The Effects of Access to Health Insurance for Informally Employed Individuals in Peru

Bernal, Noelia; Carpio, Miguel Ángel; Klein, Tobias J.

doi:10.2139/ssrn.2448789

Cited by 3 publications

(6 citation statements)

References 39 publications

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“…Beberapa studi justru melaporkan bahwa asuransi kesehatan berpengaruh positif terhadap pengeluaran kesehatan. Bernal et al (2014) untuk studi di Peru melaporkan bahwa pekerja informal yang memiliki asuransi kesehatan sosial memiliki pengeluaran kesehatan yang lebih tinggi. Li et al (2020) untuk studi di China melaporkan bahwa asuransi kesehatan merupakan salah satu determinan peningkatan pengeluaran kesehatan.…”

Section: Pendahuluanunclassified

“…Namun, asuransi kesehatan tidak selalu melindungi individu dari menderita pengeluaran katastropik. Di satu sisi, asuransi kesehatan dapat berdampak negatif terhadap pengeluaran kesehatan karena beberapa perawatan tertentu mungkin sudah tercakup dalam asuransi, sehingga individu tidak perlu membayar perawatan tersebut (Bernal et al, 2014). Di sisi lain, asuransi kesehatan dapat berdampak positif terhadap pengeluaran kesehatan.…”

Section: Tinjauan Pustakaunclassified

“…Beberapa studi melaporkan bahwa asuransi kesehatan meningkatkan pengeluaran kesehatan. Bernal et al (2014) melakukan studi bertujuan untuk menganalisis dampak asuransi kesehatan sosial terhadap pengeluaran kesehatan dari pekerja informal di Peru. Hasil dari studi ini adalah asuransi kesehatan sosial meningkatkan probabilitas untuk memiliki pengeluaran kesehatan melebihi 5 persen dan 10 persen dari pengeluaran total.…”

Section: Tinjauan Pustakaunclassified

“…Hasil regresi OLS menunjukkan bahwa kepemilikan JKN/Jamkesda berpengaruh positif secara signifikan terhadap pengeluaran kesehatan pada seluruh sampel, kuartil 2 (dua), kuartil 3 (tiga), dan kuartil 4 (empat). Hasil ini sejalan dengan temuan Bernal et al (2014) di Peru, Li et al (2020) di China, Sparrow et al (2013) di Indonesia, dan Wagstaff & Lindelow (2008) di China. Selain itu, hasil regresi tersebut menunjukkan bahwa kepemilikan JKN/Jamkesda tidak berpengaruh secara signifikan terhadap pengeluaran kesehatan pada kuartil 1 (satu).…”

Section: Pembahasanunclassified

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Pengaruh asuransi kesehatan nasional terhadap pengeluaran kesehatan pada penduduk lanjut usia di Indonesia

Chrisnahutama

2023

J. Econ. Res. Policy Stud.

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This study aims to analyze the effect of ownership or access to national health insurance, namely National Health Insurance (JKN), on health expenditure among the elderly population in Indonesia. This study uses cross-section data from the 2019 Socio-Economic Survey (Susenas). This study found that older adults with JKN have health expenditures that are 0.110 percentage points higher than older people who do not have JKN. Furthermore, national health insurance ownership is unrelated to health expenditure among poor older adults. The result shows that JKN has not been utilized as financial protection for the elderly when accessing health services.

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Section: Pendahuluanunclassified

Section: Tinjauan Pustakaunclassified

Section: Pembahasanunclassified

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Pengaruh asuransi kesehatan nasional terhadap pengeluaran kesehatan pada penduduk lanjut usia di Indonesia

Chrisnahutama

2023

J. Econ. Res. Policy Stud.

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“…Similarly, Kondo and Shigeoka (2013) found that the universal health insurance implemented in Japan in 1961 had positive causal effects on hospital admissions, inpatient days, and outpatient visits. Bernal, Carpio and Klein (2014) showed that the provision of free health insurance among individuals out of the formal labor market in Peru had positive causal effects on the likelihood of visiting a doctor, receiving medication, receiving prenatal care, and being vaccinated. Knox (2016) showed that Mexico's Seguro Popular (SP) program-a health insurance scheme for informal workersincreased overall usage of public health centers and total medical visits.…”

Section: Introductionmentioning

confidence: 99%

Healthy to Work: The Impact of Free Public Healthcare on Health Status and Labor Supply in Jamaica

Pecha,

Beuermann

2016

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This study examines whether Jamaica's free public healthcare policy affectedhealth status and labor supply of adult individuals. It compares outcomes of adults without health insurance versus their insured counterparts, before and after policy implementation. The study finds that the policy reduced both the likelihood of suffering illnesses with associated lost work days and the number of lost days due to illnesses by 28.6 percent and 34 percent, respectively. Consistent with the absence of "employment lock", no effects are found on employment at the extensive margin. However, consistent with a reduced number of days lost due to illnesses, there is a positive effect of 2.15 additional weekly labor hours. This is primarily a labor supply effect as the study shows that both reported and imputed hourly wages decreased by 0.15 and 0.06 log-points respectively. Back-of-the-envelope calculations suggest that the policy added a yearly average of US$PPP 26.6 million worth of net real production to the economy during the period 2008-12.

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Mandatory health insurance and health care utilization in Togo

Djahini-Afawoubo

Aguey

2022

BMC Health Serv Res

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Background Despite the implementation of a mandatory health insurance (MHI) scheme in Togo since 2011, its coverage rate remains low, resulting in a high out-of-pocket payment rate. More than 10 years after its implementation, there are few empirical studies investigating the extent to which Togo’s mandatory health insurance has improved beneficiaries’ access to health care. Examining how MHI and healthcare use in Togo are related is the goal of this study. Methods We use data from the Harmonized Survey on Living Conditions of Households (EHCVM), conducted in the member states of the West African Economic and Monetary Union (WAEMU) in 2018–2019 and covering 6,171 households in Togo. We employ multinomial logistic regression, given that the dependent variable is polytomous. Results The results reveal a high rate of non-utilization of healthcare professionals in the case of illness, even among individuals with MHI coverage. Furthermore, the findings show that the MHI increases the likelihood of seeing a specialist physician and other formal health care professionals when sick. The results also reveal that a household’s wealth is positively correlated with the likelihood of seeing formal health care professionals. Urban residents are statistically and significantly more likely than rural residents to see both a specialist physician and a general practitioner. The Grand Lomé region has a statistically and significantly higher likelihood of seeing a specialist physician than the Maritime region. Conclusion The results support the government’s plan to implement universal health insurance. The government should take action to raise the standard of treatment provided to insured patients in health care centers. Additionally, the government should consider waiving medical fees for low-income policyholders. When waiving medical costs for low-income policyholders, the Togolese government should focus on the regions with the worst economic conditions. These interventions should be essential to ensure that no one is left behind. The difference between urban and rural communities should be reduced through supply-side policies that focus on rural areas.

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The Effects of Access to Health Insurance for Informally Employed Individuals in Peru

Cited by 3 publications

References 39 publications

Pengaruh asuransi kesehatan nasional terhadap pengeluaran kesehatan pada penduduk lanjut usia di Indonesia

Pengaruh asuransi kesehatan nasional terhadap pengeluaran kesehatan pada penduduk lanjut usia di Indonesia

Healthy to Work: The Impact of Free Public Healthcare on Health Status and Labor Supply in Jamaica

Mandatory health insurance and health care utilization in Togo

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