Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/234466 
Year of Publication: 
2021
Citation: 
[Journal:] Journal of Risk and Financial Management [ISSN:] 1911-8074 [Volume:] 14 [Issue:] 6 [Publisher:] MDPI [Place:] Basel [Year:] 2021 [Pages:] 246-
Publisher: 
MDPI, Basel
Abstract: 
The decision-making processes and outcomes of male and female household heads differ due to gender-based differences in preferences. In this paper we assess the impact of this heterogeneity on household healthcare consumption in Thailand. Past studies modeling healthcare expenditures using household survey data used a gender dummy in regression models to control for household gender headship at the household level. Due to the endogeneity and self-selection bias in the past modelling approach, we separately modeled health expenditures for male and female household head decision makers. Using household dataset from an earlier work, this study finds, using the double-hurdle model with dependent errors, that out-of-pocket health care spending tends to behave like a necessity across the income quintiles, household sizes, and differently for the separately modeled household gender heads. Moreover, male and female headed households responded differently to a major economic shock when adjusting household healthcare spending.
Subjects: 
household-head gender
household health expenditure
double hurdle model
elasticity
Health Capital
JEL: 
C50
D13
I12
I15
Published Version’s DOI: 
Document Type: 
Article
Document Version: 
Accepted Manuscript (Postprint)
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