Experimental research on the choice of health services under health systems reform

2017 Fiscal Year Final Research Report

• Project/Area Number: 26460592
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Medical sociology
• Research Institution: The University of Tokyo
• Principal Investigator: Shibanuma Akira 東京大学, 大学院医学系研究科(医学部), 助教 (90647992)
• Co-Investigator(Kenkyū-buntansha): 神馬 征峰 東京大学, 大学院医学系研究科(医学部), 教授 (70196674)
• Research Collaborator: Kim Net カンボジア計画省統計局 ; Neth Inrasothythep カンボジア保健科学大学
• Project Period (FY): 2014-04-01 – 2018-03-31
• Keywords: 小児疾病 / 保健アクセス / 離散的選択実験

Outline of Final Research Achievements

This research investigated factors associated with the choice of health services among mothers who had a child aged between one and four in Cambodia. In addition, it elicited preferences of health services among them using a discrete choice experiment method. As a result, mothers with a low level of time preference tended to postpone treatment seeking when her child had diarrhea. Mothers with a high level of risk preference tended to choose private health facilities rather than its public counterpart. Mothers preferred health services with qualified staff and better availability rather than a lower cost. The results highlights the role of risk and time preferences among mothers upon childhood diseases. It also implies the importance of addressing uncertainty in mothers' perception on health services and reducing delayed access to health services when planning health promotion and quality improvement in health services.

Free Research Field

地域保健、国際保健