Social risk management options for medical care in Indonesia
Social risk management options for medical care in Indonesia
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DOI：
10.1002/hec.689
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发表时间：
2002-07-01
期刊：
影响因子：
2.1
通讯作者：
Prescott, N
中科院分区：
文献类型：
--
作者：
Pradhan, M;Prescott, N
本文调查了医疗保健价格补贴在多大程度上是减少印度尼西亚家庭因健康状况不佳而面临的灾难性金融风险的合适工具。使用 1995 年 SUSENAS 家庭调查，观察到的使用费和医疗支出的分布可用于得出“所需”医疗支出的分布。针对两种现有价格制度以及一些假设制度，分析了税收负担与减少灾难性风险的有效性之间的权衡。我们发现，现有制度显着减少了灾难性冲击的风险，但并没有消除它们。模拟表明，如果将更大比例的政府补贴用于住院治疗，则可以进一步减少开支。补贴门诊治疗是一项具有成本效益的政策，旨在减少赤贫者面临的灾难性风险。版权所有 (C) 2002 John Wiley Sons, Ltd.
This paper investigates the extent to which price subsidies for medical care are a suitable instrument to reduce household's exposure to catastrophic financial risks associated with ill-health in Indonesia. Using the 1995 SUSENAS household survey, the observed distribution of user fees and health expenditures is used to derive a distribution of 'needed' medical expenditures. The trade-off between the tax burden and effectiveness in reducing the exposure to catastrophic risk is analyzed for two existing price regimes along with a number of hypothetical regimes. We find that the existing regimes significantly reduce the exposure to catastrophic shocks but do not eliminate them. Simulations suggest that further reductions could be achieved if a larger proportion of government subsidies were directed to inpatient care. Subsidizing outpatient treatment is a cost effective policy to reduce exposure to catastrophic risks only for the very poor. Copyright (C) 2002 John Wiley Sons, Ltd.