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The Multiple Effects of Child Health Insurance in Vietnam

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  • Dang, Thang

Abstract

This paper estimates multiple effects of tremendous expansion in health insurance coverage for children on medical services utilizations for both children and parents by focusing on Free Care for Children Under Six, a child health insurance program that provides free access to health care practices for children under 6 in Vietnam. Using a regression discontinuity design, the paper finds that child health insurance has considerable positive effects on children’s health care uses whereas it reduces parental health care utilization for some outcomes. In particular, child health health insurance increases the probabilities of public inpatient visit and private outpatient visit by 22.3% and 33% respectively while it rises the frequencies of public inpatient visits and private outpatient visits by 0.32 times and 2.24 times respectively. In contrast, child health insurance reduces a mother’s probabilities of public inpatient visit and public outpatient visit by 32.6% and 27% respectively, number of public inpatient visits by 0.41 times. Also, paternal impacts of child health insurance consists of a 23.2% reduction in the probability of private outpatient visit and a 1.01 time decrease in the frequency of private outpatient visits. The paper significantly provides a more insightful understanding of various impacts of a health policy on health care utilization from developing countries.

Suggested Citation

  • Dang, Thang, 2017. "The Multiple Effects of Child Health Insurance in Vietnam," MPRA Paper 78614, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:78614
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    File URL: https://mpra.ub.uni-muenchen.de/78614/1/MPRA_paper_78614.pdf
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    References listed on IDEAS

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    4. David Zimmer, 2011. "The Effects of the State Children’s Health Insurance Program on Insurance Status and Health Care Utilization of Children," Journal of Family and Economic Issues, Springer, vol. 32(2), pages 373-383, June.
    5. Hoai, Nguyen Trong & Dang, Thang, 2016. "The Determinants of self-medication: evidence from urban Vietnam," MPRA Paper 75358, University Library of Munich, Germany.
    6. 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.
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    More about this item

    Keywords

    Child health insurance; health care utilization; regression discontinuity; Vietnam;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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