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Protection in good and bad times ? the Turkish green card health program

Author

Listed:
  • Aran, Meltem A.
  • Hentschel, Jesko S.

Abstract

This paper evaluates the equity and financial protection implications of the expansion of the Green Card (Yesil Kart) non-contributory health insurance program in Turkey during the growth years from 2003 to 2008. It also considers the program's protective impact during the economic crisis in 2009. The authors find that the rapid expansion of the program between 2003 and 2008 was highly progressive. It led to significant gains in coverage of the poor but offered limited financial protection as out-of-pocket expenditures even before the introduction of the program had been limited. Using a specialized welfare monitoring survey, fielded in 2009, the authors estimate the impact of the program on household level health care utilization during the first phase of the economic slowdown in Turkey. Using three different estimation techniques, they find that the Green Card program had a significantly positive impact on protecting health care utilization during the crisis.

Suggested Citation

  • Aran, Meltem A. & Hentschel, Jesko S., 2012. "Protection in good and bad times ? the Turkish green card health program," Policy Research Working Paper Series 6178, The World Bank.
  • Handle: RePEc:wbk:wbrwps:6178
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    References listed on IDEAS

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    1. Edwin Leuven & Barbara Sianesi, 2003. "PSMATCH2: Stata module to perform full Mahalanobis and propensity score matching, common support graphing, and covariate imbalance testing," Statistical Software Components S432001, Boston College Department of Economics, revised 01 Feb 2018.
    2. Mendola, Mariapia & Bredenkamp, Caryn & Gragnolati, Michele, 2007. "The impoverishing effect of adverse health events : evidence from the western Balkans," Policy Research Working Paper Series 4444, The World Bank.
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    Citations

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    Cited by:

    1. Jesse Bump & Susan Sparkes & Mehtap Tatar & Yusuf Celik & Meltem Aran & Claudia Rokx, 2014. "Turkey On The Way Of Universal Health Coverage Through The Health Transformation Program (2003-13)," Health, Nutrition and Population (HNP) Discussion Paper Series 93172, The World Bank.
    2. Eleftherios Giovanis & Oznur Ozdamar, 2016. "Who Pays More: Public, Private, Both or None? The Effects of Health Insurance Schemes and Health Reforms on Out-of-Pocket and Catastrophic Health Expenditures in Turkey," Working Papers 1058, Economic Research Forum, revised 10 2016.
    3. Erus, Burcay & Yakut-Cakar, Burcu & Cali, Sanda & Adaman, Fikret, 2015. "Health policy for the poor: An exploration on the take-up of means-tested health benefits in Turkey," Social Science & Medicine, Elsevier, vol. 130(C), pages 99-106.
    4. Adam Wagstaff & Daniel Cotlear & Patrick Hoang-Vu Eozenou & Leander R. Buisman, 2016. "Measuring progress towards universal health coverage: with an application to 24 developing countries," Oxford Review of Economic Policy, Oxford University Press, vol. 32(1), pages 147-189.
    5. repec:eee:hepoli:v:121:y:2017:i:5:p:553-557 is not listed on IDEAS
    6. Meltem Aran & Claudia Rokx, 2014. "Turkey on the Way of Universal Health Coverage Through the Health Transformation Program (2003-2013)," Health, Nutrition and Population (HNP) Discussion Paper Series 91326, The World Bank.
    7. Hacer Özgen Narcı & İsmet Şahin & Hasan Yıldırım, 2015. "Financial catastrophe and poverty impacts of out-of-pocket health payments in Turkey," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(3), pages 255-270, April.

    More about this item

    Keywords

    Health Monitoring&Evaluation; Health Systems Development&Reform; Health Economics&Finance; Health Law; Housing&Human Habitats;

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