The Abolition Of User Fees And The Demand For Health Care: Re-Evaluating The Impact
The abolition of user fees in South Africa, a policy implemented in 1994 for children under the age of six and the elderly, as well as pregnant and nursing mothers, is examined via regression discontinuity. The analysis focuses on provider choice decisions for curative care treatment, but also examines potential externalities that could arise from the policy. As a result of the policy, curative care demand in the public sector is found to increase by approximately 7%; however, the demand for curative care in the private sector is found to decrease by nearly the same amount, suggesting that the policy led to provider choice substitution. The analysis further supports the hypothesis that the health of young children improved marginally.
|Date of creation:||May 2012|
|Date of revision:|
|Contact details of provider:|| Postal: PRETORIA, 0002|
Phone: (+2712) 420 2413
Fax: (+2712) 362-5207
Web page: http://www.up.ac.za/economics
More information through EDIRC
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Klaus Deininger & Paul Mpuga, 2005. "Economic and Welfare Impact of the Abolition of Health User Fees: Evidence from Uganda," Journal of African Economies, Centre for the Study of African Economies (CSAE), vol. 14(1), pages 55-91, March.
- Lee, David S., 2008. "Randomized experiments from non-random selection in U.S. House elections," Journal of Econometrics, Elsevier, vol. 142(2), pages 675-697, February.
- Roy Havemann & Servaas van der Berg, 2002. "The demand for health care in South Africa," Working Papers 06/2002, Stellenbosch University, Department of Economics.
- Heller, Peter S., 1982. "A model of the demand for medical and health services in Peninsular Malaysia," Social Science & Medicine, Elsevier, vol. 16(3), pages 267-284, January.
- Marianne Bertrand & Douglas Miller & Sendhil Mullainathan, 2000.
"Public Policy and Extended Families: Evidence from South Africa,"
NBER Working Papers
7594, National Bureau of Economic Research, Inc.
- Marianne Bertrand & Sendhil Mullainathan & Douglas Miller, 2003. "Public Policy and Extended Families: Evidence from Pensions in South Africa," World Bank Economic Review, World Bank Group, vol. 17(1), pages 27-50, June.
- 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 2242-58, December.
- Christelle Swanepoel & Ian Stuart, 2006.
"Health Care Provider Choice,"
11/2006, Stellenbosch University, Department of Economics.
- Gertler, Paul & Locay, Luis & Sanderson, Warren, 1987.
"Are user fees regressive? : The welfare implications of health care financing proposals in Peru,"
Journal of Econometrics,
Elsevier, vol. 36(1-2), pages 67-88.
- Paul J. Gertler & Luis Locay & Warren C. Sanderson, 1987. "Are User Fees Regressive? The Welfare Implications of Health Care Financing Proposals in Peru," NBER Working Papers 2299, National Bureau of Economic Research, Inc.
- Xu, Ke & Evans, David B. & Kadama, Patrick & Nabyonga, Juliet & Ogwal, Peter Ogwang & Nabukhonzo, Pamela & Aguilar, Ana Mylena, 2006. "Understanding the impact of eliminating user fees: Utilization and catastrophic health expenditures in Uganda," Social Science & Medicine, Elsevier, vol. 62(4), pages 866-876, February.
- Ronelle Burger & Christelle Grobler, 2007.
"Have Pro-Poor Health Policies Improved the Targeting of Spending and the Effective Delivery of Health Care in South Africa?,"
07122, University of Cape Town, Development Policy Research Unit.
- Ronelle Burger & Christelle Swanepoel, 2006. "Have pro-poor health policies improved the targeting of spending and the effective delivery of health care in South Africa?," Working Papers 12/2006, Stellenbosch University, Department of Economics.
- Victor R. Fuchs, 1972.
"The Growing Demand for Medical Care,"
in: Essays in the Economics of Health and Medical Care, pages 61-68
National Bureau of Economic Research, Inc.
- Victor R. Fuchs, 1968. "Supplement to NBER Report Three," NBER Books, National Bureau of Economic Research, Inc, number fuch68-2, September.
- David S. Lee & Thomas Lemieux, 2009.
"Regression Discontinuity Designs in Economics,"
NBER Working Papers
14723, National Bureau of Economic Research, Inc.
When requesting a correction, please mention this item's handle: RePEc:pre:wpaper:201219. 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: (Rangan Gupta)
If references are entirely missing, you can add them using this form.