Europe and Central Asia's Great Post-communist Social Health Insurance Experiment : Aggregate Impacts on Health Sector Outcomes

• Tác giả: Adam Wagstaff
• Ngôn ngữ: eng
• Ký hiệu phân loại: 368.4 Government-sponsored insurance
• Thông tin xuất bản: 2012
• Bộ sưu tập: Tài liệu truy cập mở
• ID: 314008
• Chủ đề: 1. Analysis of Health Care Markets I110; 2. Health: Government Policy; 3. National Government Expenditures and Health H510; 4. Public Health I180; 5. Regulation

Tóm tắt

The 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 regression-based generalizations of the difference-in-differences method on panel data from 28 countries for the period 1990-2004. We 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.