Demand and Reimbursement Effects of Healthcare Reform: Health Care Utilization and Infant Mortality in Thailand
AbstractThe Thai 30 Baht program was one of the largest health system reforms ever undertaken by a low-middle income country. In addition to lowering the cost of care for the previously uninsured in public facilities, it also entailed a fourfold increase in funding provided to hospitals to care for the poorest 30% of the population (who were already publicly insured). For the previously uninsured, we find that the 30 Baht program led to increased health care utilization, as well as a shift from private to public sources of care. But, we find a larger increase for the poor who were previously publicly insured, especially amongst infants and women of childbearing age. Using vital statistics records, we find that the increased access to healthcare by the publicly insured poor led to a reduction in their infant mortality of at least 6.5 per 1,000 births. This suggests significant improvements in infant mortality rates can be achieved through increased access to healthcare services for the poor and marginalized groups.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Bibliographic InfoPaper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 17739.
Date of creation: Jan 2012
Date of revision:
Publication status: published as The Great Equalizer: Health Care Access and Infant Mortality in Thailand (with Jonathan Gruber and Robert M. Townsend), American Economic Journal: Applied Economics. 2014; 6(1): 91-107
Contact details of provider:
Postal: National Bureau of Economic Research, 1050 Massachusetts Avenue Cambridge, MA 02138, U.S.A.
Web page: http://www.nber.org
More information through EDIRC
Find related papers by JEL classification:
- I0 - Health, Education, and Welfare - - General
- I1 - Health, Education, and Welfare - - Health
- I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
This paper has been announced in the following NEP Reports:
- NEP-ALL-2012-01-25 (All new papers)
- NEP-DEV-2012-01-25 (Development)
- NEP-HEA-2012-01-25 (Health Economics)
- NEP-SEA-2012-01-25 (South East Asia)
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.:
- Joseph P. Kaboski & Robert M. Townsend, 2011.
"A Structural Evaluation of a Largeâ€Scale Quasiâ€Experimental Microfinance Initiative,"
Econometrica, Econometric Society,
Econometric Society, vol. 79(5), pages 1357-1406, 09.
- Robert M. Townsend & Joseph P. Kaboski, 2009. "A Structural Evaluation of a Large-Scale Quasi-Experimental Microfinance Initiative," 2009 Meeting Papers, Society for Economic Dynamics 717, Society for Economic Dynamics.
- Ghislando, S & Manachotphong, W & Perego, VME, 2013. "The impact of Universal Health Coverage on healthcare consumption and risky behaviours: evidence from Thailand," Working Papers, Imperial College, London, Imperial College Business School 11200, Imperial College, London, Imperial College Business School.
- Resul Cesur & Erdal Tekin & Aydogan Ulker, 2013.
"Air Pollution and Infant Mortality: Evidence from the Expansion of Natural Gas Infrastructure,"
NBER Working Papers
18736, National Bureau of Economic Research, Inc.
- Cesur, Resul & Tekin, Erdal & Ulker, Aydogan, 2013. "Air Pollution and Infant Mortality: Evidence from the Expansion of Natural Gas Infrastructure," IZA Discussion Papers 7179, Institute for the Study of Labor (IZA).
- Moreno-Serra, R & Smith, PC, 2013. "Towards an index of health coverage," Working Papers, Imperial College, London, Imperial College Business School 10422, Imperial College, London, Imperial College Business School.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ().
If references are entirely missing, you can add them using this form.