Progressive universalism? The impact of targeted coverage on health care access and expenditures in Peru.

Détails

ID Serval
serval:BIB_AB81AD9F1181
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Progressive universalism? The impact of targeted coverage on health care access and expenditures in Peru.
Périodique
Health economics
Auteur(s)
Neelsen S., O'Donnell O.
ISSN
1099-1050 (Electronic)
ISSN-L
1057-9230
Statut éditorial
Publié
Date de publication
12/2017
Peer-reviewed
Oui
Volume
26
Numéro
12
Pages
e179-e203
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
Like other countries seeking a progressive path to universalism, Peru has attempted to reduce inequalities in access to health care by granting the poor entitlement to tax-financed basic care without charge. We identify the impact of this policy by comparing the target population's change in health care utilization with that of poor adults already covered through employment-based insurance. There are positive effects on receipt of ambulatory care and medication that are largest among the elderly and the poorest. The probability of getting formal health care when sick is increased by almost two fifths, but the likelihood of being unable to afford treatment is reduced by more than a quarter. Consistent with the shallow coverage offered, there is no impact on use of inpatient care. Neither is there any effect on average out-of-pocket health care expenditure, but medical spending is reduced by up to 25% in the top quarter of the distribution. Copyright © 2017 John Wiley & Sons, Ltd.
Mots-clé
Peru, health care, health financing, health insurance, universal coverage
Pubmed
Web of science
Création de la notice
09/11/2018 15:52
Dernière modification de la notice
20/08/2019 16:15
Données d'usage