Financing Health Care Reforms: An Overview of Issues
In: Indian journal of public administration, Band 45, Heft 4, S. 763-781
ISSN: 2457-0222
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In: Indian journal of public administration, Band 45, Heft 4, S. 763-781
ISSN: 2457-0222
In: International journal of public administration: IJPA, Band 19, Heft 2, S. 211-232
ISSN: 0190-0692
In: Contributions in Afro-American and African studies 164
Indonesia has seen an emergence of local health care financing schemes over the last decade, implemented and operated by district governments. Often motivated by the local political context and characterized by a large degree of heterogeneity in scope and design, the common objective of the district schemes is to address the coverage gaps for the informal sector left by national social health insurance programs. This paper investigates the effect of these local health care financing schemes on access to health care and financial protection. Using data from a unique survey among District Health Offices, combined with data from the annual National Socioeconomic Surveys, the study is based on a fixed effects analysis for a panel of 262 districts over the period 2004-10, exploiting variation in local health financing reforms across districts in terms of type of reform and timing of implementation. Although the schemes had a modest impact on average, they do seem to have provided some contribution to closing the coverage gap, by increasing outpatient utilization for households in the middle quintiles that tend to fall just outside the target population of the national subsidized programs. However, there seems to be little effect on hospitalization or financial protection, indicating the limitations of local health care financing policies. In addition, we see effect heterogeneity across districts due to differences in design features. ; This study is funded by EU-FP7 research Grant HEALTH-F2-2009-223166- HEFPA on 'Health Equity and Financial Protection in Asia (HEFPA)'
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In: Handbook of International Health Care Systems, S. 543-572
In: International journal of public administration, Band 19, Heft 2, S. 211-232
ISSN: 1532-4265
In: OCDE-GD 97,49
In: NBER Working Paper No. w13881
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ISSN: 8755-3449
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In: Journal of policy analysis and management: the journal of the Association for Public Policy Analysis and Management, Band 2, Heft 4, S. 649
ISSN: 1520-6688