Nguyen Viet, Cuong (2011): The Impact of Health Insurance for Children: Evidence from Vietnam.
Download (183Kb) | Preview
Although there are numerous studies on impact evaluation of overall health insurance, little is known on the impact of health insurance on health care utilization and out-of-pocket health care spending of children, especially in developing countries. This paper measures the impact of child health insurance on health care utilization and spending of children from 6 to 14 years old in Vietnam using two recent nationally representative surveys. Unlike previous empirical studies which found a positive effect of health insurance on health care utilization in Vietnam, we did not find a statistically significant effect of school health insurance as well as free health insurance for children on outpatient health care contacts. However, the school health insurance and free health insurance help the insured children decrease out-of-pocket spending per outpatient contact by around 14 and 26 percent, respectively.
|Item Type:||MPRA Paper|
|Original Title:||The Impact of Health Insurance for Children: Evidence from Vietnam|
|Keywords:||Child health insurance, impact evaluation, health care utilization, out-of-pocket spending, Vietnam|
|Subjects:||G - Financial Economics > G2 - Financial Institutions and Services > G22 - Insurance; Insurance Companies
H - Public Economics > H5 - National Government Expenditures and Related Policies > H51 - Government Expenditures and Health
H - Public Economics > H4 - Publicly Provided Goods > H43 - Project Evaluation; Social Discount Rate
I - Health, Education, and Welfare > I1 - Health > I10 - General
|Depositing User:||Cuong Nguyen Viet|
|Date Deposited:||09. Feb 2012 14:41|
|Last Modified:||15. Feb 2013 04:59|
Ekman, B. (2007) Catastrophic health payments and health insurance: some counterintuitive evidence from one low-income country. Health Policy 83: 304–313.
Davidoff Amy, Genevieve Kenney and Lisa Dubay (2005) Effects of the state children's health insurance program expansions on children with chronic health conditions. Pediatrics 116: 34-42.
Greene, W. (2004) Fixed effects and bias due to the incidental parameters problem in the Tobit model. Econometric Reviews 23(2): 125 – 147.
Harmon, C. and B. Nolan (2001) Health insurance and health services utilization in Ireland. Health Economics 10(2): 135-145.
Jowett, M., P. Contoyannis and N. D. Vinh (2003) The impact of public voluntary health insurance on private health expenditures in Vietnam. Social Science and Medicine 56(2): 333-342.
Labor Newspaper (2010) Khóc, cười bảo hiểm y tế học sinh: Có chất lượng thì mới bắt buộc. Báo Lao Động (Labor Newspaper), ngày 18/11/2010. http://laodong.com.vn/Tin-Tuc/Khoc-cuoi-bao-hiem-y-te-hoc-sinh-Co-chat-luong-thi-moi-bat-buoc/21282. Accessed 10 June 2011.
Luong Nga (2004) Phụ huynh chưa tin tưởng vào Bảo hiểm y tế học sinh. Newspaper Vnexpress, on 26/6/2004, available at: http://www.vnexpress.net/Vietnam/Xa-hoi/2004/06/3B9D3F33/. Accessed 10 June 2011.
Sapelli, C. and B. Vial (2003) Self-selection and moral hazard in chilean health insurance. Journal of Health Economics 22(3): 459-76.
Sepehri A., Sisira Sarma and Wayne Simpson (2006) Does non-profit health insurance reduce financial burden? Evidence from the Vietnam Living Standards Survey Panel. Health Economics 15(6): 603–616.
Wagstaff, A. (2009) Estimating health insurance impacts under unobserved heterogeneity: the Case of Vietnam’s health insurance for the poor. Health Economics 19(2): 189-208.
Wagstaff, A. and M. Pradhan (2005) Health insurance impacts on health and nonmedical consumption in a developing country. World Bank Policy Research Working Paper 3563. http://ideas.repec.org/p/wbk/wbrwps/3563.html. Accessed 10 June 2011.
Wagstaff, A., M. Lindelowb, G. Junc, X. Lingc, Q. Junchengc (2009) Extending health insurance to the rural population: an impact evaluation of China’s new cooperative medical scheme. Journal of Health Economics 28: 1–19.
Wooldridge J. M. (2001). Econometric analysis of cross section and panel data. The MIT Press, Cambridge, Massachusetts London, England.
World Bank (2001) Vietnam: growing healthy, a review of Vietnam's health sector, Hanoi, The World Bank.
World Bank (2004) Vietnam development report 2004: poverty. World Bank in Vietnam, 2004. http://sd-cite.iisd.org/cgi-bin/koha/opac-detail.pl?biblionumber=3008. Accessed 12 June 2011.
Yip, W. and P. Berman (2001) Targeted health insurance in a low income country and its impact on access and equity in access: Egypt's school health insurance. Health Economics 10(3): 207-220.