The impact of public voluntary health insurance on private health expenditures in Vietnam
The impact of public voluntary health insurance on private health expenditures in Vietnam
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DOI：
10.1016/s0277-9536(02)00031-x
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发表时间：
2003-01-01
影响因子：
5.4
通讯作者：
Vinh, ND
中科院分区：
文献类型：
--
作者：
Jowett, M;Contoyannis, P;Vinh, ND
作为一种有可能为卫生服务筹集额外资金的融资机制，同时改善穷人获得服务的机会，非营利性健康保险对卫生政策制定者的吸引力越来越大。使用越南家庭调查的数据，对政府实施的自愿健康保险计划的成员和符合条件的非成员之间的自付费用进行了比较。对最近患病期间寻求护理的个人的支出进行分析。使用内生虚拟变量模型来控制因自我选择加入该计划而产生的偏差，我们发现健康保险使平均自付费用减少了约 200%。虽然收入缺乏弹性，但无论保险状况如何，医疗支出都会受到个人收入水平的显着影响。尽管如此，保险为穷人减少的支出明显多于富人。 (C) 2002 Elsevier Science Ltd. 保留所有权利。
As a financing mechanism with the potential to raise additional funds for health services, whilst improving access to services amongst the poor, non-profit health insurance has become increasingly attractive to health policy-makers. Using data from a household survey in Vietnam, out of pocket health expenditure are compared between members and eligible non-members of the government-implemented voluntary health insurance scheme. Expenditures are analysed for individuals who sought care during their most recent illness. Using an endogenous dummy variable model to control for bias resulting from self-selection into the scheme, we find that health insurance reduces average out-of-pocket expenditures by approximately 200%. Whilst income inelastic, health expenditures are found to be significantly influenced by an individuals level of income, irrespective of insurance status. Despite this, insurance reduces expenditures significantly more for the poor than for the rich. (C) 2002 Elsevier Science Ltd. All rights reserved.