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 vis...

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Main Authors:	Angel-Urdinola, Diego F., Jain, Shweta
Format:	Policy Research Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2012
Subjects:	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
Online Access:	http://documents.worldbank.org/curated/en/2006/09/7081677/subsidized-health-programs-armenia-increase-utilization-among-poor http://hdl.handle.net/10986/9277

id	okr-10986-9277
recordtype	oai_dc
spelling	okr-10986-92772021-04-23T14:02:41Z Do Subsidized Health Programs in Armenia Increase Utilization among the Poor? Angel-Urdinola, Diego F. Jain, Shweta 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 http://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 World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research Europe and Central Asia Armenia
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	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 Angel-Urdinola, Diego F. Jain, Shweta Do Subsidized Health Programs in Armenia Increase Utilization among the Poor?
geographic_facet	Europe and Central Asia Armenia
relation	Policy Research Working Paper; No. 4017
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.
format	Publications & Research :: Policy Research Working Paper
author	Angel-Urdinola, Diego F. Jain, Shweta
author_facet	Angel-Urdinola, Diego F. Jain, Shweta
author_sort	Angel-Urdinola, Diego F.
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	2012
url	http://documents.worldbank.org/curated/en/2006/09/7081677/subsidized-health-programs-armenia-increase-utilization-among-poor http://hdl.handle.net/10986/9277
_version_	1764406561073004544

Do Subsidized Health Programs in Armenia Increase Utilization among the Poor?

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