Do subsidized health programs in Armenia increase utilization among the poor?
AbstractThis article analyzes the extent to which the Basic Benefit Package (BBP), a subsidized health program in Armenia, increases utilization and affordability of outpatient health care among the poor. The authors find that beneficiaries of the BBP pay approximately 45 percent less in fees for doctor visits (and display 36 percent higher outpatient utilization rates) than eligible users not receiving the BBP. However, even among BBP beneficiaries the level of outpatient health care utilization remains low. This occurs because the program mainly provides discounted fees for doctor visits, but fees do not constitute the main financial constraint for users. The authors estimate suggest that other non-fee expenditures, such as prescription medicines, constitute a more significant financial constraint and are not subsidized by the BBP. As a result, outpatient health care remains expensive even for BBP beneficiaries.
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Bibliographic InfoPaper provided by The World Bank in its series Policy Research Working Paper Series with number 4017.
Date of creation: 01 Sep 2006
Date of revision:
Health Monitoring&Evaluation; Health Systems Development&Reform; Health Economics&Finance; Population Policies; Public Sector Expenditure Analysis&Management;
Other versions of this item:
- Diego Angel-Urdinola & Shweta Jain, 2008. "Do subsidized health programs in Armenia increase utilization among the poor?," Economics Bulletin, AccessEcon, vol. 9(1), pages 1-15.
This paper has been announced in the following NEP Reports:
- NEP-ALL-2006-10-07 (All new papers)
- NEP-DEV-2006-10-07 (Development)
- NEP-HEA-2006-10-07 (Health Economics)
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- Margaret Grosh & Carlo del Ninno & Emil Tesliuc & Azedine Ouerghi, 2008. "For Protection and Promotion : The Design and Implementation of Effective Safety Nets," World Bank Publications, The World Bank, number 6582.
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