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Private health insurance consumption and public health-care provision in OECD countries: Impact of culture, finance, and the pandemic

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  • Trinh, Cong Tam
  • Chao, Chi-Chur
  • Ho, Nhut Quang

Abstract

In this paper, we investigate private health insurance (PHI) spending in Organization for Economic Co-operation and Development (OECD) economies for the period 2000–2020, with a focus on the impact of financial, cultural, and health-environment factors. PHI consumption is positively associated with financial development and cultural–social–economic factors, such as income, education, individualism, uncertainty avoidance, and long-term orientation, whereas it is negatively associated with public health spending, masculinity, indulgence, and power distance. In addition, factors related to the health environment, such as the COVID-19 pandemic, have a negative influence on PHI consumption in the selected OECD economies owing to losses in income. Our findings can serve as guidance for consumers and recommendations for health insurers and policymakers in designing health insurance policies and programs in developed and developing countries.

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  • Trinh, Cong Tam & Chao, Chi-Chur & Ho, Nhut Quang, 2023. "Private health insurance consumption and public health-care provision in OECD countries: Impact of culture, finance, and the pandemic," The North American Journal of Economics and Finance, Elsevier, vol. 64(C).
    • Handle: RePEc:eee:ecofin:v:64:y:2023:i:c:s106294082200184x
    DOI: 10.1016/j.najef.2022.101849
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    as
    1. Yating Wang & Donghao Zhang & Xiaoquan Wang & Qiuyao Fu, 2020. "How Does COVID-19 Affect China’s Insurance Market?," Emerging Markets Finance and Trade, Taylor & Francis Journals, vol. 56(10), pages 2350-2362, August.
    2. Xiao-Hua Ying & Teh-Wei Hu & Jane Ren & Wen Chen & Ke Xu & Jin-Hui Huang, 2007. "Demand for private health insurance in Chinese urban areas," Health Economics, John Wiley & Sons, Ltd., vol. 16(10), pages 1041-1050.
    3. Timothy F. Harris & Aaron Yelowitz & Charles Courtemanche, 2021. "Did COVID‐19 change life insurance offerings?," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 88(4), pages 831-861, December.
    4. Sharmistha Self & Richard Grabowski, 2003. "How effective is public health expenditure in improving overall health? A cross-country analysis," Applied Economics, Taylor & Francis Journals, vol. 35(7), pages 835-845.
    5. Thomas Lemieux & Kevin Milligan & Tammy Schirle & Mikal Skuterud, 2020. "Initial Impacts of the COVID-19 Pandemic on the Canadian Labour Market," Canadian Public Policy, University of Toronto Press, vol. 46(S1), pages 55-65, July.
    6. Marco Arena, 2008. "Does Insurance Market Activity Promote Economic Growth? A Cross‐Country Study for Industrialized and Developing Countries," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 75(4), pages 921-946, December.
    7. Stavrunova, Olena & Yerokhin, Oleg, 2014. "Tax incentives and the demand for private health insurance," Journal of Health Economics, Elsevier, vol. 34(C), pages 121-130.
    8. Liu, Guanchun & Zhang, Chengsi, 2016. "The dynamic linkage between insurance activities and banking credit: Some new evidence from global countries," International Review of Economics & Finance, Elsevier, vol. 44(C), pages 40-53.
    9. Chai Cheng, T & Vahid, F, 2010. "Demand for hospital care and private health insurance in a mixed publicprivate system: empirical evidence using a simultaneous equation modeling approach," Health, Econometrics and Data Group (HEDG) Working Papers 10/25, HEDG, c/o Department of Economics, University of York.
    10. Liu, Yiyan & Jin, Ginger Zhe, 2015. "Employer contribution and premium growth in health insurance," Journal of Health Economics, Elsevier, vol. 39(C), pages 228-247.
    11. M. Hashem Pesaran, 2021. "General diagnostic tests for cross-sectional dependence in panels," Empirical Economics, Springer, vol. 60(1), pages 13-50, January.
    12. Adel Ifa and Imène Guetat, 2019. "The Short and Long Run Causality Relationship Between Public Health Spending and Economic Growth: Evidence from Tunisia and Morocco," Journal of Economic Development, Chung-Ang Unviersity, Department of Economics, vol. 44(3), pages 19-39, September.
    13. Wang, Qian & Wang, Jun & Gao, Feng, 2021. "Who is more important, parents or children? Economic and environmental factors and health insurance purchase," The North American Journal of Economics and Finance, Elsevier, vol. 58(C).
    14. Bíró, Anikó & Hellowell, Mark, 2016. "Public–private sector interactions and the demand for supplementary health insurance in the United Kingdom," Health Policy, Elsevier, vol. 120(7), pages 840-847.
    15. Park, Sojung Carol & Lemaire, Jean, 2012. "The Impact of Culture on the Demand for Non-Life Insurance," ASTIN Bulletin, Cambridge University Press, vol. 42(2), pages 501-527, November.
    16. Besley, Timothy & Hall, John & Preston, Ian, 1999. "The demand for private health insurance: do waiting lists matter?," Journal of Public Economics, Elsevier, vol. 72(2), pages 155-181, May.
    17. Y. Machnes, 2006. "The demand for private health care under national health insurance," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 7(4), pages 265-269, December.
    18. Xianhang Qian, 2021. "The impact of COVID-19 pandemic on insurance demand: the case of China," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(7), pages 1017-1024, September.
    19. Liu, Tsai-Ching & Chen, Chin-Shyan, 2002. "An analysis of private health insurance purchasing decisions with national health insurance in Taiwan," Social Science & Medicine, Elsevier, vol. 55(5), pages 755-774, September.
    20. Patrick L. Brockett & William W. Cooper & Linda L. Golden & John J. Rousseau & Yuying Wang, 2005. "Financial Intermediary Versus Production Approach to Efficiency of Marketing Distribution Systems and Organizational Structure of Insurance Companies," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 72(3), pages 393-412, September.
    21. Nichols, D & Smolensky, E & Tideman, T N, 1971. "Discrimination by Waiting Time in Merit Goods," American Economic Review, American Economic Association, vol. 61(3), pages 312-323, June.
    22. Tam Trinh & Xuan Nguyen & Pasquale Sgro, 2016. "Determinants of non-life insurance expenditure in developed and developing countries: an empirical investigation," Applied Economics, Taylor & Francis Journals, vol. 48(58), pages 5639-5653, December.
    23. Micheal Kofi Boachie & K. Ramu & Tatjana Põlajeva, 2018. "Public Health Expenditures and Health Outcomes: New Evidence from Ghana," Economies, MDPI, vol. 6(4), pages 1-25, October.
    24. Lee, Chien-Chiang & Chiu, Yi-Bin, 2016. "Globalization and insurance activity: Evidence on the industrial and emerging countries," The North American Journal of Economics and Finance, Elsevier, vol. 36(C), pages 328-349.
    25. Andrieș, Alin Marius & Ongena, Steven & Sprincean, Nicu, 2021. "The COVID-19 Pandemic and Sovereign Bond Risk," The North American Journal of Economics and Finance, Elsevier, vol. 58(C).
    26. Park, H. & Borde, S. F. & Choi, Y., 2002. "Determinants of insurance pervasiveness: a cross-national analysis," International Business Review, Elsevier, vol. 11(1), pages 79-96, February.
    27. Garcia-Ferrer, A. & de Juan, A. & Poncela, P., 2006. "Forecasting traffic accidents using disaggregated data," International Journal of Forecasting, Elsevier, vol. 22(2), pages 203-222.
    28. Andy C W Chui & Chuck C Y Kwok, 2008. "National culture and life insurance consumption," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 39(1), pages 88-101, January.
    29. Park Sojung & Lemaire Jean, 2011. "Culture Matters: Long-Term Orientation and the Demand for Life Insurance," Asia-Pacific Journal of Risk and Insurance, De Gruyter, vol. 5(2), pages 1-23, July.
    30. Dang, Hai-Anh H. & Viet Nguyen, Cuong, 2021. "Gender inequality during the COVID-19 pandemic: Income, expenditure, savings, and job loss," World Development, Elsevier, vol. 140(C).
    31. Choi, In, 2001. "Unit root tests for panel data," Journal of International Money and Finance, Elsevier, vol. 20(2), pages 249-272, April.
    32. Denise Doiron & Glenn Jones & Elizabeth Savage, 2008. "Healthy, wealthy and insured? The role of self‐assessed health in the demand for private health insurance," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 317-334, March.
    33. Mireia Jofre-Bonet, 2000. "Public health care and private insurance demand: The waiting time as a link," Health Care Management Science, Springer, vol. 3(1), pages 51-71, January.
    34. Thorsten Beck & Ian Webb, 2003. "Economic, Demographic, and Institutional Determinants of Life Insurance Consumption across Countries," The World Bank Economic Review, World Bank, vol. 17(1), pages 51-88, June.
    35. Feyen, Erik & Lester, Rodney & Rocha, Roberto, 2013. "What Drives the Development of the Insurance Sector? An Empirical Analysis Based on a Panel of Developed and Developing Countries," Journal of Financial Perspectives, EY Global FS Institute, vol. 1(1), pages 117-139.
    36. Hiroyuki Nakata & Yasuyuki Sawada, 2007. "Demand for non-life insurance: A cross-country analysis," CIRJE F-Series CIRJE-F-461, CIRJE, Faculty of Economics, University of Tokyo.
    37. R.W. Hafer, 2013. "Economic Freedom and Financial Development: International Evidence," Cato Journal, Cato Journal, Cato Institute, vol. 33(1), pages 111-126, Winter.
    38. Joan Costa & Jaume Garcia, 2003. "Demand for private health insurance: how important is the quality gap?," Health Economics, John Wiley & Sons, Ltd., vol. 12(7), pages 587-599, July.
    39. Lloyd Amaghionyeodiwe, 2008. "Determinants of the choice of health care provider in Nigeria," Health Care Management Science, Springer, vol. 11(3), pages 215-227, September.
    40. Xiao‐Hua Ying & Teh‐Wei Hu & Jane Ren & Wen Chen & Ke Xu & Jin‐Hui Huang, 2007. "Demand for private health insurance in Chinese urban areas," Health Economics, John Wiley & Sons, Ltd., vol. 16(10), pages 1041-1050, October.
    41. Jiang, Yawen & Ni, Weiyi, 2020. "Impact of supplementary private health insurance on hospitalization and physical examination in China," China Economic Review, Elsevier, vol. 63(C).
    42. Liu, Hong & Gao, Song & Rizzo, John A., 2011. "The expansion of public health insurance and the demand for private health insurance in rural China," China Economic Review, Elsevier, vol. 22(1), pages 28-41, March.
    43. Lee Chien-Chiang, 2011. "Does Insurance Matter for Growth: Empirical Evidence from OECD Countries," The B.E. Journal of Macroeconomics, De Gruyter, vol. 11(1), pages 1-28, June.
    44. Trinh, Cong Tam & Nguyen, Xuan & Sgro, Pasquale & Pham, Cong S., 2020. "Culture, financial crisis and the demand for property, accident and health insurance in the OECD countries," Economic Modelling, Elsevier, vol. 93(C), pages 480-498.
    45. Hinde, Jesse M., 2016. "Do premium tax credits increase private health insurance coverage? Evidence from the 2006 Massachusetts health care reform," Economics Letters, Elsevier, vol. 143(C), pages 121-124.
    46. Cong Tam Trinh & Xuan Nguyen & Pasquale Sgro, 2021. "Culture and the demand for non‐life insurance: Empirical evidences from middle‐income and high‐income economies," Economics of Transition and Institutional Change, John Wiley & Sons, vol. 29(3), pages 431-458, July.
    47. Ashu Tiwari & Archana Patro & Imlak Shaikh, 2019. "Information Communication Technology-Enabled Platforms and P&C Insurance Consumption: Evidence from Emerging & Developing Economies," Review of Economics & Finance, Better Advances Press, Canada, vol. 15, pages 81-95, February.
    48. Neil Esho & Anatoly Kirievsky & Damian Ward & Ralf Zurbruegg, 2004. "Law and the Determinants of Property‐Casualty Insurance," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 71(2), pages 265-283, June.
    49. Yung-hsiang Ying & Koyin Chang, 2020. "The effect of National Health Insurance on private health expenditure in Taiwan: crowd in or crowd out?," Journal of the Asia Pacific Economy, Taylor & Francis Journals, vol. 25(2), pages 371-385, April.
    50. Apergis, Nicholas & Poufinas, Thomas, 2020. "The role of insurance growth in economic growth: Fresh evidence from a panel of OECD countries," The North American Journal of Economics and Finance, Elsevier, vol. 53(C).
    51. Francesca Colombo & Nicole Tapay, 2004. "Private Health Insurance in OECD Countries: The Benefits and Costs for Individuals and Health Systems," OECD Health Working Papers 15, OECD Publishing.
    52. Chang, Chi-Hung, 2018. "The dynamic linkage between insurance and banking activities: An analysis on insurance sector assets," Journal of Multinational Financial Management, Elsevier, vol. 46(C), pages 36-50.
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    Cited by:

    1. Cong Tam Trinh & Minh-Tri Ha & Nhut Quang Ho & Tho Alang, 2023. "National culture, public health spending and life insurance consumption: an international comparison," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-14, December.

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    More about this item

    Keywords

    Financial development; Private health insurance; Culture; COVID-19 pandemic;
    All these keywords.

    JEL classification:

    • G22 - Financial Economics - - Financial Institutions and Services - - - Insurance; Insurance Companies; Actuarial Studies
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • E21 - Macroeconomics and Monetary Economics - - Consumption, Saving, Production, Employment, and Investment - - - Consumption; Saving; Wealth

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