The Impact of Health Insurance Schemes for the Informal Sector in Low- and Middle-Income Countries : A Systematic Review

dc.creatorAcharya, Arnab
dc.creatorVellakkal, Sukumar
dc.creatorTaylor, Fiona
dc.creatorMasset, Edoardo
dc.creatorSatija, Ambika
dc.creatorBurke, Margaret
dc.creatorEbrahim, Shah
dc.date2013-01-25T22:37:04Z
dc.date2013-01-25T22:37:04Z
dc.date2013-01
dc.date.accessioned2026-07-01T00:54:54Z
dc.descriptionThis paper summarizes the literature on the impact of state subsidized or social health insurance schemes that have been offered, mostly on a voluntary basis, to the informal sector in low- and middle-income countries. A substantial number of papers provide estimations of average treatment on the treated effect for insured persons. The authors summarize papers that correct for the problem of self-selection into insurance and papers that estimate the average intention to treat effect. Summarizing the literature was difficult because of the lack of (1) uniformity in the use of meaningful definitions of outcomes that indicate welfare improvements and (2) clarity in the consideration of selection issues. They find the uptake of insurance schemes, in many cases, to be less than expected. In general, we find no strong evidence of an impact on utilization, protection from financial risk, and health status. However, a few insurance schemes afford significant protection from high levels of out-of-pocket expenditures. In these cases, however, the impact on the poor is weaker. More information is needed to understand the reasons for low enrollment and to explain the limited impact of health insurance among the insured.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2013/01/17187939/impact-health-insurance-schemes-informal-sector-low--middle-income-countries-systematic-review
dc.identifierhttps://hdl.handle.net/10986/12163
dc.identifierhttps://doi.org/10.1596/1813-9450-6324
dc.identifier.urihttp://hdl.handle.net/123456789/412879
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationPolicy Research Working Paper; No. 6324
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectACCESS TO HEALTH CARE
dc.subjectACCESS TO HOSPITAL
dc.subjectADVERSE SELECTION
dc.subjectAGING
dc.subjectAGRICULTURAL INSURANCE
dc.subjectANXIETY
dc.subjectAVAILABILITY OF CARE
dc.subjectBASIC HEALTH CARE
dc.subjectBENEFICIARIES
dc.subjectCATASTROPHIC EXPENDITURES
dc.subjectCATASTROPHIC HEALTH EXPENDITURE
dc.subjectCHECK UPS
dc.subjectCHILD HEALTH
dc.subjectCHILDREN
dc.subjectCHOICE
dc.subjectCOINSURANCE
dc.subjectCOMMUNITY HEALTH
dc.subjectCOMMUNITY INSURANCE
dc.subjectCOMPULSORY INSURANCE
dc.subjectCOOPERATION
dc.subjectCOST-SHARING ARRANGEMENTS
dc.subjectCOSTS
dc.subjectCREDIT
dc.subjectDEATH
dc.subjectDIABETES
dc.subjectDOCTORS
dc.subjectDRUGS
dc.subjectECONOMIC REVIEW
dc.subjectECONOMICS OF HEALTH
dc.subjectEMPLOYMENT
dc.subjectEPIDEMIOLOGY
dc.subjectEQUILIBRIUM
dc.subjectEQUITY
dc.subjectEQUITY IN ACCESS
dc.subjectEVALUATION
dc.subjectEXPENDITURES
dc.subjectEXPERT OPINIONS
dc.subjectFAMILIES
dc.subjectFEES
dc.subjectFINANCIAL PROTECTION
dc.subjectFINANCIAL RISK
dc.subjectFINANCIAL RISK PROTECTION
dc.subjectFINANCING
dc.subjectFREE CARE
dc.subjectGLUCOSE
dc.subjectGOVERNMENT INSURANCE
dc.subjectHEALTH
dc.subjectHEALTH AFFAIRS
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE CENTERS
dc.subjectHEALTH CARE COSTS
dc.subjectHEALTH CARE COVERAGE
dc.subjectHEALTH CARE FACILITIES
dc.subjectHEALTH CARE FINANCE
dc.subjectHEALTH CARE FINANCING
dc.subjectHEALTH CARE NEEDS
dc.subjectHEALTH CARE PROVISION
dc.subjectHEALTH CARE SYSTEM
dc.subjectHEALTH CARE USE
dc.subjectHEALTH CARE UTILIZATION
dc.subjectHEALTH CENTERS
dc.subjectHEALTH CONDITIONS
dc.subjectHEALTH COSTS
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURANCE PROGRAM
dc.subjectHEALTH INSURANCE SCHEME
dc.subjectHEALTH INSURANCE SCHEMES
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROFESSIONALS
dc.subjectHEALTH PROJECT
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICES
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH WORKERS
dc.subjectHEALTH-CARE
dc.subjectHOSPITAL CARE
dc.subjectHOSPITAL SERVICES
dc.subjectHOSPITALIZATION
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHYGIENE
dc.subjectILLNESS
dc.subjectIMPACT EVALUATIONS
dc.subjectIMPERFECT INFORMATION
dc.subjectIMPLEMENTATION
dc.subjectINCENTIVE STRUCTURES
dc.subjectINCENTIVES
dc.subjectINCIDENCE
dc.subjectINCOME
dc.subjectINCOME COUNTRIES
dc.subjectINCOME GROUPS
dc.subjectINFANT MORTALITY
dc.subjectINFANT MORTALITY RATES
dc.subjectINFORMAL SECTOR
dc.subjectINFORMAL SECTOR WORKERS
dc.subjectINPATIENT CARE
dc.subjectINPATIENT HOSPITAL
dc.subjectINSURANCE MARKETS
dc.subjectINSURANCE PREMIUMS
dc.subjectINSURANCE PRODUCTS
dc.subjectINSURANCE SYSTEM
dc.subjectINTEREST
dc.subjectKNOWLEDGE
dc.subjectLIVING STANDARDS
dc.subjectLOSS
dc.subjectLOW INCOME
dc.subjectLOW-INCOME COUNTRIES
dc.subjectMANAGED CARE
dc.subjectMARGINAL COST
dc.subjectMEASUREMENT
dc.subjectMEDICAL CARE
dc.subjectMEDICAL EXPENSES
dc.subjectMEDICAL INSURANCE
dc.subjectMORAL HAZARDS
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL HEALTH INSURANCE
dc.subjectNATIONAL HEALTH SERVICE
dc.subjectNUTRITION
dc.subjectORAL HEALTH
dc.subjectOUTPATIENT CARE
dc.subjectOUTPATIENT SERVICES
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPHYSICIAN
dc.subjectPOLICY DISCUSSIONS
dc.subjectPOLICY RESEARCH
dc.subjectPOPULATION
dc.subjectPOVERTY
dc.subjectPREGNANCY
dc.subjectPREGNANT WOMEN
dc.subjectPREVENTIVE CARE
dc.subjectPRICE OF HEALTH CARE
dc.subjectPRICES
dc.subjectPRIMARY CARE
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIVATE CARE
dc.subjectPRIVATE HEALTH INSURANCE
dc.subjectPRIVATE INSURANCE
dc.subjectPRIVATE SECTOR
dc.subjectPROBABILITY
dc.subjectPROGRAMS
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH INSURANCE
dc.subjectPUBLIC HEALTH POLICY
dc.subjectPUBLIC PROVIDERS
dc.subjectPUBLIC SECTOR
dc.subjectRANDOMIZED CONTROLLED TRIALS
dc.subjectRISK AVERSION
dc.subjectRISK SHARING
dc.subjectSAVINGS
dc.subjectSCHOOL HEALTH
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectSOCIAL INSURANCE
dc.subjectSOCIAL RESEARCH
dc.subjectSOCIAL SECURITY
dc.subjectSOCIAL SECURITY HEALTH INSURANCE
dc.subjectSOCIAL SECURITY HOSPITALS
dc.subjectSOCIAL STUDIES
dc.subjectSURGERY
dc.subjectUNINSURED PEOPLE
dc.subjectUSE OF HEALTH CARE SERVICES
dc.subjectUSE OF HEALTH SERVICES
dc.subjectVISITS
dc.subjectWELFARE
dc.subjectWORKERS
dc.titleThe Impact of Health Insurance Schemes for the Informal Sector in Low- and Middle-Income Countries : A Systematic Review

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