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Mainstreaming health insurance for people with disabilities

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  • Palmer, Michael G.
  • Nguyen, Thi Minh Thuy

Abstract

Many low- and middle-income countries have introduced public health insurance schemes to increase access to health care and provide financial protection against the costs of care for disadvantaged groups. Using national health household survey data from Vietnam and an appropriate two-part model, this paper examines the targeting effectiveness of public health insurance schemes and their impact on health care utilization for persons with disabilities. Results suggest that current community-based targeting methods are not effective, and that insurance mechanisms are an unsatisfactory buffer for inpatient-related costs to which persons with disabilities are prone. A higher level of disability targeting is recommended, both in terms of eligibility and benefits.

Suggested Citation

  • Palmer, Michael G. & Nguyen, Thi Minh Thuy, 2012. "Mainstreaming health insurance for people with disabilities," Journal of Asian Economics, Elsevier, vol. 23(5), pages 600-613.
  • Handle: RePEc:eee:asieco:v:23:y:2012:i:5:p:600-613
    DOI: 10.1016/j.asieco.2012.06.003
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    Cited by:

    1. Tess Bright & Hannah Kuper, 2018. "A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries," IJERPH, MDPI, vol. 15(9), pages 1-29, August.
    2. Ullmann, Heidi & Cecchini, Simone & Atuesta, Bernardo & Rubio García, Mónica, 2021. "Non-contributory cash transfers: An instrument to promote the rights and well-being of children with disabilities in Latin America and the Caribbean," Documentos de Proyectos 46747, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    3. Lena Morgon Banks & Matthew Walsham & Shailes Neupane & Saurav Neupane & Yogendra Pradhananga & Mahesh Maharjan & Karl Blanchet & Hannah Kuper, 2019. "Access to Social Protection Among People with Disabilities: Mixed Methods Research from Tanahun, Nepal," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 31(4), pages 929-956, September.
    4. Michael Palmer & Nora Groce & Daniel Mont & Oanh Hong Nguyen & Sophie Mitra, 2015. "The Economic Lives of People with Disabilities in Vietnam," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-16, July.

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    More about this item

    Keywords

    Disability; Health insurance; Community-based targeting; Health care utilization; Vietnam;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I3 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty
    • O21 - Economic Development, Innovation, Technological Change, and Growth - - Development Planning and Policy - - - Planning Models; Planning Policy

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