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The Sponsored Program of the Philippine National Health Insurance - Analyses of the Actual Coverage and Variations Across Regions and Provinces

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  • Silfverberg, Raymunda R.

Abstract

This study established the breadth of socialized Philippine health insurance, known as the PhilHealth Sponsored Program. It examined the extent of coverage relative to its target "poor" population, how much coverage rates varied across provinces and the factors likely to explain variation. PhilHealth Sponsored Program appeared to have attained universal coverage over the targeted "poor" population at the national level for the year 2011. However, universal coverage was not true in all regions or provinces. Majority of provinces experienced mild to extreme leakages in the program. Several demand and supply variables identified to have strong statistical significance in explaining variations were age-groups, education, LGUs` real per capita income, health expenditures, governance style, accessibility to PHIC support offices and availability of health professionals, all of which were found to very likely affect undercoverage rates relative to full coverage. Severity of poverty, administrative and political governance, and availability of accredited RHUs and private hospitals provided strong statistical evidence in influencing the levels of leakage vis-a-vis full coverage. Effects of most variables conformed to expectations. Results of the study point to a number of research issues that can be undertaken and some policy recommendations addressed to the national agencies and local government implementers and financiers for the PhilHealth Sponsored Program.

Suggested Citation

  • Silfverberg, Raymunda R., 2014. "The Sponsored Program of the Philippine National Health Insurance - Analyses of the Actual Coverage and Variations Across Regions and Provinces," Discussion Papers DP 2014-19, Philippine Institute for Development Studies.
    • Handle: RePEc:phd:dpaper:dp_2014-19
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    File URL: https://www.pids.gov.ph/publication/discussion-papers/the-sponsored-program-of-the-philippine-national-health-insurance-analyses-of-the-actual-coverage-and-variations-across-regions-and-provinces
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    References listed on IDEAS

    as
    1. Matthew Jowett & Anil Deolalikar & Peter Martinsson, 2004. "Health insurance and treatment seeking behaviour: evidence from a low‐income country," Health Economics, John Wiley & Sons, Ltd., vol. 13(9), pages 845-857, September.
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    3. Jonathan Morduch, 1995. "Income Smoothing and Consumption Smoothing," Journal of Economic Perspectives, American Economic Association, vol. 9(3), pages 103-114, Summer.
    4. Celik, Yusuf & Hotchkiss, David R., 2000. "The socio-economic determinants of maternal health care utilization in Turkey," Social Science & Medicine, Elsevier, vol. 50(12), pages 1797-1806, June.
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    Cited by:

    1. Cabalfin, Michael R., 2016. "Health Financing for the Poor in the Philippines: Final Report," Discussion Papers DP 2016-37, Philippine Institute for Development Studies.

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    More about this item

    Keywords

    Philippines; PhilHealth Sponsored Program; universal coverage; national health insurance; regional/provincial PhilHealth coverage; NHTS-PR data; Good Governance Index (GGI);
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