Empowering Older Women in Malaysia:  Understanding Their Health Care Demand

Norehan Abdullah

doi:10.32890/jgd2014.10.1.5

Authors

Norehan Abdullah School of Economics, Finance and Banking, College of Business, Universiti Utara Malaysia, Malaysia

DOI:

https://doi.org/10.32890/jgd2014.10.1.5

Keywords:

empowerment, health care, elderly women

Abstract

Understanding factors that affect health care demand by elderly women is vital for a health system to be more supportive towards womenâ€™s empowerment. This paper presents the medical care utilization of the elderly women; identify the existence of income-related inequity in health care utilization and the role of living arrangements of the elderly on health care utilization among the elderly women in Kedah State. A total number of 202 of respondents aged 62 to 95 were interviewed face-to-face using a structured questionnaire. The Probit and Poisson model were used in estimating the demand equation. It is found that income, after controlling for other socioeconomic and health related factors, is not statistically significant in affecting the likelihood of doctor visits, and the frequency of the visits. The role of living arrangement, as measured by marital status and the number of individual aged 18 and over living together is also not significant in both models. This result suggests that older women in the area of study can somehow make independent decisions regarding their health care demand, which demand should ideally base on health status rather than not other factors.

References

Acton, J.P. (1975). Nonmonetary factors in the demand for medical services: Some empirical evidence. The Journal of Political Economy, 83(3), 595-614.

Alderman, H., & Gertler, P. (1989). The substitutability of public & private health care for the treatment of children in Pakistan, World Bank Living Standard Measurement Study Woking Paper No.57.

Aday, L.A., & Andersen, R. (1974). A framework for the study of access to medical care. Health Services Research, 9(3), 208-220.

Andersen, R., & Newman, J.F. (1973). Societal & individual determinants of medical care utilization in the United States. Milbank Memorial Fund Quarterly Health & Society, 51(1), 95-124.

Atella,V., Brindisi, F., Deb, P., & Rosati, F.C. (2004). Determinants access to physician services in Italy: A latent class seemingly unrelated probit approach. Health Economics, 13(7), 657-668.

Beales, S. (2012). Empowerment and older people: Enhancing capabilities in an ageing world. Paper presented in UN’s Expert Group Meeting on “Promoting people’s empowerment in achieving poverty eradication, social integration and productive and decent work for all, 10-12 September 2012.

Bryant, J. (1972). Health and the developing child. Cornell Univ. Press.

Deb, P., & Trivedi, P.K. (1997). Demand for medical care by the elderly. Journal of Applied Econometrics, 12(3), 313-336.

Dor, A.J., & Van der Gaag, J. (1988). The demand for medical care in developing countries: Quantity rationing in rural Côte d’Ivoire. Working Paper No. 35, Washington DC: World Bank.

Duflo, E. (2012). Women empowerment and economic development. Journal of Economic Literature, 50(4) 1051-79.

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

Evashwick, C., Rowe, G., Diehr, P., & Branch,L. (1984). Factors explaining the use of health care services by the elderly. Health Services Research, 19(3), 357-382.

Grossman, M. (1972). On the concept of health capital and demand for health. The Journal of Political Economy, 80(2), 223-255.

Guralnik, J.M., Land K.C., Blazer, D., Fillenbaum, G.G., & Branch, L.G. (1993). Educational status & active life expectancy among older blacks & whites. The New England Journal of Medicine, 329(2), 110-116.

Heckert, J. & Fabic, M.S (2013). Improving data concerning women’s empowerment in Sub-Saharan Africa. Studies In Family Planning, 44(3), 319-344.

Laroche, M, (2000). Health status & health services utilization of Canada’s immigrant & non immigrant populations. Canadian Public Policy, XXVI(1), 51-75.

Lim, K., Jacobs & Klarenbach. (2005). A population based analysis of health care utilization of persons with back disorders. SPINE, 31 (2), 212-218.

Novartis foundation. (2003). Projet intégré de santé et d’activités mutualistes (PISAM). Project document. Ministère de la santé, Ministère du développement social et des personnes âgées (Ministry of Health, Ministry of Social Development & the Elderly), Mali.

Pohlmeier, W., & Ulrich, V. (1995). An econometric model of the process two-part decision making process in the demand for health care. The Journal of Human Resources, 30(2), 339-356.

Santos-Silva, J.M.C. & Windmeijer, F. (2001). Two-part multiple spell models for health care demand. Journal of Econometrics, 104, 67-89.

Sarma, S. (2009). Demand for outpatient healthcare: empirical findings from rural India. Appl Health Econ health Policy, 7(4), 265-77.

Sarma, S., & Simpson, W. (2006). A micro econometric analysis of Canadian health care utilization. Health Economics, 15(3), 219-239.

Wan, T.T.H., & Odell, B.G. (1981). Factors affecting the use of social & health services among the elderly. Ageing & Society, 1(1), 95-115.

Windmeijer, F.A.G. & Santos-Silva, J.M.C. (1997). Endogeneity in count data models: An application to demand for health care. Journal of Applied Econometrics, 12(3), 281-294.

Wolinsky, F.D., Coe R.M., Miller, D.K., Prendergast J.M., Creel, M.J., & Chavez, M.N, (1983). Health services utilization among the non institutionalized elderly. Journal of Health & Social Behavior, 24(4), 325-337.