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Urban inequity in the performance of social health insurance system: evidence from Russian regions

Author

Listed:
  • Galina Besstremyannaya

    () (CEFIR)

Abstract

The paper assesses the impact of urbanization on the quality related outcomes of social health insurance systems in 85 Russian regions in 2000-2006. The results of parametric and kernel regressions reveal that controlling for regional income is a significant determinant of infant and under-five mortality. Arguably, the influence of urbanization on health outcomes is due to latent processes (e.g. the development of infrastructure). The methods of provider reimbursement are related to infant and under-five mortality, which offers suggestive evidence for selective contracting. Yet, insurer competition might increase urban inequity.

Suggested Citation

  • Galina Besstremyannaya, 2014. "Urban inequity in the performance of social health insurance system: evidence from Russian regions," Working Papers w0204, Center for Economic and Financial Research (CEFIR).
  • Handle: RePEc:cfr:cefirw:w0204
    as

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    File URL: http://www.cefir.ru/papers/WP204.pdf
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    References listed on IDEAS

    as
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    More about this item

    Keywords

    Social determinants of health; urbanization; social health insurance; infant mortality; provider payment; kernel regression; health care systems;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • C14 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Semiparametric and Nonparametric Methods: General
    • C26 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Instrumental Variables (IV) Estimation

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