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Health Insurance for the Poor, Healthcare Use and Health Outcomes in Indonesia

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  • Ranjan Shrestha

Abstract

This article evaluates the effects of the Health Insurance for the Poor program, Askeskin, using panel data from the 2000 and 2007 rounds of the Indonesian Family Life Survey (IFLS). Because Askeskin was not assigned to recipients randomly, difference-in-difference propensity score matching is used to estimate the treatment effects of the program on healthcare use. The results suggest heterogeneous effects across age, gender and poverty status. The overall use of outpatient healthcare increased primarily among females. The use of inpatient healthcare increased the most among elderly males, with no significant increase observed among elderly females. While the increase in the use of outpatient healthcare was larger for the poor, the increase in the use of inpatient healthcare was larger for the non-poor, especially in rural areas. Although healthcare use increased among Askeskin recipients, the results suggest no significant improvements in health outcomes.

Suggested Citation

  • Ranjan Shrestha, 2021. "Health Insurance for the Poor, Healthcare Use and Health Outcomes in Indonesia," Bulletin of Indonesian Economic Studies, Taylor & Francis Journals, vol. 57(1), pages 85-110, January.
    • Handle: RePEc:taf:bindes:v:57:y:2021:i:1:p:85-110
    DOI: 10.1080/00074918.2020.1753655
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    Cited by:

    1. Muhammad Fikru Rizal, 2025. "Public Health Insurance and Healthcare Utilisation Decisions of Young Adults," Health Economics, John Wiley & Sons, Ltd., vol. 34(3), pages 500-517, March.
    2. Beta Yulianita Gitaharie & Rus’an Nasrudin & Ayu Putu Arantza Bonita & Lovina Aisha Malika Putri & Muhammad Abdul Rohman & Dwini Handayani, 2022. "Is there an ex-ante moral hazard on Indonesia’s health insurance? An impact analysis on household waste management behavior," PLOS ONE, Public Library of Science, vol. 17(12), pages 1-21, December.

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