Journal
HEALTH POLICY AND PLANNING
Volume 29, Issue 1, Pages 85-95Publisher
OXFORD UNIV PRESS
DOI: 10.1093/heapol/czs137
Keywords
Agency in health care; rational peasant; rural health care; Africa; asymmetric information
Funding
- Knowledge Product, Human Resources for Health Group at the World Bank
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We introduce the 'active patient' model, which we claim is a better way to describe health-seeking behaviour in low-income countries. Active patients do not automatically seek health care at the closest or lowest cost provider, but rather seek high-quality care (even at higher cost) when they estimate that such care will significantly improves outcomes. We show how the active patient can improve his or her health even when access to adequate quality care is insufficient and that the empirical literature supports this model, particularly in Africa. Finally, we demonstrate the importance, in analysing health care policy, of recognizing patients' efforts to improve health outcomes by seeking quality care.
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