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Did the Healthcard Program ensure Access to Medical Care for the Poor during Indonesia's Economic Crisis?

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Author Info

  • Menno Pradhan

    ()
    (Vrije Universiteit Amsterdam, and World Bank, Jakarta)

  • Fadia Saadah

    (World Bank, Jakarta)

  • Robert Sparrow

    ()
    (Vrije Universiteit Amsterdam)

Abstract

The 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 Info

Paper provided by Tinbergen Institute in its series Tinbergen Institute Discussion Papers with number 03-016/2.

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Date of creation: 19 Feb 2003
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Handle: RePEc:dgr:uvatin:20030016

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Web page: http://www.tinbergen.nl

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Keywords: health insurance; program evaluation; targeted price subsidies; Indonesia;

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References

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Citations

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Cited by:
  1. 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.
  2. repec:jet:dpaper:dpaper391 is not listed on IDEAS
  3. 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.
  4. Landiyanto, Erlangga Agustino, 2009. "The Impact of Health Card Program on Access to Reproductive Health Services: An Indonesian Experience," MPRA Paper 38856, University Library of Munich, Germany.
  5. World Bank, 2006. "Making the New Indonesia Work for the Poor," World Bank Other Operational Studies 8172, The World Bank.
  6. 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).
  7. Sparrow, Robert & Suryahadi, Asep & Widyanti, Wenefrida, 2013. "Social health insurance for the poor: Targeting and impact of Indonesia's Askeskin programme," Social Science & Medicine, Elsevier, vol. 96(C), pages 264-271.
  8. 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.
  9. 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.
  10. 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.
  11. 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.
  12. Chris Elbers & Jan Willem Gunning & Kobus de Hoop, 2007. "Assessing Budget Support with Statistical Impact Evaluation: a Methodological Proposal," Tinbergen Institute Discussion Papers 07-075/2, Tinbergen Institute, revised 31 Dec 2007.

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