The effects of access to health insurance: Evidence from a regression discontinuity design in Peru

• 成果类型: Article
• 署名作者: Bernal, Noelia; Carpio, Miguel A.; Klein, Tobias J.
• 署名单位: Universidad del Pacifico Peru; Universidad de Piura; Tilburg University
• 刊物名称: JOURNAL OF PUBLIC ECONOMICS
• ISSN/ISSBN: 0047-2727
• DOI: 10.1016/j.jpubeco.2017.08.008
• 发表日期: 2017
• 页码: 122-136
• 关键词: Public health insurance; Informal sector; Health care utilization; regression discontinuity design; Supplier-induced demand

摘要

In many countries large parts of the population do not have access to health insurance. Peru has made an effort to change this in the early 2000s. The institutional setup gives rise to the rare opportunity to study the effects of health insurance coverage exploiting a sharp regression discontinuity design. We find large effects on utilization that are most pronounced for the provision of curative care. Individuals seeing a doctor leads to increased awareness abbut health problems and generates a potentially desirable form of supplier-induced demand: they decide to pay themselves for services that are in short supply. (C) 2017 Elsevier B.V. All rights reserved.