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 syst...

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Main Authors: Wagstaff, Adam, Moreno-Serra, Rodrigo
Format: Journal Article
Language:EN
Published: 2012
Subjects:
Online Access:http://hdl.handle.net/10986/5014
id okr-10986-5014
recordtype oai_dc
spelling okr-10986-50142021-04-23T14:02:20Z Europe and Central Asia's Great Post-communist Social Health Insurance Experiment : Aggregate Impacts on Health Sector Outcomes Wagstaff, Adam Moreno-Serra, Rodrigo 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 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. 2012-03-30T07:30:51Z 2012-03-30T07:30:51Z 2009 Journal Article Journal of Health Economics 01676296 http://hdl.handle.net/10986/5014 EN http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Journal Article Central Asia Central Europe Eastern Europe
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language EN
topic 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
spellingShingle 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
Wagstaff, Adam
Moreno-Serra, Rodrigo
Europe and Central Asia's Great Post-communist Social Health Insurance Experiment : Aggregate Impacts on Health Sector Outcomes
geographic_facet Central Asia
Central Europe
Eastern Europe
relation http://creativecommons.org/licenses/by-nc-nd/3.0/igo
description 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.
format Journal Article
author Wagstaff, Adam
Moreno-Serra, Rodrigo
author_facet Wagstaff, Adam
Moreno-Serra, Rodrigo
author_sort Wagstaff, Adam
title Europe and Central Asia's Great Post-communist Social Health Insurance Experiment : Aggregate Impacts on Health Sector Outcomes
title_short Europe and Central Asia's Great Post-communist Social Health Insurance Experiment : Aggregate Impacts on Health Sector Outcomes
title_full Europe and Central Asia's Great Post-communist Social Health Insurance Experiment : Aggregate Impacts on Health Sector Outcomes
title_fullStr Europe and Central Asia's Great Post-communist Social Health Insurance Experiment : Aggregate Impacts on Health Sector Outcomes
title_full_unstemmed Europe and Central Asia's Great Post-communist Social Health Insurance Experiment : Aggregate Impacts on Health Sector Outcomes
title_sort europe and central asia's great post-communist social health insurance experiment : aggregate impacts on health sector outcomes
publishDate 2012
url http://hdl.handle.net/10986/5014
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