Obrizan, Maksym (2017): Does EU membership prevent crowding out of public health care? Evidence from 28 transition countries.
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Abstract
This paper investigates changes in public health care use in 28 transition countries in the aftermath of the global financial crisis using data on more than 60 thousand households from “Life in Transition” surveys II and III conducted by the European Bank for Reconstruction and Development in 2010 and 2016. A difference-in-difference model with robust standard errors clustered at a country level is applied to two sets of transition countries defined by their membership status in the European Union. While there was no difference in public health care use between the two groups in 2010 the share of households using the public health care system dropped by a remarkable 22.2% points between 2010 and 2016 in non-EU transition countries compared to new EU members. There is also some evidence of crowding out of public health care with private out-of-pocket expenditures in non-EU members. These findings represent a serious policy concern in terms of falling access to health care in non-EU transition countries. If one believes in equity benefits from access to public health care for all compared to private out-of-pocket expenditures these results also demonstrates a clear benefit of EU membership.
Item Type: | MPRA Paper |
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Original Title: | Does EU membership prevent crowding out of public health care? Evidence from 28 transition countries |
Language: | English |
Keywords: | public-private health care, mixed financing, transition countries, difference-in-difference |
Subjects: | H - Public Economics > H4 - Publicly Provided Goods > H44 - Publicly Provided Goods: Mixed Markets I - Health, Education, and Welfare > I1 - Health O - Economic Development, Innovation, Technological Change, and Growth > O5 - Economywide Country Studies > O57 - Comparative Studies of Countries |
Item ID: | 81708 |
Depositing User: | Maksym Obrizan |
Date Deposited: | 02 Oct 2017 13:48 |
Last Modified: | 02 Oct 2019 20:17 |
References: | Balabanova D, Roberts B, Richardson E, Haerpfer C, McKee M. 2012. Health care reform in the former Soviet Union: beyond the transition. Health Services Research 47(2): 840-64. Barros P, Olivella P. 2005. Waiting lists and patient selection. Journal of Economics & Management Strategy 14(3), pp.623-646. Brekke KR, Sørgard L. 2007. Public versus private health care in a national health service. Health Economics 16(6): 579-601. Buckley NJ, Cuff K, Hurley J, McLeod L, Mestelman S, Cameron D. 2012. An experimental investigation of mixed systems of public and private health care finance. Journal of Economic Behavior & Organization 84(3): 713-729. Buckley N, Cuff K, Hurley J, Mestelman S, Thomas S, Cameron D. 2016. Should I stay or should I go? Exit options within mixed systems of public and private health care finance. Journal of Economic Behavior & Organization 131: 62-77. Cojocaru A. 2014. Prospects of upward mobility and preferences for redistribution: Evidence from the Life in Transition Survey. European Journal of Political Economy, 34: 300-314. Coupe T, Obrizan M. 2016. The impact of war on happiness: The case of Ukraine. Journal of Economic Behavior & Organization 132: 228-242. Chubrik A, Mogilevsky R, Sinitsina I, Dabrowski M. 2011. The Impact of the Global Financial Crisis on Public Expenditures on Education and Health in the Economies of the Former Soviet Union (August 1, 2011). CASE Network Reports No. 100. Goryakin Y, Rocco L, Suhrcke M, Roberts B, McKee M. 2014. The effect of health on labour supply in nine former Soviet Union countries. The European Journal of Health Economics 15(1): 57-68. Gulácsi L. 2007. The time for cost-effectiveness in the new European Union member states: the development and role of health economics and technology assessment in the mirror of the Hungarian experience. European Journal of Health Economics 8: 83-88. Cullis JG, and Jones PR. 1985. National Health Service waiting lists: A discussion of competing explanations and a policy proposal. Journal of Health Economics 4(2): 119-135. Djankov S, Nikolova E, Zilinsky J. 2016. The happiness gap in Eastern Europe. Journal of Comparative Economics 44(1): 108-24. European Bank for Reconstruction and Development (2016). Life in Transition Survey III: a decade of measuring transition, London: EBRD LITS series. Guriev S, and Zhuravskaya E. 2009. (Un) happiness in transition. The Journal of Economic Perspectives 23(2):143-168. González P. 2005. On a policy of transferring public patients to private practice. Health Economics 14(5): 513-527. Gotsadze G, Zoidze A, Vasadze O. 2005. Reform strategies in Georgia and their impact on health care provision in rural areas: evidence from a household survey. Social Science & Medicine 60: 809–21. Grosjean P. 2014. Conflict and social and political preferences: Evidence from World War II and civil conflict in 35 European countries. Comparative Economic Studies 56(3): 424-451. Hoel M, Sæther EM. 2003. Public health care with waiting time: the role of supplementary private health care. Journal of Health Economics 22(4): 599-616. Jofre-Bonet M. 2000. Health care: private and/or public provision. European Journal of Political Economy 16(3), pp.469-489. Kutzin J, Jakab M, Cashin C. 2010. Lessons from health financing reform in central and Eastern Europe and the former Soviet Union. Health Economics, Policy and Law 5(02): 135-147. Marchand M, Schroyen, F. 2005. Can a mixed health care system be desirable on equity grounds? The Scandinavian Journal of Economics, 107(1), pp.1-23. Pardo C, Schott W. 2012. Public versus private: evidence on health insurance selection. International journal of health care finance and economics 12(1), pp.39-61. Rechel B, McKee M. 2009. Health reform in central and eastern Europe and the former Soviet Union. The Lancet 374(9696): 1186-1195. Steves F, Berglöf E, Zettelmeyer J, Bidani B, Diagne MF, Zaidi S, Ricka F, Sanfey P, Ringold D, Teytelboym A, Fodor E. Life in transition: After the crisis. London: European Bank for Reconstruction and Development & World Bank. 2011. Stiglitz JE. 1974. The demand for education in public and private school systems. Journal of Public Economics, 3(4): 349-385. Wagstaff A, Moreno-Serra R. 2009. Europe and central Asia's great post-communist social health insurance experiment: Aggregate impacts on health sector outcomes. Journal of Health Economics 28(2): 322-340. Waters HR, Hobart J, Forrest CB, Siemens KK, Pittman PM, Murthy A, Vanderver GB, Anderson GF, Morlock LL. 2008. Health insurance coverage in Central and Eastern Europe: trends and challenges. Health Affairs 27(2): 478-486. |
URI: | https://mpra.ub.uni-muenchen.de/id/eprint/81708 |