Health Insurance Impacts on Health and Nonmedical Consumption in a Developing Country

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dc.creatorPradhan, Menno
dc.creatorWagstaff, Adam
dc.date2012-06-25T22:17:52Z
dc.date2012-06-25T22:17:52Z
dc.date2005-04
dc.date.accessioned2026-07-01T01:31:23Z
dc.descriptionThe 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.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2005/04/5745333/health-insurance-impacts-health-nonmedical-consumption-developing-country-health-insurance-impacts-health-non-medical-consumption-developing-country
dc.identifierhttps://hdl.handle.net/10986/8988
dc.identifierhttps://doi.org/10.1596/1813-9450-3563
dc.identifier.urihttp://hdl.handle.net/123456789/418879
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relationPolicy Research Working Paper; No. 3563
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectAGED
dc.subjectAPPLICATIONS
dc.subjectCHILD NUTRITION
dc.subjectCLINICS
dc.subjectCOMMODITIES
dc.subjectECONOMICS
dc.subjectEMPIRICAL ANALYSIS
dc.subjectEMPLOYMENT
dc.subjectEXPENDITURES
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE UTILIZATION
dc.subjectHEALTH CENTERS
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH IMPACTS
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURANCE COVERAGE
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICES
dc.subjectHEALTH STATUS
dc.subjectHOSPITAL CARE
dc.subjectHOSPITAL COST
dc.subjectHOSPITALS
dc.subjectHOUSING
dc.subjectHUMAN DEVELOPMENT
dc.subjectHYGIENE
dc.subjectINCOME
dc.subjectINFANT MORTALITY
dc.subjectINFANTS
dc.subjectINFORMAL INSURANCE
dc.subjectINFORMATION ASYMMETRIES
dc.subjectINPATIENT CARE
dc.subjectINTERVENTION
dc.subjectLABOR FORCE
dc.subjectLABOR SUPPLY
dc.subjectLEGISLATION
dc.subjectLIBERALIZATION
dc.subjectLIVING STANDARDS
dc.subjectMEDICAID
dc.subjectMEDICAL CARE
dc.subjectMEDICAL EXPENSES
dc.subjectMEDICINES
dc.subjectMIGRATION
dc.subjectMORAL HAZARD
dc.subjectMORTALITY
dc.subjectMOTHERS
dc.subjectNUTRITION
dc.subjectNUTRITIONAL STATUS
dc.subjectORAL REHYDRATION THERAPY
dc.subjectOUTPATIENT CARE
dc.subjectPARENTS
dc.subjectPATIENTS
dc.subjectPHARMACISTS
dc.subjectPHARMACY
dc.subjectPOLICY RESEARCH
dc.subjectPRIMARY CARE
dc.subjectPRIVATE SECTOR
dc.subjectPROBABILITY
dc.subjectPROGRAMS
dc.subjectPUPILS
dc.subjectSAVINGS
dc.subjectSCHOOLS
dc.subjectURBAN AREAS
dc.subjectUSE VALUE
dc.subjectVACCINATIONS
dc.subjectWORKERS
dc.subjectWORKPLACE
dc.titleHealth Insurance Impacts on Health and Nonmedical Consumption in a Developing Country

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