Europe and Central Asia's Great Post-Communist Social Health Insurance Experiment : Impacts on Health Sector and Labor Market Outcomes

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dc.creatorMoreno-Serra, Rodrigo
dc.creatorWagstaff, Adam
dc.date2012-06-07T14:47:30Z
dc.date2012-06-07T14:47:30Z
dc.date2007-10
dc.date.accessioned2026-07-01T01:22:26Z
dc.descriptionThe post-communist transition to social health insurance in many of the Central and Eastern European and Central Asian countries provides a unique opportunity to try to answer some of the unresolved issues in the debate over the relative merits of social health insurance and tax-financed health systems. This paper employs a regression-based generalization of the difference-in-differences method and instrumental variables on panel data from 28 countries for the period 1990-2004. The authors find that, controlling for any concurrent provider payment reforms, adoption of social health insurance increased national health spending and hospital activity rates, but did not lead to better health outcomes. The authors also find that adoption of social health insurance reduced employment in the economy as a whole and increased unemployment, although it did not apparently increase the size of the informal economy.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2007/10/8458168/europe-central-asias-great-post-communist-social-health-insurance-experiment-impacts-health-sector-labor-market-outcomes
dc.identifierhttps://hdl.handle.net/10986/7382
dc.identifierhttps://doi.org/10.1596/1813-9450-4371
dc.identifier.urihttp://hdl.handle.net/123456789/417502
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relationPolicy Research Working Paper; No. 4371
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectAGED
dc.subjectAPPENDICITIS
dc.subjectARI
dc.subjectBREAST CANCER
dc.subjectBRONCHITIS
dc.subjectCAESAREAN SECTIONS
dc.subjectCANCERS
dc.subjectCAPITA HEALTH SPENDING
dc.subjectCAPITAL SPENDING
dc.subjectCENTRAL ASIAN
dc.subjectCENTRAL FUND
dc.subjectCEREBROVASCULAR DISEASES
dc.subjectCONTRACTS WITH PROVIDERS
dc.subjectCONTRIBUTION RATES
dc.subjectCOST OF HEALTH CARE
dc.subjectDEATH RATES
dc.subjectDEATHS
dc.subjectDELIVERY OF HEALTH CARE
dc.subjectDEVELOPING COUNTRIES
dc.subjectDIABETES
dc.subjectDIAGNOSIS
dc.subjectDIARRHOEA
dc.subjectDIGESTIVE DISEASES
dc.subjectDISABILITY
dc.subjectDISEASE
dc.subjectDIVORCE
dc.subjectDRUGS
dc.subjectFEE-FOR-SERVICE
dc.subjectFINANCIAL RESOURCES
dc.subjectGI
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE EXPENDITURES
dc.subjectHEALTH CARE RESOURCES
dc.subjectHEALTH CARE SPENDING
dc.subjectHEALTH CONDITIONS
dc.subjectHEALTH ECONOMISTS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURE PER CAPITA
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH EXPENDITURES PER CAPITA
dc.subjectHEALTH FINANCING
dc.subjectHEALTH FINANCING SYSTEM
dc.subjectHEALTH FOR ALL
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH INFORMATION
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURERS
dc.subjectHEALTH MINISTRIES
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH POLICIES
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROFESSIONALS
dc.subjectHEALTH PROVIDERS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SECTOR REFORM
dc.subjectHEALTH SERVICES
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH SYSTEMS IN TRANSITION
dc.subjectHEALTH WORKERS
dc.subjectHEART DISEASE
dc.subjectHEPATITIS
dc.subjectHEPATITIS B
dc.subjectHOSPITAL
dc.subjectHOSPITAL ADMISSIONS
dc.subjectHOSPITAL BEDS
dc.subjectHOSPITAL CARE
dc.subjectHOSPITALIZATION
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectILLNESS
dc.subjectIMMUNIZATION
dc.subjectIMPACT ON HEALTH
dc.subjectINCOME
dc.subjectINCOME GROUPS
dc.subjectINFANT
dc.subjectINFANT MORTALITY
dc.subjectINFANT MORTALITY RATE
dc.subjectINFECTION
dc.subjectINFECTION RATE
dc.subjectINFECTION RATES
dc.subjectINFECTIOUS DISEASES
dc.subjectINFORMAL SECTOR
dc.subjectINPATIENT ADMISSIONS
dc.subjectINSURANCE FUNDS
dc.subjectINTERNATIONAL LABOR ORGANIZATION
dc.subjectINTERNATIONAL ORGANIZATIONS
dc.subjectLABOR MARKET
dc.subjectLABOR MARKETS
dc.subjectLABOR SUPPLY
dc.subjectLATIN AMERICAN
dc.subjectLAWS
dc.subjectLIFE EXPECTANCY
dc.subjectLIVER
dc.subjectLIVER DISEASES
dc.subjectLOW INCOME
dc.subjectMEASLES
dc.subjectMEASLES IMMUNIZATION
dc.subjectMINISTRY OF HEALTH
dc.subjectMORBIDITY
dc.subjectMORBIDITY INDICATORS
dc.subjectMORTALITY
dc.subjectMUMPS
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL HEALTH SPENDING
dc.subjectNEGATIVE EFFECTS
dc.subjectNEONATAL MORTALITY
dc.subjectNEOPLASMS
dc.subjectPATIENT
dc.subjectPATIENT ADMISSIONS
dc.subjectPATIENTS
dc.subjectPAYMENTS FOR HEALTH CARE
dc.subjectPENSIONS
dc.subjectPERTUSSIS
dc.subjectPHYSICIANS
dc.subjectPOCKET PAYMENTS
dc.subjectPOLICY RESEARCH
dc.subjectPOLICY RESEARCH WORKING PAPER
dc.subjectPOLIO
dc.subjectPREVALENCE
dc.subjectPRIMARY CARE
dc.subjectPRIVATE SECTOR
dc.subjectPRIVATE SECTORS
dc.subjectPRIVATE SPENDING
dc.subjectPROBABILITY
dc.subjectPROGRESS
dc.subjectPROVIDER PAYMENT
dc.subjectPROVISION OF HEALTH CARE
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC SERVICES
dc.subjectPURCHASING POWER
dc.subjectPURCHASING POWER PARITY
dc.subjectQUALITY OF CARE
dc.subjectRESPECT
dc.subjectRESPIRATORY DISEASES
dc.subjectRUBELLA
dc.subjectSHARE OF HEALTH SPENDING
dc.subjectSMOKING
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectSOCIAL SECURITY
dc.subjectSUBSISTENCE FARMING
dc.subjectSYPHILIS
dc.subjectTETANUS
dc.subjectTREATMENT
dc.subjectTUBERCULOSIS
dc.subjectUNDER-FIVE MORTALITY
dc.subjectUNEMPLOYMENT
dc.subjectUNEMPLOYMENT RATES
dc.subjectURBAN POPULATION
dc.subjectVISION
dc.subjectWAR
dc.subjectWORKERS
dc.subjectWORLD HEALTH ORGANIZATION
dc.titleEurope and Central Asia's Great Post-Communist Social Health Insurance Experiment : Impacts on Health Sector and Labor Market Outcomes

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