caa a22 4500 397520190 CHVBK 20180308164630.0 cr unu---uuuuu 161202e199512 xx s 000 0 eng 10.1093/heapol/10.4.350 doi (NATIONALLICENCE)oxford-10.1093/heapol/10.4.350 WEAVER MARCIA Department of Health Services, University of Washington, Seattle, USA User fees and patient behaviour: evidence from Niamey National Hospital [Elektronische Daten] [MARCIA WEAVER] Evidence is presented on the effects of price changes on the delay before seeking care and on referral status in a sample of hospital patients in Niger. Price changes are measured as differences across patients at one hospital in whether or not they pay for care, rather than as differences in prices across several hospitals. User fees are charged, but the fee system allows exemptions for some payor categories such as government employees, students, and indigent patients. Evidence is also presented on the effect of income on the delay before seeking care and referral status. The analysis demonstrates a technical point on whether household consumption or current income is a more appropriate measure of income. The analysis shows that user fees affect patient behaviour, but the effects are not the same for outpatients and inpatients. Outpatients who pay for care wait longer before seeking care, but inpatients do not. Inpatients who pay for care are more likely to be referred, but outpatients are not. Patients with more income wait less time to seek care and are less likely to be referred than other patients. Further, household consumption explains patient behaviour better than current income. © Oxford University Press Review paper nationallicence Health Policy and Planning Oxford University Press 10/4(1995-12), 350-361 0268-1080 10:4<350 1995 10 heapol https://doi.org/10.1093/heapol/10.4.350 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/heapol/10.4.350 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- WEAVER MARCIA Department of Health Services, University of Washington, Seattle, USA NATIONALLICENCE 773 0- Health Policy and Planning Oxford University Press 10/4(1995-12), 350-361 0268-1080 10:4<350 1995 10 heapol Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford