Insurance Health Impacts on Health and Non-Medical Consumption in a Developing Country

Pradhan, Menno; Wagstaff, Adam

doi:10.1596/1813-9450-3563

Cited by 88 publications

(93 citation statements)

References 58 publications

(55 reference statements)

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“…Moreover, while there are studies that examine whether health insurance helps protect income or wealth from declining due to ill health (Lindelow and Wagstaff 2005) or have studied the effect of such schemes on consumption (Wagstaff and Pradhan 2005), there are relatively few studies that have evaluated the impact of such schemes on indebtedness and livestock. This paper uses three rounds of household panel data-a baseline and two follow-up surveys.…”

Section: Introductionmentioning

confidence: 99%

Impact of Ethiopia's Community Based Health Insurance on Household Economic Welfare

Yilma¹,

Mebratie²,

Sparrow³

et al. 2015

World Bank Econ Rev

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Section: Introductionmentioning

confidence: 99%

Impact of Ethiopia's Community Based Health Insurance on Household Economic Welfare

Yilma¹,

Mebratie²,

Sparrow³

et al. 2015

World Bank Econ Rev

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“…Gertler (2004) reports the effects on health outcomes of a conditional cash transfer program that required mothers to take their children for regular health checks to receive the cash supplement. And Wagstaff and Pradhan (2005) examine the effects on health utilization and health outcomes of a social health insurance program. Such studies are, however, relatively few in number.…”

Section: Introductionmentioning

confidence: 99%

Do Health Sector Reforms Have Their Intended Impacts ? The World Bank'S Health VIII Project In Gansu Province, China

Wagstaff¹,

Yu²

2005

Policy Research Working Papers

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The literature contains very few impact evaluations of health sector reforms, especially those involving broad and simultaneous changes on both the demand and supply sides of the sector. This paper reports the results of a World Bank-funded health sector reform project in China known as Health VIII. On the supply-side, the project combined infrastructure investments (especially at the township level) with improved planning and management, including a referral system between township health centers and county hospitals, and interventions aimed at improving the effectiveness and quality of care, including the introduction of clinical protocols and essential drug lists. On the demand-side, the project sought to resurrect community health insurance, and to introduce a safety net for the very poor to provide them with financial assistance with their health care expenses. The evaluation reported here concerns just one of the project's seven provinces, namely Gansu, the reason being that no suitable data are available to undertake a rigorous evaluation in all provinces. This paper makes use of a panel dataset collected for quite another purpose but whose timing (just around the time the project started and four years later) and location (covering both project and non-project counties) makes it well suited to the task. The paper compares estimates obtained using a variety of different estimators, including naïve single differences (before and after, and with and without the project), and differences in differences, adjusting for heterogeneity through both regression and matching methods. The results suggest that it makes a difference to the estimated impact of Health VIII which estimator is used, with the naïve single differences producing often markedly different estimates from the preferred approach of combining difference-in-differences with matching. The results suggest that Health VIII has been mostly successful in its goals. The preferred estimator suggests that the project reduced illness among children, improved self-assessed health and increased doctor visits among the population in general, and reduced the incidence of catastrophic health spending, defined as annual spending in excess of 10% of annual per capita income. However, the project appears to have increased the development and use of high-level facilities, hastened the demise of the village clinic, and may have reduced immunization rates.

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“…Secondly, although Wagstaff and Pradhan [2], and Sepehri et al considered out-of-pocket health expenses, but not health care utilization, this study examines health care contacts. Thirdly, while Wagstaff and Pradhan [2], Sepehri et al [1], Bales et al [3], Nguyen [4], and Nguyen [5,6] used panel data, this study uses cross-section data (in 2014) to examine the result in comparison with their findings. Fourthly, a propensity score matching method was common in Wagstaff and Pradhan, Wagstaff [7], Bales et al, Nguyen, whereas, Tobit models are adopted in this study.…”

Section: Methodsmentioning

confidence: 99%

Access to Health Services in Vietnam

2017

ARJBM

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Abstract:Health is increasingly a critical concern in the current context. Aware of the importance of health and its relationship with development of a country, Vietnam has kept on improving its health care system and achieved remarkable results. This effort also has succeeded in preventing outbreak of diseases, but some new ones have appeared in recent times, which are really new challenges and require Vietnam to attempt more in this field. How to improve accessibility and quality of health care services has always been the subject of discussion in Vietnam. The indicators show that ethnic minorities, mountain, rural and poor people are vulnerable groups who usually have a lower capacity in accessing health care services. On one hand, this results from their disadvantaged conditions. On the other hand, the reasons come right from the weakness of the health care system where health care delivery is unqualified and financial protection is not good enough. This thesis, therefore, aims to explore which determinants have impacts on health care utilization, using the Vietnam Household Living Standard Surveys in 2014. It is found that gender, age, health status, urbanity, and ethnicity are correlated. Especially, health insurance helps increase health care contacts (about 32 percent and 4 percent for outpatient and inpatient contacts, respectively).

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Insurance Health Impacts on Health and Non-Medical Consumption in a Developing Country

Cited by 88 publications

References 58 publications

Impact of Ethiopia's Community Based Health Insurance on Household Economic Welfare

Impact of Ethiopia's Community Based Health Insurance on Household Economic Welfare

Do Health Sector Reforms Have Their Intended Impacts ? The World Bank'S Health VIII Project In Gansu Province, China

Access to Health Services in Vietnam

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