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Urbanization and Health Expenditure: An Empirical Investigation from Households in Vietnam

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  • Nguyen-Phung, Hang Thu
  • Le, Hai

Abstract

This study examines the effects of urbanization on household health expenditure. Using a unique bi-annually household-level dataset from 2012 - 2018 from Vietnam, we obtain key findings as follows. First, urbanization significantly reduces Vietnamese households' inpatient and outpatient health expenses. Second, the self-treatment expenses of households increase as the process of urbanization advances. Our results survive several robustness checks. Furthermore, we propose different ways to explain these results, including health insurance expenses and household income.

Suggested Citation

  • Nguyen-Phung, Hang Thu & Le, Hai, 2023. "Urbanization and Health Expenditure: An Empirical Investigation from Households in Vietnam," AGI Working Paper Series 2023-06, Asian Growth Research Institute.
  • Handle: RePEc:agi:wpaper:02000073
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    1. Damian Clarke & Benjamín Matta, 2018. "Practical considerations for questionable IVs," Stata Journal, StataCorp LLC, vol. 18(3), pages 663-691, September.
    2. Meierrieks, Daniel & Renner, Laura, 2023. "Islamist terrorism and the status of women," European Journal of Political Economy, Elsevier, vol. 78(C).
    3. James Thornton & Jennifer Rice, 2008. "Determinants of healthcare spending: a state level analysis," Applied Economics, Taylor & Francis Journals, vol. 40(22), pages 2873-2889.
    4. Waters, Hugh R. & Anderson, Gerard F. & Mays, Jim, 2004. "Measuring financial protection in health in the United States," Health Policy, Elsevier, vol. 69(3), pages 339-349, September.
    5. Zheng, Wei & Walsh, Patrick Paul, 2019. "Economic growth, urbanization and energy consumption — A provincial level analysis of China," Energy Economics, Elsevier, vol. 80(C), pages 153-162.
    6. Matthew Jowett & Anil Deolalikar & Peter Martinsson, 2004. "Health insurance and treatment seeking behaviour: evidence from a low‐income country," Health Economics, John Wiley & Sons, Ltd., vol. 13(9), pages 845-857, September.
    7. Wagstaff, Adam & Lindelow, Magnus, 2008. "Can insurance increase financial risk?: The curious case of health insurance in China," Journal of Health Economics, Elsevier, vol. 27(4), pages 990-1005, July.
    8. Levine, David & Polimeni, Rachel & Ramage, Ian, 2016. "Insuring health or insuring wealth? An experimental evaluation of health insurance in rural Cambodia," Journal of Development Economics, Elsevier, vol. 119(C), pages 1-15.
    9. 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.
    10. Guo, Shiqi, 2020. "The legacy effect of unexploded bombs on educational attainment in Laos," Journal of Development Economics, Elsevier, vol. 147(C).
    11. Douglas Gollin & Remi Jedwab & Dietrich Vollrath, 2016. "Urbanization with and without industrialization," Journal of Economic Growth, Springer, vol. 21(1), pages 35-70, March.
    12. Zijun Wang, 2009. "The determinants of health expenditures: evidence from US state-level data," Applied Economics, Taylor & Francis Journals, vol. 41(4), pages 429-435.
    13. Jiankang Wang & Zetao Xu, 2023. "Analysis of the effect of heterogeneous human capital on new urbanization in China," Economic Research-Ekonomska Istraživanja, Taylor & Francis Journals, vol. 36(2), pages 2180649-218, July.
    14. Guo Chen & Amy K Glasmeier & Min Zhang & Yang Shao, 2016. "Urbanization and Income Inequality in Post-Reform China: A Causal Analysis Based on Time Series Data," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-16, July.
    15. Yu Shen & Wenkai Sun, 2023. "From Villages to Urban Neighborhoods: Urbanization and Health," China & World Economy, Institute of World Economics and Politics, Chinese Academy of Social Sciences, vol. 31(2), pages 137-158, March.
    16. Wameq A. Raza & Ellen van de Poel & Arjun Bedi & Frans Rutten, 2016. "Impact of Community‐based Health Insurance on Access and Financial Protection: Evidence from Three Randomized Control Trials in Rural India," Health Economics, John Wiley & Sons, Ltd., vol. 25(6), pages 675-687, June.
    17. E. Van de Poel & O. O'Donnell & E. Van Doorslaer, 2012. "Is there a health penalty of China's rapid urbanization?," Health Economics, John Wiley & Sons, Ltd., vol. 21(4), pages 367-385, April.
    18. Thang Dang, 2018. "Do the more educated utilize more health care services? Evidence from Vietnam using a regression discontinuity design," International Journal of Health Economics and Management, Springer, vol. 18(3), pages 277-299, September.
    19. Zheng, Xiaoting & Wu, Anqi & Wei, Xuejing, 2023. "The social support returns to college education in China: Evidence from online medical crowdfunding," China Economic Review, Elsevier, vol. 79(C).
    20. Hang Thu Nguyen-Phung & Hai Le, 2024. "Energy Poverty and Health Expenditure: Empirical Evidence from Vietnam," Social Sciences, MDPI, vol. 13(5), pages 1-14, May.
    21. Colm Harmon & Brian Nolan, 2001. "Health insurance and health services utilization in Ireland," Health Economics, John Wiley & Sons, Ltd., vol. 10(2), pages 135-145, March.
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    1. Azhgaliyeva, Dina & Le, Hai & Olivares, Resi Ong & Tian, Shu, 2024. "Renewable energy investments and feed-in tariffs: Firm-level evidence from Southeast Asia11An earlier version of the paper was presented at CUE2023," Applied Energy, Elsevier, vol. 374(C).

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    More about this item

    Keywords

    urbanization; health expenditure; health insurance; instrumental variable; ICT; VHLSS;
    All these keywords.

    JEL classification:

    • D10 - Microeconomics - - Household Behavior - - - General
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being
    • O10 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - General
    • O18 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Urban, Rural, Regional, and Transportation Analysis; Housing; Infrastructure

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