Do community-based health insurance schemes improve poor people's access to health care?: Evidence from rural Senegal
Do community-based health insurance schemes improve poor people's access to health care?: Evidence from rural Senegal
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DOI：
10.1016/j.worlddev.2003.10.001
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发表时间：
2004-02-01
影响因子：
6.9
通讯作者：
Jütting, JP
中科院分区：
文献类型：
--
作者：
Jütting, JP
基于社区的健康保险是一个新兴和有前途的概念，它解决了特别是农村穷人面临的保健挑战。本文的目的是分析是否塞内加尔农村成员的健康保险计划实际上是更好的小康比非成员。结果表明，在恶劣的环境中，保险计划可以工作：互助健康组织（les mutuelles de sante）的成员比非成员有更高的概率使用住院服务，并且在需要护理时支付的费用要少得多。此外，分析显示，虽然这些计划吸引了穷人，但穷人中的最穷者仍然被排除在外。(C)2003 Elsevier Ltd.保留所有权利。
Community-based health insurance is an emerging and promising concept, which addresses health care challenges faced in particular by the rural poor. The aim of this paper is to analyse whether rural Senegal members of a health insurance scheme are actually better-off than nonmembers. The results show that in poor environments, insurance programs can work: Members of les mutuelles de sante (mutual health organizations) have a higher probability of using hospitalization services than nonmembers and pay substantially less when they need care. Furthermore, the analysis revealed that while the schemes achieved to attract poor people, the poorest of the poor remained excluded. (C) 2003 Elsevier Ltd. All rights reserved.