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The Incidence of Public Spending on Healthcare: Comparative Evidence from Asia

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Author Info
Owen O'Donnell
Eddy van Doorslaer
Ravi P. Rannan-Eliya
Aparnaa Somanathan
Shiva Raj Adhikari
Deni Harbianto
Charu C. Garg
Piya Hanvoravongchai
Mohammed N. Huq
Anup Karan
Gabriel M. Leung
Chiu Wan Ng
Badri Raj Pande
Keith Tin
Kanjana Tisayaticom
Laksono Trisnantoro
Yuhui Zhang
Yuxin Zhao

Additional information is available for the following registered author(s):

Abstract

The article compares the incidence of public healthcare across 11 Asian countries and provinces, testing the dominance of healthcare concentration curves against an equal distribution and Lorenz curves and across countries. The analysis reveals that the distribution of public healthcare is prorich in most developing countries. That distribution is avoidable, but a propoor incidence is easier to realize at higher national incomes. The experiences of Malaysia, Sri Lanka, and Thailand suggest that increasing the incidence of propoor healthcare requires limiting the use of user fees, or protecting the poor effectively from them, and building a wide network of health facilities. Economic growth may not only relax the government budget constraint on propoor policies but also increase propoor incidence indirectly by raising richer individuals' demand for private sector alternatives. Copyright 2007, Oxford University Press.

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Publisher Info
Article provided by Oxford University Press in its journal The World Bank Economic Review.

Volume (Year): 21 (2007)
Issue (Month): 1 ()
Pages: 93-123
Download reference. The following formats are available: HTML (with abstract), plain text (with abstract), BibTeX, RIS (EndNote, RefMan, ProCite), ReDIF
Handle: RePEc:oup:wbecrv:v:21:y:2007:i:1:p:93-123

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Postal: Oxford University Press, Great Clarendon Street, Oxford OX2 6DP, UK
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  1. Eddy van Doorslaer & Owen O'Donnell & Ravindra P. Rannan-Eliya & Aparnaa Somanathan & Shiva Raj Adhikari & Charu C. Garg & Deni Harbianto & Alejandro N. Herrin & Mohammed Nazmul Huq & Shamsia Ibragimo, 2007. "Catastrophic payments for health care in Asia," Health Economics, John Wiley & Sons, Ltd., vol. 16(11), pages 1159-1184. [Downloadable!]
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This page was last updated on 2009-12-15.


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