic status of older adults: How should we measure it in studies of health inequalities? Journal of Epidemiology and Community Health, 55, 895–904. http://ijms.uum.edu.my/ IJMS 22 (2), 73–91 (2015)

Lima-Costa, M. F., Oliveira, C. D., Macinko, J., & Marmot, M. (2012). Socio-economic inequalities in health in older adults in Brazil and England. American Journal of Public Health, 102(8), 1535­–1541.

Ministry of Health. (2007). Health facts 2006. Information and Documentation System Unit, Malaysia. Retrieved from from http://www.moh.gov.my/

Ministry of Health Strategic Plan. (2008). Retrieved from http://www. moh.gov.my/images/ gallery/Report/MOH_SP_2006-2010.pdf National Household Health Expenditure Survey 1996 (NHHES ’96).

Final report. (1999). Kuala Lumpur: University of Malaya.

Newbold, K. B., Eyles, J., & Birch, S. (1995). Equity in health care: Methodological contributions to the analysis of hospital utilization in Canada. Social Science & Medicine, 40(9), 1181­–1192.

Nolan, B. (1994). General practitioner utilisation in Ireland: The role of socio-economic factors. Social Science & Medicine, 38(5), 711–716.

Piperno, A., & Di Orio, F. (1990). Social differences in health and utilization of health services in Italy. Social Science & Medicine, 31(3), 305–312.

Roy, K., & Chaudhuri, A. (2008). Influence of socio-economic status, wealth and financial empowerment on gender differences in health and healthcare utilization in later life: Evidence from India. Social Science & Medicine, 66, 1951–1962.

Saxena, S., Eliahoo, J., & Majeed, A. (2002). Socio-economic and ethnic group differences in self-reported health status and use of health services by children and young people in England: Cross-sectional study. BMJ, 325, 1–6.

Spruit, I. P. (1990). Health and social inequalities in the Netherlands. Social Science & Medicine, 31(3), 319–329.

Tsimbos, C. (2010). An assessment of socio-economic inequalities in health among elderly in Greece, Italy and Spain. International Journal of Public Health, 55(1), 5–15.

Turra, C. M., & Goldman, N. (2007). Socio-economic differences in mortality among US adults: Insights into the Hispanic Paradox. Journal of Gerontology: Social Sciences, 62B, S184–S192. Van der Hayden, J. H. A., Demarest, S., Tafforeau, J., & Van Oyen, H. (2003). Socio-economic differences in the utilisation of health services in Belgium. Health Policy, 65, 153–165. Van Doorslaer, E., Wagstaff, A., Calonge, S., Christiansen, T., Gerfin, M., Gottschalk, P., Janssen, R., Lachaud, C., Leu, R. E., &

Nolan, B. (1992). Equity in the delivery of healthcare: Some international comparisons. Journal of Health Economics, 11(4), 389–411. IJMS 22 (2), 73–91 (2015) http://ijms.uum.edu.my/

Whitehead, M. (1992). The concepts and principles of equity and health. International Journal of Health Services, 22(3), 429–445.

World Health Organization. (1996). Equity in health and healthcare: A WHO/SIDA initiative. Geneva: World Health Organization.

Downloads

Published

29-12-2015

Research impact

Harvested 2026-09-08
1 citations, from OpenAlex — the highest of the sources checked

Counts differ between services because each indexes a different body of literature. None of them is the whole picture.

Identifiers DOI 10.32890/ijms2015.22.2.5 OpenAlex W7000586521