Did the Healthcard Program ensure Access to Medical Care for the Poor during Indonesia's Economic Crisis?
AbstractThe Indonesian Healthcard program was implemented in response to the economiccrisis, which hit Indonesia in 1998, in order to preserve access to health care servicesfor the poor. The Healthcard provided the households with subsidised care at publichealth care providers, while the providers themselves received budgetary support tocompensate for the extra demand. This papers_new looks at the impact of this program onoutpatient care utilisation, and, in particular, endeavours to disentangle the directeffect of the allocation of Healthcards from the indirect effect of the transfer of fundsto health care facilities. It finds that the program resulted in a net increase inutilisation for the poor beneficiaries. Por non-poor beneficiaries the program resultedin a substitution from private to public providers only. However, the largest effect ofthe program seems to have come from a general increase in the quality of publicservices resulting from the budgetary support they received through this program.
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Bibliographic InfoPaper provided by Tinbergen Institute in its series Tinbergen Institute Discussion Papers with number 03-016/2.
Date of creation: 19 Feb 2003
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health insurance; program evaluation; targeted price subsidies; Indonesia;
Other versions of this item:
- Menno Pradhan & Fadia Saadah & Robert Sparrow, 2007. "Did the Health Card Program Ensure Access to Medical Care for the Poor during Indonesia's Economic Crisis?," World Bank Economic Review, World Bank Group, vol. 21(1), pages 125-150.
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Smith, J.P. & Thomas, D. & Frankenberg, E. & Beegle, K., 2000.
"Wages, Employment and Economic Shocks: Evidence from Indonesia,"
00-07, RAND - Labor and Population Program.
- Duncan Thomas & James P. Smith & Kathleen Beegle & Graciela Teruel & Elizabeth Frankenberg, 2002. "Wages, employment and economic shocks: Evidence from Indonesia," Journal of Population Economics, Springer, vol. 15(1), pages 161-193.
- James P. Smith & Duncan Thomas & Elizabeth Frankenberg & Kathleen Beegle, 2000. "Wages, Employment and Economic Shocks: Evidence from Indonesia," Working Papers 00-07, RAND Corporation Publications Department.
- Blank, Rebecca M & Card, David E, 1991.
"Recent Trends in Insured and Uninsured Unemployment: Is There an Explanation?,"
The Quarterly Journal of Economics,
MIT Press, vol. 106(4), pages 1157-89, November.
- Rebecca M. Blank & David Card, 1989. "Recent Trends in Insured and Uninsured Unemployment: Is There an Explanation?," NBER Working Papers 2871, National Bureau of Economic Research, Inc.
- Menno Pradhan, 2001.
"Welfare Analysis with a Proxy Consumption Measure – Evidence from a Repeated Experiment in Indonesia,"
Tinbergen Institute Discussion Papers
01-092/2, Tinbergen Institute.
- Menno Pradhan, 2009. "Welfare Analysis with a Proxy Consumption Measure: Evidence from a Repeated Experiment in Indonesia," Fiscal Studies, Institute for Fiscal Studies, vol. 30(Special I), pages 391-417, December.
- Anne Daly & George Fane, 2002. "Anti-Poverty Programs in Indonesia," Bulletin of Indonesian Economic Studies, Taylor and Francis Journals, vol. 38(3), pages 309-329.
- Akin, John S. & Guilkey, David K. & Hazel?Denton, E., 1995. "Quality of services and demand for health care in Nigeria: A multinomial probit estimation," Social Science & Medicine, Elsevier, vol. 40(11), pages 1527-1537, June.
- John S. Akin & David K. Guilkey & Paul L. Hutchinson & Michael T. Mcintosh, 1998. "Price elasticities of demand for curative health care with control for sample selectivity on endogenous illness: an analysis for Sri Lanka," Health Economics, John Wiley & Sons, Ltd., vol. 7(6), pages 509-531.
- Asep Suryahadi & Sudarno Sumarto & Lant Pritchett, 2003. "Evolution of Poverty During the Crisis in Indonesia," Asian Economic Journal, East Asian Economic Association, vol. 17(3), pages 221-241, 09.
- Paul J. Gertler & Luis Locay & Warren C. Sanderson, 1987.
"Are User Fees Regressive? The Welfare Implications of Health Care Financing Proposals in Peru,"
NBER Working Papers
2299, National Bureau of Economic Research, Inc.
- Gertler, Paul & Locay, Luis & Sanderson, Warren, 1987. "Are user fees regressive? : The welfare implications of health care financing proposals in Peru," Journal of Econometrics, Elsevier, vol. 36(1-2), pages 67-88.
- Elizabeth Frankenberg & James P. Smith & Duncan Thomas, 2003.
"Economic Shocks, Wealth, and Welfare,"
Journal of Human Resources,
University of Wisconsin Press, vol. 38(2).
- Mocan, H. Naci & Tekin, Erdal & Zax, Jeffrey S., 2004.
"The Demand for Medical Care in Urban China,"
Elsevier, vol. 32(2), pages 289-304, February.
- Heckman, James J. & Robb, Richard Jr., 1985. "Alternative methods for evaluating the impact of interventions : An overview," Journal of Econometrics, Elsevier, vol. 30(1-2), pages 239-267.
- Lanjouw, Peter & Pradhan, Menno & Saadah, Fadia & Sayed, Haneen & Sparrow, Robert, 2001. "Poverty, education, and health in Indonesia : who benefits from public spending?," Policy Research Working Paper Series 2739, The World Bank.
- Heckman, James J & Ichimura, Hidehiko & Todd, Petra E, 1997. "Matching as an Econometric Evaluation Estimator: Evidence from Evaluating a Job Training Programme," Review of Economic Studies, Wiley Blackwell, vol. 64(4), pages 605-54, October.
- Jimenez, Emmanuel, 1995. "Human and physical infrastructure: Public investment and pricing policies in developing countries," Handbook of Development Economics, in: Hollis Chenery & T.N. Srinivasan (ed.), Handbook of Development Economics, edition 1, volume 3, chapter 43, pages 2773-2843 Elsevier.
- David E. Sahn & Stephen D. Younger & Garance Genicot, 2003. "The Demand for Health Care Services in Rural Tanzania," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 65(2), pages 241-260, 05.
- Lisa Cameron, 1999. "Survey of Recent Developments," Bulletin of Indonesian Economic Studies, Taylor and Francis Journals, vol. 35(1), pages 3-41.
- Arhin, Dyna C., 1994. "The health card insurance scheme in Burundi: A social asset or a non-viable venture?," Social Science & Medicine, Elsevier, vol. 39(6), pages 861-870, September.
- Foster, James & Greer, Joel & Thorbecke, Erik, 1984. "A Class of Decomposable Poverty Measures," Econometrica, Econometric Society, vol. 52(3), pages 761-66, May.
- Currie, Janet & Gruber, Jonathan, 1996.
"Health Insurance Eligibility, Utilization of Medical Care, and Child Health,"
The Quarterly Journal of Economics,
MIT Press, vol. 111(2), pages 431-66, May.
- Janet Currie & Jonathan Gruber, 1995. "Health Insurance Eligibility, Utilization of Medical care, and Child Health," NBER Working Papers 5052, National Bureau of Economic Research, Inc.
- Emmanuel Skoufias & Asep Suryahadi, 2000. "Changes in Household Welfare, Poverty and Inequality During the Crisis," Bulletin of Indonesian Economic Studies, Taylor and Francis Journals, vol. 36(2), pages 97-114.
- Currie, J. & Thomas, D., 1995.
"Medical Care for Children, Public Insurance, Private Insurance, and Racial Differences in Utilization,"
95-08, RAND - Reprint Series.
- Janet Currie & Duncan Thomas, 1995. "Medical Care for Children: Public Insurance, Private Insurance, and Racial Differences in Utilization," Journal of Human Resources, University of Wisconsin Press, vol. 30(1), pages 135-162.
- Pradhan, Menno, et al, 2001. "Eating Like Which "Joneses?" An Iterative Solution to the Choice of a Poverty Line "Reference Group."," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 47(4), pages 473-87, December.
- Frankenberg, E. & Thomas, D. & Beegle, K., 1999.
"The Real Costs of Indonesia's Economic Crisis: Preliminary Findings from the Indonesia Family Life Surveys,"
99-04, RAND - Labor and Population Program.
- Elizabeth Frankenberg & Duncan Thomas & Kathleen Beegle, 1999. "The Real Costs of Indonesian Economic Crisis: Preliminary Findings from the Indonesia Family Life Surveys," Working Papers 99-04, RAND Corporation Publications Department.
- Gertler, Paul J. & Hammer, Jeffrey S., 1997. "Strategies for pricing publicly provided health services," Policy Research Working Paper Series 1762, The World Bank.
- Rajeev H. Dehejia & Sadek Wahba, 1998. "Causal Effects in Non-Experimental Studies: Re-Evaluating the Evaluation of Training Programs," NBER Working Papers 6586, National Bureau of Economic Research, Inc.
- Guido W. Imbens, 2004.
"Nonparametric Estimation of Average Treatment Effects Under Exogeneity: A Review,"
The Review of Economics and Statistics,
MIT Press, vol. 86(1), pages 4-29, February.
- Guido W. Imbens, 2003. "Nonparametric Estimation of Average Treatment Effects under Exogeneity: A Review," NBER Technical Working Papers 0294, National Bureau of Economic Research, Inc.
- Knowles, J.C. & Pernia, E.M., Racelis, M., 1999. "Social Consequences of the Financial Crisis in Asia," Papers 60, Asian Development Bank.
- Ching, Panfila, 1995. "User fees, demand for children's health care and access across income groups: The Philippine case," Social Science & Medicine, Elsevier, vol. 41(1), pages 37-46, July.
- Lavy, V. & Quigley, J.M., 1993. "Willingness to Pay for the Quality and Intensity of Midical Care; Low- Income Households in Ghana," Papers 94, World Bank - Living Standards Measurement.
- William H. Dow, 1999. "Flexible Discrete Choice Demand Models Consistent With Utility Maximization: An Application to Health Care Demand," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 81(3), pages 680-685.
- Hidayat, Budi, 2007. "Are there differences between unconditional and conditional demand estimates? implications for future research and policy," MPRA Paper 30196, University Library of Munich, Germany.
- repec:jet:dpaper:dpaper391 is not listed on IDEAS
- Elbers, Chris & Gunning, Jan Willem & de Hoop, Kobus, 2009. "Assessing Sector-wide Programs with Statistical Impact Evaluation: A Methodological Proposal," World Development, Elsevier, vol. 37(2), pages 513-520, February.
- World Bank, 2006. "Making the New Indonesia Work for the Poor," World Bank Other Operational Studies 8172, The World Bank.
- Robert Sparrow & Ellen Van de Poel & Gracia Hadiwidjaja & Athia Yumna & Nila Warda & Asep Suryahadi, 2012. "Financial Consequences of Ill Health and Informal Coping Mechanisms in Indonesia," Departmental Working Papers 2012-07, The Australian National University, Arndt-Corden Department of Economics.
- Somanathan, Aparnaa, 2008. "The impact of price subsidies on child health care use : evaluation of the Indonesian healthcard," Policy Research Working Paper Series 4622, The World Bank.
- Erlyana, Erlyana & Damrongplasit, Kannika Kampanya & Melnick, Glenn, 2011. "Expanding health insurance to increase health care utilization: Will it have different effects in rural vs. urban areas?," Health Policy, Elsevier, vol. 100(2), pages 273-281.
- Liu, Dan & Tsegai, Daniel W., 2011. "The New Cooperative Medical Scheme (NCMS) and its implications for access to health care and medical expenditure: Evidence from rural China," Discussion Papers 116746, University of Bonn, Center for Development Research (ZEF).
- Johar, Meliyanni, 2009.
"The impact of the Indonesian health card program: A matching estimator approach,"
Journal of Health Economics,
Elsevier, vol. 28(1), pages 35-53, January.
- Meliyanni Johar, 2007. "The Impact of the Indonesian Health Card Program: A Matching Estimator Approach," Discussion Papers 2007-30, School of Economics, The University of New South Wales.
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