Political and economic aspects of the transition to universal health coverage

Savedoff, William D.; Ferranti, David de; Smith, Amy L.; Fan, Victoria Y.

doi:10.1016/s0140-6736(12)61083-6

Cited by 215 publications

(219 citation statements)

References 28 publications

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“…Although the central idea of a UHC is to provide a package of basic health services without causing financial hardships to the user (Savedoff et al, 2012), regardless of his/her social status or income, the actions and the institutional settings chosen might vary widely from country to country (Moreno-Serra and Smith, 2012). Importantly, any UHC system requires a proper institutional setting and a certain degree of income redistribution.…”

Section: Introductionmentioning

confidence: 99%

The impact of Universal Health Coverage on health care consumption and risky behaviours: evidence from Thailand

Ghislandi

Manachotphong

Perego

2014

HEPL

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Thailand is among one of the first non OECD countries to have successfully introduced a form of Universal Health Coverage (UHC) in 2002. This policy defines a natural experiment for the evaluation of the effects of public health insurance on health behaviours. In the present paper, we look at the impact of the Thai UHC on preventive activities, risky behaviours and healthcare consumption using data from the 1996, 2001 and 2003 Health and Welfare Survey of Thailand. We use double robust estimators combining propensity scores and linear regressions to estimate Difference-in-Differences (DD) and Difference in DD (DDD) models. Results offer important insights. First, previously uninsured men and women increased their preventive activities (check-ups) more than any other groups. At the same time, there is no evidence of either an increase in risky behaviours or a reduction of preventive efforts by the newly insured population. In other words, we find no evidence of ex ante moral hazard. Regarding healthcare consumption, we see that hospital admissions increased by 2% and outpatient visits increased by 13% due to the UHC. Overall, these findings imply positive health impacts among the Thai population who entered in the UHC.

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Section: Introductionmentioning

confidence: 99%

The impact of Universal Health Coverage on health care consumption and risky behaviours: evidence from Thailand

Ghislandi

Manachotphong

Perego

2014

HEPL

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“…The dominance of government expenses, financed by taxes and contributions, indicates the adoption of institutional market coordination mechanisms, reducing the options of individuals, professionals and companies for achieving improved conditions of access 11 .…”

Section: Introductionmentioning

confidence: 99%

“…The countries with regimes of instituted social protection finance the health services using the coordination of the government 11 . Paradoxically, this is the model adopted in the central economies where the access to health services is not limited to a basic basket of health services, and restricted to preventive interventions of low complexity.…”

Section: Introductionmentioning

confidence: 99%

Austeridade, predominância privada e falha de governo na saúde

Costa

2017

Ciênc. saúde coletiva

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“…Experience from several low-and middle-income countries (LMICs), however, shows that several paths to UHC exist and are largely dependent on the broader historical, political, and economic features of a particular country (Savedoff et al 2012). …”

Section: Introductionmentioning

confidence: 99%

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Koon, A.D.;Smith, L.; Ndetei, D.; Mutiso, V.; Mendenhall, E. (2016) [Accepted Manuscript] Nurses perceptions of universal health coverage and its implications for the Kenyan health sector. Critical public health.

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confidence: 99%