MARC Record from Library of Congress

LEADER: 03289cam a22003377a 4500
001 2005617708
003 DLC
005 20080915190401.0
007 cr |||||||||||
008 050425s2005 dcu sb i000 0 eng
010 $a 2005617708
040 $aDLC$cDLC$dDLC
043 $aa-vt---
050 00 $aHG3881.5.W57
100 1 $aWagstaff, Adam.
245 10 $aInsurance health impacts on health and non-medical consumption in a developing country$h[electronic resource] /$cAdam Wagstaff, Menno Pradhan.
260 $a[Washington, D.C. :$bWorld Bank,$c2005]
490 1 $aPolicy research working paper ;$v3563
538 $aSystem requirements: Adobe Acrobat Reader.
538 $aMode of access: World Wide Web.
500 $aTitle from PDF file as viewed on 4/25/2005.
530 $aAlso available in print.
504 $aIncludes bibliographical references.
520 3 $a"The authors examine the effects of the introduction of Vietnam's health insurance (VHI) program on health outcomes, health care utilization, and non-medical household consumption. The use of panel data collected before and after the insurance program's introduction allows them to eliminate any confounding effects due to selection on time-invariant un-observables, and their coupling of propensity score matching with a double-difference estimator allows them to reduce the risk of biases due to inappropriate specification of the outcome regression model. The authors' results suggest that Vietnam's health insurance program impacted favorably on height-for-age and weight-for-age of young school children, and on body mass index among adults. Their results suggest that among young children, VHI increases use of primary care facilities and leads to a substitution away from the use of pharmacists as a source of advice and non-prescribed medicines toward the use of them as a supplier of medicines prescribed by a health professional. Among older children and adults, VHI results in a marked increase in the use of hospital inpatient and outpatient departments. The results also suggest that VHI causes a reduction in annual out-of-pocket expenditures on health and an increase in non-medical household consumption, including food consumption, but mostly nonfood consumption. The authors' estimate of the VHI-induced reduction in out-of-pocket health spending is considerably smaller than their estimate of the VHI-induced increase in non-medical consumption, which is consistent with the idea that households hold back their consumption considerably if, through lack of health insurance, they are exposed to the risk of large out-of-pocket expenditures. This is especially plausible in a country where at the time (1993), a single visit to a public hospital cost on average the equivalent of 20 percent of a person's annual nonfood consumption. "--World Bank web site.
650 0 $aHealth insurance$zVietnam.
650 0 $aHealth status indicators$zVietnam.
650 0 $aConsumption (Economics)$zVietnam.
700 1 $aPradhan, Menno,$d1965-
710 2 $aWorld Bank.
830 0 $aPolicy research working papers (Online) ;$v3563.
856 40 $uhttp://econbeta.worldbank.org/external/default/main?pagePK=64165259&theSitePK=469372&piPK=64165421&menuPK=64166093&entityID=000012009_20050419132636