Does the More Educated Utilize More Health Care Services? Evidence from Vietnam Using a Regression Discontinuity Design

Dang, Thang

doi:10.2139/ssrn.2937135

Cited by 3 publications

(5 citation statements)

References 28 publications

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“…Equally importantly, the F-statistics of the excluded instrument in the first-stage is approximately 76.06, suggesting that the reform is satisfactorily associated with schooling years the endogenous variable in this study (Staiger and Stock 1997). The significant positive link between the reform and educational outcome in this study is completely consistent with the findings from previous studies for Vietnam implemented by Dang (2017aDang ( , 2017b) that also use the same reform as an instrument for exogenous variations on years of schooling.…”

Section: Baseline Resultssupporting

confidence: 87%

“…Furthermore, reduced-form estimates illustrate that workers exposed to the reform are more likely to achieve non-wage benefits than those who were out of the reform, in particular for monetary payments for public holidays by 11.4 percentage points, monetary employee benefits by 8.8 percentage points, annual paid leave by 13.8 percentage points and firm-provided social insurance by 13 percentage points. Interestingly, it is obvious that the impact of schooling is larger for fringe 2 The 1991 compulsory schooling reform in Vietnam was used as an instrument for exogeneous changes in schooling from some recent studies related to the causal effects of schooling in health care utilization or political outcomes for examples Dang (2017aDang ( , 2017b.…”

Section: Introductionmentioning

confidence: 99%

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Education As Protection? The Effect of Schooling on Non-Wage Compensation in a Developing Country

Dang

2017

SSRN Journal

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This is the first paper identifying the causal effect of schooling on non-wage compensation using data from Vietnam. The paper takes an advantage of the establishment of the compulsory primary schooling reform that was introduced in Vietnam in 1991 to instrument for exogenous variations in years of schooling to surmount the endogeneity problem as a primary threat to idenfication facing the causal effect estimation. The paper finds that education is positively associated with non-wage benefits. In particular, the baseline 2SLS estimates indicates that one additional year of schooling is causally linked to a 6 percentage point increase in the likelihood of receiving monetary payments for public holidays, a 4.6 percentage point increase in the likelihood of receiving monetary employee benefits, a 7.3 percentage point increase in the likelihood of having annual paid leave and a 6.8 percentage point increase in the likelihood of having firm-provided social insurance. The baseline estimates are strongly robust to the estimates from some robustness checks. The paper also inspects that the causal associations between schooling and formal employment, skilled occupation and employee-friendly firm are three potential mechanisms through which schooling causally affects non-wage compensation.

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Section: Baseline Resultssupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Education As Protection? The Effect of Schooling on Non-Wage Compensation in a Developing Country

Dang

2017

SSRN Journal

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“…Notably, the study revealed that education led to an increase in inpatient utilization within the public health sector, but it also resulted in a decrease in outpatient utilization in both the public and private health sectors (Dang, 2018).…”

Section: Literature Reviewmentioning

confidence: 92%

“…The issue of inequality in inpatient and outpatient medical care in Vietnam has received considerable attention from numerous authors. Dang (2018) conducted an analysis using a regression discontinuity design to investigate the causal relationship between education and health care utilization. The findings indicated a statistically significant impact of education on health care utilization.…”

Section: Literature Reviewmentioning

confidence: 99%

Analyzing the determinants of healthcare utilization inequity in the Vietnam economy

Nguyen,

Nguyen

2024

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Ensuring the fair and equal availability of healthcare services is an important goal that every country strives for, including the Vietnam economy. The Vietnamese government has launched various strategies to reach healthcare utilization equity since 2008. This study aims to comprehensively investigate healthcare utilization equity trends and their determinants in Vietnam, employing the Concentration Index (CI) approach and decomposed analysis of data from the Vietnam Household Living Standards Survey (VHLSS) conducted in both 2008 and 2018. A decline in the CI from 0.0654 (2008) to 0.0400 (2018), indicating a lower level of healthcare utilization inequality, is evidence of the findings' significant improvements in healthcare access equity in Vietnam. Furthermore, the main determinants of inequality in healthcare utilization including gender (male), age, marital status (single or married), residency (urban), race (majority), education (under primary and primary certificates), household size, and insurance, have been empirically found. In order to mitigate healthcare access inequality, the current universal health insurance policy is workable. However, certain limitations within insurance programs, such as restricted coverage and provider networks, need to be addressed to ensure a comprehensive and accessible policy for all.

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“…Moreover, this study's analysis examines these two outcomes for both inpatient and outpatient services at both public and private health sectors. It is useful to devide health care services into two types inpatient and outpatient services because these two services are key types of medical care services within the health care system and they also reflect various quality of services provided (Dang 2017).…”

Section: Introductionmentioning

confidence: 99%

The Multiple Effects of Child Health Insurance in Vietnam

Dang

2017

SSRN Journal

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This paper estimates multiple effects of tremendous expansion in health insurance coverage for children on medical services utilizations for both children and parents by focusing on Free Care for Children Under Six, a child health insurance program that provides free access to health care practices for children under 6 in Vietnam. Using a regression discontinuity design, the paper finds that child health insurance has considerable positive effects on children's health care uses whereas it reduces parental health care utilization for some outcomes. In particular, child health health insurance increases the probabilities of public inpatient visit and private outpatient visit by 22.3% and 33% respectively while it rises the frequencies of public inpatient visits and private outpatient visits by 0.32 times and 2.24 times respectively. In contrast, child health insurance reduces a mother's probabilities of public inpatient visit and public outpatient visit by 32.6% and 27% respectively, number of public inpatient visits by 0.41 times. Also, paternal impacts of child health insurance consists of a 23.2% reduction in the probability of private outpatient visit and a 1.01 time decrease in the frequency of private outpatient visits. The paper significantly provides a more insightful understanding of various impacts of a health policy on health care utilization from developing countries.

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Does the More Educated Utilize More Health Care Services? Evidence from Vietnam Using a Regression Discontinuity Design

Cited by 3 publications

References 28 publications

Education As Protection? The Effect of Schooling on Non-Wage Compensation in a Developing Country

Education As Protection? The Effect of Schooling on Non-Wage Compensation in a Developing Country

Analyzing the determinants of healthcare utilization inequity in the Vietnam economy

The Multiple Effects of Child Health Insurance in Vietnam

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