Measuring pure health inequality and mobility during a health insurance expansion: Evidence from Mexico

Costa‐Font, Joan; Cowell, Frank; Miera, Belen Saenz de

doi:10.1002/hec.4271

Cited by 7 publications

(5 citation statements)

References 50 publications

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“…During the period where the data were collected, during the COVID-19 outbreak, insured or even uninsured individuals were less likely to receive preventive medical services. Again, such variation among insured and uninsured individuals may result in unequal quality of services provided for the society [ 43 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

The Shared Experience of Insured and Uninsured Patients: A Comparative Study

Binsaeed

Aljuaid

Alswaiti

et al. 2022

Journal of Environmental and Public Health

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Background. Despite efforts to ensure equitable quality of care for all patients, a significant gap persists between the quality of care experienced by insured and uninsured patients in Saudi Arabia. This study aims to identify and compare the differences between insured and uninsured patients in terms of their experience of quality of care in a tertiary hospital. Methods. A descriptive cross-sectional study was utilized. Insured and uninsured individuals who had undergone identical medical procedures in early 2021 were identified from a public 500-bed tertiary hospital. About 350 patients participated in this study by completing an online, self-administered questionnaire, adopted by Abuosi and others in 2016, assessing six dimensions of quality of care. Results. Significant differences were reported between the quality of care experienced by insured and uninsured subjects (M = 3.37, SD = 0.525, and M = 3.06, SD = 0.452, respectively, p = 0.001 ). While insured group reported high quality of care, followed by fairness of care (r = 0.744 and r = 0.675, p ≤ 0.001 , n = 175), uninsured subjects experienced less fairness with low quality of care. Conclusions. The insured individuals were found to be more attentive to the quality of care offered by the hospital than their counterparts. Efforts to close the gap in quality of care should include monitoring healthcare outcomes, adopting transparency standards, and facilitating procedures to minimize barriers among patients.

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Section: Discussionmentioning

confidence: 99%

The Shared Experience of Insured and Uninsured Patients: A Comparative Study

Binsaeed

Aljuaid

Alswaiti

et al. 2022

Journal of Environmental and Public Health

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“…First of all, RD may have a direct impact on health inequalities among rural residents. The specific analysis is as follows: First, as the annual per capita income of households decreases, the level of attention and demand for health consumption upgrades such as home care, health care, culture and entertainment is bound to decrease ( Costa-Font et al, 2021 ), Compared to daily consumption products such as electrical appliances and household goods, clothing and accessories, rural residents may not value the usefulness of nutrition services such as health care, thus underestimating health care and reducing investment in higher-level needs for nutrition and health ( Nie et al, 2021 ), including reducing the total investment and share of health care consumption.…”

Section: Hypothesis Developmentmentioning

confidence: 99%

Influences of relative deprivation on health inequality of rural residents in China: A moderated mediation model

Tao

et al. 2022

Front. Psychol.

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Analyzing the relationship between individual relative deprivation and rural residents’ health inequality is a deepening of the research on the social impact of individual relative deprivation. On the theoretical basis of the absolute and relative income hypothesis, using the data of China Family Panel Studies in 2018, taking other residents in the village as the reference group, this paper selects the relative income deprivation and absolute income to comprehensively quantify the generalized impact of farmers’ income gap, introduces the psychological capital guidance mechanism, and constructs a moderated-mediation model for the impact of relative deprivation on the health inequality of rural residents in China from the three dimensions of self-assessment of health, mental health and physical health. The estimation results of the multi-layer model show that the relative income deprivation of rural residents has a significant impact on health inequality, among which the impact of mental health is the strongest. Compared with physical health, the mediated transmission of psychological capital has a more significant impact between the relative deprivation of rural residents and mental health. Compared with low-income groups, high-income residents can better alleviate the negative effect of income relative deprivation on psychological capital poverty and health inequality, and the regulatory effect on physical health is most significant. Therefore, China can improve the health of the rural poor through fiscal policies such as improving the tax system and strengthening the supervision of various government funds.

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“…Previous studies on the relationship among health risks, insurance, and poverty alleviation have mainly discussed the reduction of household medical expenditure (Cheng et al, 2015; Galárraga et al, 2010; Powell & Seabury, 2018; Tao et al, 2020). Scholars have debated whether and to what extent different types of medical insurance can reduce patients' “Out‐of‐Pocket” (OOP) expenditure, with some researchers extending this discussion to social equality (Chen et al, 2019; Costa‐Font et al, 2021; Wagstaff et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

Medical insurance, labor supply, and anti‐poverty initiatives: Micro‐evidence from China

Su,

Sha,

Liu

2023

International Studies of Economics

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The high cost of medical care and its association with poverty have given rise to a growing concern for developing countries, but how insurance plans affect household income and alleviate poverty has been rarely discussed. This study aims to bridge this research gap by examining a medical insurance reform in China, a major program of the targeted poverty alleviation (TPA) strategy, which offers higher reimbursement rates and lower medical deductibles for low‐income households. We use an administrative data set on impoverished people in a Chinese county to examine how exogenous changes in the medical insurance system affect the income structure of low‐income households. We apply a two‐part model to a Difference‐in‐Differences framework, with households that received reimbursement of the insurance reform as the treatment group and others as the control group. Our results imply that the medical insurance reform could increase the overall household income diversity. The mechanism analysis suggests that the medical insurance reform improves the health conditions of patients and encourages caregivers to engage more in off‐farm work.

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Measuring pure health inequality and mobility during a health insurance expansion: Evidence from Mexico

Cited by 7 publications

References 50 publications

The Shared Experience of Insured and Uninsured Patients: A Comparative Study

The Shared Experience of Insured and Uninsured Patients: A Comparative Study

Influences of relative deprivation on health inequality of rural residents in China: A moderated mediation model

Medical insurance, labor supply, and anti‐poverty initiatives: Micro‐evidence from China

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