Re-examining the effects of public health insurance: The case of nonpoor children in Vietnam.

Abstract:

:This paper focuses on the effects of a 2005 health insurance reform in Vietnam. Through this reform, public health insurance was newly offered to nonpoor children under 6 years old, but it required the use of community health facilities. This requirement potentially limited the value of the insurance. Employing difference-in-discontinuities and triple-difference methods and using data from 2002, 2004, and 2006, I show that, despite health coverage among nonpoor children increasing by nearly three times, there is little or no evidence that the reform significantly increased health care utilization, changed care locations from private to public sites, lowered out-of-pocket costs, or improved health status for nonpoor young children. My results suggest a "bypassing" phenomenon whereby nonpoor families skipped free health care at low-quality facilities.

journal_name

Health Econ

journal_title

Health economics

authors

Nguyen MT

doi

10.1002/hec.3980

subject

Has Abstract

pub_date

2020-03-01 00:00:00

pages

294-305

issue

3

eissn

1057-9230

issn

1099-1050

journal_volume

29

pub_type

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