Do Subsidized Health Programs in Armenia Increase Utilization among the Poor?
This article analyzes the extent to which the Basic Benefit Package (BBP), a subsidized health program in Armenia, increases utilization and affordability of outpatient health care among the poor. The authors find that beneficiaries of the BBP pay approximately 45 percent less in fees for doctor visits (and display 36 percent higher outpatient utilization rates) than eligible users not receiving the BBP. However, even among BBP beneficiaries the level of outpatient health care utilization remains low. This occurs because the program mainly provides discounted fees for doctor visits, but fees do not constitute the main financial constraint for users. The authors estimate suggest that other non-fee expenditures, such as prescription medicines, constitute a more significant financial constraint and are not subsidized by the BBP. As a result, outpatient health care remains expensive even for BBP beneficiaries.
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dig-okr-109869277 |
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dig-okr-1098692772024-08-08T17:06:04Z Do Subsidized Health Programs in Armenia Increase Utilization among the Poor? Jain, Shweta Angel-Urdinola, Diego F. ARTICLE BENEFICIARIES CAPACITY CONSTRAINTS COST OF TREATMENT COSTS OF TREATMENT DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DENTAL SERVICES DEVELOPING COUNTRIES DISABILITY DISEASES DOCTORS EARTHQUAKE ECONOMIC CONDITIONS ECONOMIC REVIEW ECONOMIC STATUS EDUCATION EMERGENCY TREATMENT EQUITY IN ACCESS ETHICAL CONSIDERATIONS EXPENDITURE OUTCOMES EXPENDITURES EXPENDITURES ON HEALTH FAMILIES FAMILY INCOME FAMILY MEMBERS FINANCIAL BURDEN FINANCIAL CONSTRAINT HEALTH HEALTH CARE HEALTH CARE SERVICES HEALTH CARE UTILIZATION HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FINANCING HEALTH OUTCOMES HEALTH PROGRAM HEALTH PROGRAMS HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTH SYSTEMS HOME VISITS HOSPITAL HOSPITAL SERVICES HOSPITALS HOUSEHOLD ASSETS HOUSEHOLD INCOME HOUSEHOLD LEVEL HUMAN DEVELOPMENT INCOME COEFFICIENT INFORMAL CARE INFORMAL PAYMENTS INPATIENT CARE INTERNATIONAL POLICY LABOR FORCE LIMITED RESOURCES MALARIA MARKET PRICES MEDICAL CARE MEDICAL TREATMENT MEDICINES MIGRATION MORBIDITY MORTALITY NURSES OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENTS PENSIONS PHYSICIANS PLACE OF RESIDENCE POLICY RESEARCH POLICY RESEARCH WORKING PAPER POOR HEALTH POOR HOUSEHOLDS POPULATION CENSUS POPULATION STRUCTURE POSTNATAL CARE PRACTITIONERS PREGNANT WOMEN PRESCRIPTION DRUGS PRESCRIPTION MEDICINES PRICE ELASTICITY PROBABILITY PROGRESS PROVISION OF SERVICES PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC SERVICES QUALITY OF HEALTH CARE RURAL AREAS SCHOOL FEES SECTOR PROGRAMS SEX SHARE OF HEALTH EXPENDITURE SINGLE MOTHER SOCIAL ASSISTANCE SOCIAL POLICIES SOCIAL POLICY SOCIAL SECTOR SOCIAL SECTORS SOCIAL SERVICES STATE TREASURY STDS SURGERY TRANSPORTATION TUBERCULOSIS UNEMPLOYMENT UNIFORMS USER FEES VULNERABLE GROUPS WAR This article analyzes the extent to which the Basic Benefit Package (BBP), a subsidized health program in Armenia, increases utilization and affordability of outpatient health care among the poor. The authors find that beneficiaries of the BBP pay approximately 45 percent less in fees for doctor visits (and display 36 percent higher outpatient utilization rates) than eligible users not receiving the BBP. However, even among BBP beneficiaries the level of outpatient health care utilization remains low. This occurs because the program mainly provides discounted fees for doctor visits, but fees do not constitute the main financial constraint for users. The authors estimate suggest that other non-fee expenditures, such as prescription medicines, constitute a more significant financial constraint and are not subsidized by the BBP. As a result, outpatient health care remains expensive even for BBP beneficiaries. 2012-06-26T18:36:33Z 2012-06-26T18:36:33Z 2006-09 http://documents.worldbank.org/curated/en/2006/09/7081677/subsidized-health-programs-armenia-increase-utilization-among-poor https://hdl.handle.net/10986/9277 English en_US Policy Research Working Paper; No. 4017 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank application/pdf text/plain World Bank, Washington, DC |
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Banco Mundial |
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Estados Unidos |
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US |
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Bibliográfico |
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biblioteca |
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America del Norte |
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Biblioteca del Banco Mundial |
| language |
English en_US |
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ARTICLE BENEFICIARIES CAPACITY CONSTRAINTS COST OF TREATMENT COSTS OF TREATMENT DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DENTAL SERVICES DEVELOPING COUNTRIES DISABILITY DISEASES DOCTORS EARTHQUAKE ECONOMIC CONDITIONS ECONOMIC REVIEW ECONOMIC STATUS EDUCATION EMERGENCY TREATMENT EQUITY IN ACCESS ETHICAL CONSIDERATIONS EXPENDITURE OUTCOMES EXPENDITURES EXPENDITURES ON HEALTH FAMILIES FAMILY INCOME FAMILY MEMBERS FINANCIAL BURDEN FINANCIAL CONSTRAINT HEALTH HEALTH CARE HEALTH CARE SERVICES HEALTH CARE UTILIZATION HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FINANCING HEALTH OUTCOMES HEALTH PROGRAM HEALTH PROGRAMS HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTH SYSTEMS HOME VISITS HOSPITAL HOSPITAL SERVICES HOSPITALS HOUSEHOLD ASSETS HOUSEHOLD INCOME HOUSEHOLD LEVEL HUMAN DEVELOPMENT INCOME COEFFICIENT INFORMAL CARE INFORMAL PAYMENTS INPATIENT CARE INTERNATIONAL POLICY LABOR FORCE LIMITED RESOURCES MALARIA MARKET PRICES MEDICAL CARE MEDICAL TREATMENT MEDICINES MIGRATION MORBIDITY MORTALITY NURSES OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENTS PENSIONS PHYSICIANS PLACE OF RESIDENCE POLICY RESEARCH POLICY RESEARCH WORKING PAPER POOR HEALTH POOR HOUSEHOLDS POPULATION CENSUS POPULATION STRUCTURE POSTNATAL CARE PRACTITIONERS PREGNANT WOMEN PRESCRIPTION DRUGS PRESCRIPTION MEDICINES PRICE ELASTICITY PROBABILITY PROGRESS PROVISION OF SERVICES PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC SERVICES QUALITY OF HEALTH CARE RURAL AREAS SCHOOL FEES SECTOR PROGRAMS SEX SHARE OF HEALTH EXPENDITURE SINGLE MOTHER SOCIAL ASSISTANCE SOCIAL POLICIES SOCIAL POLICY SOCIAL SECTOR SOCIAL SECTORS SOCIAL SERVICES STATE TREASURY STDS SURGERY TRANSPORTATION TUBERCULOSIS UNEMPLOYMENT UNIFORMS USER FEES VULNERABLE GROUPS WAR ARTICLE BENEFICIARIES CAPACITY CONSTRAINTS COST OF TREATMENT COSTS OF TREATMENT DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DENTAL SERVICES DEVELOPING COUNTRIES DISABILITY DISEASES DOCTORS EARTHQUAKE ECONOMIC CONDITIONS ECONOMIC REVIEW ECONOMIC STATUS EDUCATION EMERGENCY TREATMENT EQUITY IN ACCESS ETHICAL CONSIDERATIONS EXPENDITURE OUTCOMES EXPENDITURES EXPENDITURES ON HEALTH FAMILIES FAMILY INCOME FAMILY MEMBERS FINANCIAL BURDEN FINANCIAL CONSTRAINT HEALTH HEALTH CARE HEALTH CARE SERVICES HEALTH CARE UTILIZATION HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FINANCING HEALTH OUTCOMES HEALTH PROGRAM HEALTH PROGRAMS HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTH SYSTEMS HOME VISITS HOSPITAL HOSPITAL SERVICES HOSPITALS HOUSEHOLD ASSETS HOUSEHOLD INCOME HOUSEHOLD LEVEL HUMAN DEVELOPMENT INCOME COEFFICIENT INFORMAL CARE INFORMAL PAYMENTS INPATIENT CARE INTERNATIONAL POLICY LABOR FORCE LIMITED RESOURCES MALARIA MARKET PRICES MEDICAL CARE MEDICAL TREATMENT MEDICINES MIGRATION MORBIDITY MORTALITY NURSES OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENTS PENSIONS PHYSICIANS PLACE OF RESIDENCE POLICY RESEARCH POLICY RESEARCH WORKING PAPER POOR HEALTH POOR HOUSEHOLDS POPULATION CENSUS POPULATION STRUCTURE POSTNATAL CARE PRACTITIONERS PREGNANT WOMEN PRESCRIPTION DRUGS PRESCRIPTION MEDICINES PRICE ELASTICITY PROBABILITY PROGRESS PROVISION OF SERVICES PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC SERVICES QUALITY OF HEALTH CARE RURAL AREAS SCHOOL FEES SECTOR PROGRAMS SEX SHARE OF HEALTH EXPENDITURE SINGLE MOTHER SOCIAL ASSISTANCE SOCIAL POLICIES SOCIAL POLICY SOCIAL SECTOR SOCIAL SECTORS SOCIAL SERVICES STATE TREASURY STDS SURGERY TRANSPORTATION TUBERCULOSIS UNEMPLOYMENT UNIFORMS USER FEES VULNERABLE GROUPS WAR |
| spellingShingle |
ARTICLE BENEFICIARIES CAPACITY CONSTRAINTS COST OF TREATMENT COSTS OF TREATMENT DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DENTAL SERVICES DEVELOPING COUNTRIES DISABILITY DISEASES DOCTORS EARTHQUAKE ECONOMIC CONDITIONS ECONOMIC REVIEW ECONOMIC STATUS EDUCATION EMERGENCY TREATMENT EQUITY IN ACCESS ETHICAL CONSIDERATIONS EXPENDITURE OUTCOMES EXPENDITURES EXPENDITURES ON HEALTH FAMILIES FAMILY INCOME FAMILY MEMBERS FINANCIAL BURDEN FINANCIAL CONSTRAINT HEALTH HEALTH CARE HEALTH CARE SERVICES HEALTH CARE UTILIZATION HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FINANCING HEALTH OUTCOMES HEALTH PROGRAM HEALTH PROGRAMS HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTH SYSTEMS HOME VISITS HOSPITAL HOSPITAL SERVICES HOSPITALS HOUSEHOLD ASSETS HOUSEHOLD INCOME HOUSEHOLD LEVEL HUMAN DEVELOPMENT INCOME COEFFICIENT INFORMAL CARE INFORMAL PAYMENTS INPATIENT CARE INTERNATIONAL POLICY LABOR FORCE LIMITED RESOURCES MALARIA MARKET PRICES MEDICAL CARE MEDICAL TREATMENT MEDICINES MIGRATION MORBIDITY MORTALITY NURSES OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENTS PENSIONS PHYSICIANS PLACE OF RESIDENCE POLICY RESEARCH POLICY RESEARCH WORKING PAPER POOR HEALTH POOR HOUSEHOLDS POPULATION CENSUS POPULATION STRUCTURE POSTNATAL CARE PRACTITIONERS PREGNANT WOMEN PRESCRIPTION DRUGS PRESCRIPTION MEDICINES PRICE ELASTICITY PROBABILITY PROGRESS PROVISION OF SERVICES PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC SERVICES QUALITY OF HEALTH CARE RURAL AREAS SCHOOL FEES SECTOR PROGRAMS SEX SHARE OF HEALTH EXPENDITURE SINGLE MOTHER SOCIAL ASSISTANCE SOCIAL POLICIES SOCIAL POLICY SOCIAL SECTOR SOCIAL SECTORS SOCIAL SERVICES STATE TREASURY STDS SURGERY TRANSPORTATION TUBERCULOSIS UNEMPLOYMENT UNIFORMS USER FEES VULNERABLE GROUPS WAR ARTICLE BENEFICIARIES CAPACITY CONSTRAINTS COST OF TREATMENT COSTS OF TREATMENT DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DENTAL SERVICES DEVELOPING COUNTRIES DISABILITY DISEASES DOCTORS EARTHQUAKE ECONOMIC CONDITIONS ECONOMIC REVIEW ECONOMIC STATUS EDUCATION EMERGENCY TREATMENT EQUITY IN ACCESS ETHICAL CONSIDERATIONS EXPENDITURE OUTCOMES EXPENDITURES EXPENDITURES ON HEALTH FAMILIES FAMILY INCOME FAMILY MEMBERS FINANCIAL BURDEN FINANCIAL CONSTRAINT HEALTH HEALTH CARE HEALTH CARE SERVICES HEALTH CARE UTILIZATION HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FINANCING HEALTH OUTCOMES HEALTH PROGRAM HEALTH PROGRAMS HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTH SYSTEMS HOME VISITS HOSPITAL HOSPITAL SERVICES HOSPITALS HOUSEHOLD ASSETS HOUSEHOLD INCOME HOUSEHOLD LEVEL HUMAN DEVELOPMENT INCOME COEFFICIENT INFORMAL CARE INFORMAL PAYMENTS INPATIENT CARE INTERNATIONAL POLICY LABOR FORCE LIMITED RESOURCES MALARIA MARKET PRICES MEDICAL CARE MEDICAL TREATMENT MEDICINES MIGRATION MORBIDITY MORTALITY NURSES OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENTS PENSIONS PHYSICIANS PLACE OF RESIDENCE POLICY RESEARCH POLICY RESEARCH WORKING PAPER POOR HEALTH POOR HOUSEHOLDS POPULATION CENSUS POPULATION STRUCTURE POSTNATAL CARE PRACTITIONERS PREGNANT WOMEN PRESCRIPTION DRUGS PRESCRIPTION MEDICINES PRICE ELASTICITY PROBABILITY PROGRESS PROVISION OF SERVICES PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC SERVICES QUALITY OF HEALTH CARE RURAL AREAS SCHOOL FEES SECTOR PROGRAMS SEX SHARE OF HEALTH EXPENDITURE SINGLE MOTHER SOCIAL ASSISTANCE SOCIAL POLICIES SOCIAL POLICY SOCIAL SECTOR SOCIAL SECTORS SOCIAL SERVICES STATE TREASURY STDS SURGERY TRANSPORTATION TUBERCULOSIS UNEMPLOYMENT UNIFORMS USER FEES VULNERABLE GROUPS WAR Jain, Shweta Angel-Urdinola, Diego F. Do Subsidized Health Programs in Armenia Increase Utilization among the Poor? |
| description |
This article analyzes the extent to which the Basic Benefit Package (BBP), a subsidized health program in Armenia, increases utilization and affordability of outpatient health care among the poor. The authors find that beneficiaries of the BBP pay approximately 45 percent less in fees for doctor visits (and display 36 percent higher outpatient utilization rates) than eligible users not receiving the BBP. However, even among BBP beneficiaries the level of outpatient health care utilization remains low. This occurs because the program mainly provides discounted fees for doctor visits, but fees do not constitute the main financial constraint for users. The authors estimate suggest that other non-fee expenditures, such as prescription medicines, constitute a more significant financial constraint and are not subsidized by the BBP. As a result, outpatient health care remains expensive even for BBP beneficiaries. |
| topic_facet |
ARTICLE BENEFICIARIES CAPACITY CONSTRAINTS COST OF TREATMENT COSTS OF TREATMENT DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DENTAL SERVICES DEVELOPING COUNTRIES DISABILITY DISEASES DOCTORS EARTHQUAKE ECONOMIC CONDITIONS ECONOMIC REVIEW ECONOMIC STATUS EDUCATION EMERGENCY TREATMENT EQUITY IN ACCESS ETHICAL CONSIDERATIONS EXPENDITURE OUTCOMES EXPENDITURES EXPENDITURES ON HEALTH FAMILIES FAMILY INCOME FAMILY MEMBERS FINANCIAL BURDEN FINANCIAL CONSTRAINT HEALTH HEALTH CARE HEALTH CARE SERVICES HEALTH CARE UTILIZATION HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FINANCING HEALTH OUTCOMES HEALTH PROGRAM HEALTH PROGRAMS HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTH SYSTEMS HOME VISITS HOSPITAL HOSPITAL SERVICES HOSPITALS HOUSEHOLD ASSETS HOUSEHOLD INCOME HOUSEHOLD LEVEL HUMAN DEVELOPMENT INCOME COEFFICIENT INFORMAL CARE INFORMAL PAYMENTS INPATIENT CARE INTERNATIONAL POLICY LABOR FORCE LIMITED RESOURCES MALARIA MARKET PRICES MEDICAL CARE MEDICAL TREATMENT MEDICINES MIGRATION MORBIDITY MORTALITY NURSES OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENTS PENSIONS PHYSICIANS PLACE OF RESIDENCE POLICY RESEARCH POLICY RESEARCH WORKING PAPER POOR HEALTH POOR HOUSEHOLDS POPULATION CENSUS POPULATION STRUCTURE POSTNATAL CARE PRACTITIONERS PREGNANT WOMEN PRESCRIPTION DRUGS PRESCRIPTION MEDICINES PRICE ELASTICITY PROBABILITY PROGRESS PROVISION OF SERVICES PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC SERVICES QUALITY OF HEALTH CARE RURAL AREAS SCHOOL FEES SECTOR PROGRAMS SEX SHARE OF HEALTH EXPENDITURE SINGLE MOTHER SOCIAL ASSISTANCE SOCIAL POLICIES SOCIAL POLICY SOCIAL SECTOR SOCIAL SECTORS SOCIAL SERVICES STATE TREASURY STDS SURGERY TRANSPORTATION TUBERCULOSIS UNEMPLOYMENT UNIFORMS USER FEES VULNERABLE GROUPS WAR |
| author |
Jain, Shweta Angel-Urdinola, Diego F. |
| author_facet |
Jain, Shweta Angel-Urdinola, Diego F. |
| author_sort |
Jain, Shweta |
| title |
Do Subsidized Health Programs in Armenia Increase Utilization among the Poor? |
| title_short |
Do Subsidized Health Programs in Armenia Increase Utilization among the Poor? |
| title_full |
Do Subsidized Health Programs in Armenia Increase Utilization among the Poor? |
| title_fullStr |
Do Subsidized Health Programs in Armenia Increase Utilization among the Poor? |
| title_full_unstemmed |
Do Subsidized Health Programs in Armenia Increase Utilization among the Poor? |
| title_sort |
do subsidized health programs in armenia increase utilization among the poor? |
| publisher |
World Bank, Washington, DC |
| publishDate |
2006-09 |
| url |
http://documents.worldbank.org/curated/en/2006/09/7081677/subsidized-health-programs-armenia-increase-utilization-among-poor https://hdl.handle.net/10986/9277 |
| work_keys_str_mv |
AT jainshweta dosubsidizedhealthprogramsinarmeniaincreaseutilizationamongthepoor AT angelurdinoladiegof dosubsidizedhealthprogramsinarmeniaincreaseutilizationamongthepoor |
| _version_ |
1807155854287306752 |