Universal health coverage at the macro level: Synthetic control evidence from Thailand.
Universal health coverage at the macro level: Synthetic control evidence from Thailand.
复制标题
宏观层面的全民健康覆盖：来自泰国的综合控制证据。
DOI：
10.1016/j.socscimed.2016.11.022
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发表时间：
2017
影响因子：
5.4
通讯作者：
A. Bedi
中科院分区：
文献类型：
--
作者：
Matthias Rieger;N. Wagner;A. Bedi
随着越来越多的国家向全民健康覆盖（UHC）迈进，了解这一政策的宏观层面或总体影响至关重要。我们使用综合控制方法来研究UHC的影响，在泰国于2001年推出，对各种宏观经济和健康的结果。在1995年至2012年期间，将泰国的总体卫生筹资指标、总体卫生成果和经济业绩与对照国家的加权平均数进行了比较。我们的研究结果表明，UHC有助于减轻疾病的经济后果。全民健康覆盖对自付费用占卫生总支出的百分比的治疗效果估计为负13个百分点，对政府年度人均卫生支出的影响为79美元。我们发现，人均卫生总支出的影响较小，为60.8美元，这似乎有一个滞后。我们记录了婴儿和儿童死亡率降低所带来的积极健康影响。我们没有发现对国内生产总值和用于卫生的政府预算份额有任何影响。总的来说，我们的研究结果补充了基于国内差异的微观证据。这里实施的反事实设计可以用来告知其他国家关于全民健康覆盖的宏观影响。
As more and more countries are moving towards Universal Health Coverage (UHC), it is important to understand the macro level or aggregate impacts of such a policy. We use synthetic control methods to study the impact of UHC, introduced in Thailand in 2001, on various macroeconomic and health outcomes. Thailand is compared to a weighted average of control countries in terms of aggregate health financing indicators, aggregate health outcomes and economic performance, over the period 1995 to 2012. Our results suggest that UHC helps alleviate the financial consequences of illnesses. The estimated treatment effect of UHC on out-of-pocket payments as a percentage of overall health expenditures is negative 13 percentage points and its effect on annual government per capita health spending is US$ 79. We detect a smaller effect of US$ 60.8 on total health spending per capita which appears with a lag. We document positive health effects as captured by reductions in infant and child mortality. We do not find any effect on GDP and the share of the government budget devoted to health. Overall, our results complement micro evidence based on within country variation. The counterfactual design implemented here may be used to inform other countries on the macro level repercussions of UHC.
影响因子：
9.7
作者：
Xu, Ke;Evans, David B.;Evans, Timothy
通讯作者：
Evans, Timothy