Re-examining the effects of public health insurance: The case of nonpoor children in Vietnam

被引:4
作者
Nguyen, Minh T. [1 ]
机构
[1] Ball State Univ, Dept Econ, Muncie, IN 47306 USA
关键词
children; difference in discontinuities; health reform; health care utilization; medical expenses; nonpoor; public health insurance; triple difference; Vietnam; CARE; ACCESS; COUNTRIES; REFORMS; RISK;
D O I
10.1002/hec.3980
中图分类号
F [经济];
学科分类号
02 ;
摘要
This paper focuses on the effects of a 2005 health insurance reform in Vietnam. Through this reform, public health insurance was newly offered to nonpoor children under 6 years old, but it required the use of community health facilities. This requirement potentially limited the value of the insurance. Employing difference-in-discontinuities and triple-difference methods and using data from 2002, 2004, and 2006, I show that, despite health coverage among nonpoor children increasing by nearly three times, there is little or no evidence that the reform significantly increased health care utilization, changed care locations from private to public sites, lowered out-of-pocket costs, or improved health status for nonpoor young children. My results suggest a "bypassing" phenomenon whereby nonpoor families skipped free health care at low-quality facilities.
引用
收藏
页码:294 / 305
页数:12
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