Europe and central Asia's great post-communist social health insurance experiment: Aggregate impacts on health sector outcomes
AbstractThe 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.
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Bibliographic InfoArticle provided by Elsevier in its journal Journal of Health Economics.
Volume (Year): 28 (2009)
Issue (Month): 2 (March)
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Web page: http://www.elsevier.com/locate/inca/505560
Social health insurance Health finance Health sector reform;
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- Moreno-Serra, Rodrigo & Wagstaff, Adam, 2010.
"System-wide impacts of hospital payment reforms: Evidence from Central and Eastern Europe and Central Asia,"
Journal of Health Economics,
Elsevier, vol. 29(4), pages 585-602, July.
- Moreno-Serra, Rodrigo & Wagstaff, Adam, 2009. "System-wide impacts of hospital payment reforms : evidence from central and eastern Europe and central Asia," Policy Research Working Paper Series 4987, The World Bank.
- Owen Smith & Son Nam Nguyen, 2013. "Getting Better : Improving Health System Outcomes in Europe and Central Asia," World Bank Publications, The World Bank, number 13832, March.
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