IDEAS home Printed from https://ideas.repec.org/p/pra/mprapa/77641.html
   My bibliography  Save this paper

Does the More Educated Utilize More Health Care Services? Evidence from Vietnam Using a Regression Discontinuity Design

Author

Listed:
  • Dang, Thang

Abstract

In 1991 Vietnam implemented a compulsory schooling reform that provides this paper a natural experiment to estimate the causal effect of education on health care utilization measured by the probability of doctor visit, the frequency of doctor visit and per visit out-of-pocket expenditure with a regression discontinuity design. The paper finds that schooling induces considerable impacts on health care utilization although the signs of the impacts changes with specific types of health care service examined. In particular, increased education aggrandizes inpatient utilization whereas it reduces outpatient health care utilization for both public and private health sectors. The estimates are strongly robust to various windows of the sample choice. The paper also discovers that the links between education and health insurance or income play very essential roles as potential mechanisms to explain the causal impacts of education on health care utilization in Vietnam.

Suggested Citation

  • Dang, Thang, 2017. "Does the More Educated Utilize More Health Care Services? Evidence from Vietnam Using a Regression Discontinuity Design," MPRA Paper 77641, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:77641
    as

    Download full text from publisher

    File URL: https://mpra.ub.uni-muenchen.de/77641/1/MPRA_paper_77641.pdf
    File Function: original version
    Download Restriction: no

    References listed on IDEAS

    as
    1. David S. Lee & Thomas Lemieux, 2010. "Regression Discontinuity Designs in Economics," Journal of Economic Literature, American Economic Association, vol. 48(2), pages 281-355, June.
    2. Hoai, Nguyen Trong & Dang, Thang, 2016. "The Determinants of self-medication: evidence from urban Vietnam," MPRA Paper 75358, University Library of Munich, Germany.
    3. Wolffers, Ivan, 1995. "The role of pharmaceuticals in the privatization process in Vietnam's health-care system," Social Science & Medicine, Elsevier, vol. 41(9), pages 1325-1332, November.
    4. Lonnroth, Knut & Thuong, Le Minh & Linh, Pham Duy & Diwan, Vinod, 1998. "Risks and benefits of private health care: exploring physicians' views on private health care in Ho Chi Minh City, Vietnam," Health Policy, Elsevier, vol. 45(2), pages 81-97, August.
    5. Thang Dang, 2019. "Quasi-experimental evidence on the political impacts of education in Vietnam," Education Economics, Taylor & Francis Journals, vol. 27(2), pages 207-221, March.
    6. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    7. David Card & Carlos Dobkin & Nicole Maestas, 2008. "The Impact of Nearly Universal Insurance Coverage on Health Care Utilization: Evidence from Medicare," American Economic Review, American Economic Association, vol. 98(5), pages 2242-2258, December.
    8. Kruk, Margaret Elizabeth & Freedman, Lynn P., 2008. "Assessing health system performance in developing countries: A review of the literature," Health Policy, Elsevier, vol. 85(3), pages 263-276, March.
    9. Sepehri, Ardeshir & Simpson, Wayne & Sarma, Sisira, 2006. "The influence of health insurance on hospital admission and length of stay--The case of Vietnam," Social Science & Medicine, Elsevier, vol. 63(7), pages 1757-1770, October.
    10. Uplekar, Mukund W., 2000. "Private health care," Social Science & Medicine, Elsevier, vol. 51(6), pages 897-904, September.
    11. Palmer, Michael & Mitra, Sophie & Mont, Daniel & Groce, Nora, 2015. "The impact of health insurance for children under age 6 in Vietnam: A regression discontinuity approach," Social Science & Medicine, Elsevier, vol. 145(C), pages 217-226.
    12. Imbens, Guido W. & Lemieux, Thomas, 2008. "Regression discontinuity designs: A guide to practice," Journal of Econometrics, Elsevier, vol. 142(2), pages 615-635, February.
    13. Leuven, Edwin & Plug, Erik & Rønning, Marte, 2016. "Education and cancer risk," Labour Economics, Elsevier, vol. 43(C), pages 106-121.
    14. Dang, Thang, 2017. "Quasi-Experimental Evidence on the Political Impacts of Education in Vietnam," MPRA Paper 75678, University Library of Munich, Germany.
    15. Tat, Sonny & Barr, Donald, 2006. "Healthcare in the New Vietnam: Comparing patients' satisfaction with outpatient care in a traditional neighborhood clinic and a new, western-style clinic in Ho Chi Minh City," Social Science & Medicine, Elsevier, vol. 62(5), pages 1229-1236, March.
    16. Cuong Viet Nguyen, 2012. "The Impact Of Voluntary Health Insurance On Health Care Utilization And Out‐Of‐Pocket Payments: New Evidence For Vietnam," Health Economics, John Wiley & Sons, Ltd., vol. 21(8), pages 946-966, August.
    17. Grépin, Karen A. & Bharadwaj, Prashant, 2015. "Maternal education and child mortality in Zimbabwe," Journal of Health Economics, Elsevier, vol. 44(C), pages 97-117.
    18. Kondo, Ayako & Shigeoka, Hitoshi, 2013. "Effects of universal health insurance on health care utilization, and supply-side responses: Evidence from Japan," Journal of Public Economics, Elsevier, vol. 99(C), pages 1-23.
    19. Li, Jinhu & Powdthavee, Nattavudh, 2015. "Does more education lead to better health habits? Evidence from the school reforms in Australia," Social Science & Medicine, Elsevier, vol. 127(C), pages 83-91.
    20. Frijters, Paul & Haisken-DeNew, John P. & Shields, Michael A., 2005. "The causal effect of income on health: Evidence from German reunification," Journal of Health Economics, Elsevier, vol. 24(5), pages 997-1017, September.
    21. Michael Grossman, 2008. "The Relationship Between Health and Schooling," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 34(3), pages 281-292.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Dang, Thang, 2017. "The Multiple Effects of Child Health Insurance in Vietnam," MPRA Paper 78614, University Library of Munich, Germany.
    2. Dang, Thang, 2017. "Education as Protection? The Effect of Schooling on Non-Wage Compensation in a Developing Country," MPRA Paper 79223, University Library of Munich, Germany.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. 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.
    2. Dang, Thang, 2017. "The Multiple Effects of Child Health Insurance in Vietnam," MPRA Paper 78614, University Library of Munich, Germany.
    3. Hullegie, P.G.J., 2012. "Essays on health and labor economics," Other publications TiSEM dcc68fc9-7af1-4ba9-8f90-6, Tilburg University, School of Economics and Management.
    4. Bahadir Dursun & Resul Cesur & Inas Rashad Kelly, 2017. "The Value of Mandating Maternal Education in a Developing Country," NBER Working Papers 23492, National Bureau of Economic Research, Inc.
    5. Dong, Yingying, 2010. "Jumpy or Kinky? Regression Discontinuity without the Discontinuity," MPRA Paper 25461, University Library of Munich, Germany.
    6. Ivan A Canay & Vishal Kamat, 2018. "Approximate Permutation Tests and Induced Order Statistics in the Regression Discontinuity Design," Review of Economic Studies, Oxford University Press, vol. 85(3), pages 1577-1608.
    7. Christelis, Dimitris & Georgarakos, Dimitris & Sanz-de-Galdeano, Anna, 2020. "The impact of health insurance on stockholding: A regression discontinuity approach," Journal of Health Economics, Elsevier, vol. 69(C).
    8. Gathmann, Christina & Jürges, Hendrik & Reinhold, Steffen, 2015. "Compulsory schooling reforms, education and mortality in twentieth century Europe," Social Science & Medicine, Elsevier, vol. 127(C), pages 74-82.
    9. Zhao, Meng & Konishi, Yoshifumi & Glewwe, Paul, 2013. "Does information on health status lead to a healthier lifestyle? Evidence from China on the effect of hypertension diagnosis on food consumption," Journal of Health Economics, Elsevier, vol. 32(2), pages 367-385.
    10. Ponzo, Michela & Scoppa, Vincenzo, 2016. "Cost-Sharing and Use of Health Services in Italy: Evidence from a Fuzzy Regression Discontinuity Design," IZA Discussion Papers 9772, Institute of Labor Economics (IZA).
    11. Cazor Katz, Andre & Acuña, Hector & Carrasco, Diego & Carrasco, Martín, 2017. "Transferencias como Canal de Ventaja Electoral: El Caso de Chile [Discretionary Government Transfers to Catch Votes: The Case of Chile]," MPRA Paper 83668, University Library of Munich, Germany.
    12. Zhong, Hai, 2016. "Effects of quantity of education on health: A regression discontinuity design approach based on the Chinese Cultural Revolution," China Economic Review, Elsevier, vol. 41(C), pages 62-74.
    13. Dursun, Bahadır & Cesur, Resul & Mocan, Naci, 2018. "The Impact of Education on Health Outcomes and Behaviors in a Middle-Income, Low-Education Country," Economics & Human Biology, Elsevier, vol. 31(C), pages 94-114.
    14. Barbaresco, Silvia & Courtemanche, Charles J. & Qi, Yanling, 2015. "Impacts of the Affordable Care Act dependent coverage provision on health-related outcomes of young adults," Journal of Health Economics, Elsevier, vol. 40(C), pages 54-68.
    15. Zhao, Weimin, 2019. "Does health insurance promote people's consumption? New evidence from China," China Economic Review, Elsevier, vol. 53(C), pages 65-86.
    16. Nielsen, Nick Fabrin, 2019. "Sick of retirement?," Journal of Health Economics, Elsevier, vol. 65(C), pages 133-152.
    17. Robert W. Fairlie & Kanika Kapur & Susan Gates, 2016. "Job Lock: Evidence from a Regression Discontinuity Design," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 55(1), pages 92-121, January.
    18. Gathmann, Christina & Jürges, Hendrik & Reinhold, Steffen, 2015. "Compulsory schooling reforms, education and mortality in twentieth century Europe," Social Science & Medicine, Elsevier, vol. 127(C), pages 74-82.
    19. Maja Weemes Grøtting & Otto Sevaldson Lillebø, 2020. "Health effects of retirement: evidence from survey and register data," Journal of Population Economics, Springer;European Society for Population Economics, vol. 33(2), pages 671-704, April.
    20. Takahide Yanagi, 2014. "The Effect of Measurement Error in the Sharp Regression Discontinuity Design," KIER Working Papers 910, Kyoto University, Institute of Economic Research.

    More about this item

    Keywords

    Education; health care utilization; regression discontinuity design; Vietnam;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I21 - Health, Education, and Welfare - - Education - - - Analysis of Education
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:pra:mprapa:77641. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Joachim Winter). General contact details of provider: http://edirc.repec.org/data/vfmunde.html .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.