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Evidence of a causal link between health outcomes, insurance coverage, and a policy to expand access: experimental data from children in the Philippines

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  • Stella A. Quimbo
  • John W. Peabody
  • Riti Shimkhada
  • Jhiedon Florentino
  • Orville Solon

Abstract

In this paper, we present evidence on the health effects of a health insurance intervention targeted to poor children using data from a randomized policy experiment known as the Quality Improvement Demonstration Study. Among study participants, using a difference‐in‐difference regression model, we estimated a 9–12 and 4–9 percentage point reduction in the likelihood of wasting and having an infection, respectively, as measured by a common biomarker C‐reactive Protein. Interestingly, these benefits were not apparent at the time of discharge; the beneficial health effects were manifest several weeks after release from the hospital. Copyright © 2010 John Wiley & Sons, Ltd.

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  • Stella A. Quimbo & John W. Peabody & Riti Shimkhada & Jhiedon Florentino & Orville Solon, 2011. "Evidence of a causal link between health outcomes, insurance coverage, and a policy to expand access: experimental data from children in the Philippines," Health Economics, John Wiley & Sons, Ltd., vol. 20(5), pages 620-630, May.
    • Handle: RePEc:wly:hlthec:v:20:y:2011:i:5:p:620-630
    DOI: 10.1002/hec.1621
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    References listed on IDEAS

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    1. William C. Hsiao & R. Paul Shaw, 2007. "Social Health Insurance for Developing Nations," World Bank Publications - Books, The World Bank Group, number 6860.
    2. Wagstaff, Adam & Pradhan, Menno, 2005. "Health insurance impacts on health and nonmedical consumption in a developing country," Policy Research Working Paper Series 3563, The World Bank.
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    4. Nichter, Mark, 1994. "Illness semantics and international health: The weak lungs/TB complex in the Philippines," Social Science & Medicine, Elsevier, vol. 38(5), pages 649-663, March.
    5. Stella Quimbo & Jhiedon Florentino & John W Peabody & Riti Shimkhada & Carlo Panelo & Orville Solon, 2008. "Underutilization of Social Insurance among the Poor: Evidence from the Philippines," PLOS ONE, Public Library of Science, vol. 3(10), pages 1-4, October.
    6. Solon, Orville & Peabody, John W. & Woo, Kimberly & Quimbo, Stella A. & Florentino, Jhiedon & Shimkhada, Riti, 2009. "An evaluation of the cost-effectiveness of policy navigators to improve access to care for the poor in the Philippines," Health Policy, Elsevier, vol. 92(1), pages 89-95, September.
    7. Belli, Paolo, 2001. "How adverse selection affects the health insurance market," Policy Research Working Paper Series 2574, The World Bank.
    Full references (including those not matched with items on IDEAS)

    Citations

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    Cited by:

    1. Miyawaki, Atsushi & Kobayashi, Yasuki, 2019. "Effect of a medical subsidy on health service utilization among schoolchildren: A community-based natural experiment in Japan," Health Policy, Elsevier, vol. 123(4), pages 353-359.
    2. Sophie Mitra & Michael Palmer & Shannon Pullaro & Daniel Mont & Nora Groce, 2017. "Health Insurance and Children in Low- and Middle-income Countries: A Review," The Economic Record, The Economic Society of Australia, vol. 93(302), pages 484-500, September.
    3. Wagner, Natascha & Quimbo, Stella & Shimkhada, Riti & Peabody, John, 2018. "Does health insurance coverage or improved quality protect better against out-of-pocket payments? Experimental evidence from the Philippines," Social Science & Medicine, Elsevier, vol. 204(C), pages 51-58.
    4. Puyat, Maria Elizabeth Angeline D., 2013. "Factors Influencing PhilHealth Coverage and In-patient Benefit Utilization of Filipino Children under Five," Discussion Papers DP 2013-37, Philippine Institute for Development Studies.
    5. Rachel M. Gisselquist & Miguel Niño-Zarazúa, 2013. "What Can Experiments Tell Us About How to Improve Governance?," WIDER Working Paper Series wp-2013-077, World Institute for Development Economic Research (UNU-WIDER).
    6. Lisa Bagnoli, 2017. "Does National Health Insurance Improve Children's Health ?National and Regional Evidence from Ghana," Working Papers ECARES ECARES 2017-03, ULB -- Universite Libre de Bruxelles.
    7. Kofinti, Raymond Elikplim & Koomson, Isaac & Paintsil, Jones Arkoh & Ameyaw, Edward Kwabena, 2022. "Reducing children's malnutrition by increasing mothers' health insurance coverage: A focus on stunting and underweight across 32 sub-Saharan African countries," Economic Modelling, Elsevier, vol. 117(C).
    8. Nshakira-Rukundo, Emmanuel & Mussa, Essa Chanie & Gerber, Nicolas & von Braun, Joachim, 2020. "Impact of voluntary community-based health insurance on child stunting: Evidence from rural Uganda," Social Science & Medicine, Elsevier, vol. 245(C).
    9. Bagnoli, Lisa, 2019. "Does health insurance improve health for all? Heterogeneous effects on children in Ghana," World Development, Elsevier, vol. 124(C), pages 1-1.
    10. Milovanska-Farrington, Stefani & Farrington, Stephen, 2019. "The effect of the cost of obstetric care on antenatal and postnatal healthcare utilization: Evidence from Armenia," Research in Economics, Elsevier, vol. 73(1), pages 72-84.
    11. Binagwaho, Agnes & Hartwig, Renate & Ingeri, Denyse & Makaka, Andrew, 2012. "Mutual health insurance and its contribution to improving child health in Rwanda," Passauer Diskussionspapiere, Volkswirtschaftliche Reihe V-66-12, University of Passau, Faculty of Business and Economics.
    12. Miyawaki, Atsushi & Noguchi, Haruko & Kobayashi, Yasuki, 2017. "Impact of medical subsidy disqualification on children's healthcare utilization: A difference-in-differences analysis from Japan," Social Science & Medicine, Elsevier, vol. 191(C), pages 89-98.
    13. Palmer, Michael & Mitra, Sophie & Mont, Daniel & Groce, Nora, 2015. "The impact of health insurance for children under age 6 in Vietnam: A regression discontinuity approach," Social Science & Medicine, Elsevier, vol. 145(C), pages 217-226.
    14. Paqueo, Vicente B. & Abrigo, Michael Ralph M., 2017. "Social Protection and Access to Health Care among Children in the Philippines," Discussion Papers DP 2017-36, Philippine Institute for Development Studies.

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