Europe and Central Asia's Great Post-communist Social Health Insurance Experiment : Aggregate Impacts on Health Sector Outcomes
The post-Communist transition to social health insurance in many of the Central and Eastern European and Central Asian countries provides a unique opportunity to try to answer some of the unresolved issues in the debate over the relative merits of social health insurance and tax-financed health systems. This paper employs regression-based generalizations of the difference-in-differences method on panel data from 28 countries for the period 1990-2004. We find that, controlling for any concurrent provider payment reforms, adoption of social health insurance increased national health spending and hospital activity rates, but did not lead to better health outcomes.
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| Main Authors: | , |
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| Format: | Journal Article biblioteca |
| Language: | EN |
| Published: |
2009
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| Subjects: | National Government Expenditures and Health H510, Analysis of Health Care Markets I110, Health: Government Policy, Regulation, Public Health I180, Economic Development: Human Resources, Human Development, Income Distribution, Migration O150, Socialist Institutions and Their Transitions: Consumer Economics, Health, Education and Training: Welfare, Income, Wealth, and Poverty P360, |
| Online Access: | http://hdl.handle.net/10986/5014 |
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