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Aseguramiento público, provisión privada: Impacto en el acceso a servicios perinatales y en la salud del recién nacido

Author

Listed:
  • Ana Inés Balsa

    (Departamento de Economía y Centro de Investigaciones en Economía Aplicada, Facultad de Ciencias Empresariales y Economía, Universidad de Montevideo)

  • Patricia Triunfo

    (Departamento de Economía, Facultad de Ciencias Sociales, Universidad de la República)

Abstract

A partir del año 2008, con la implementación del Sistema Nacional Integrado de Salud, el gobierno uruguayo extendió el seguro social de salud a colectivos no amparados previamente. A diferencia de la cobertura pública, el seguro social habilita la elección de prestadores privados. En este trabajo nos enfocamos en la extensión de la cobertura a las madres menores de 18 años, las cuales constituyeron el grupo de mujeres en edad fértil con mayores cambios en el aseguramiento. En particular, entre 2007 y 2010, aproximadamente 124.000 mujeres menores de 18 años pasaron a tener cobertura privada de salud. Nuestro análisis estudia las diferencias en indicadores asistenciales y en resultados perinatales entre las madres menores de 18 años y mayores antes y después de este cambio normativo. A partir de los datos obtenidos de los Certificados de Nacido Vivo para el Uruguay de 2002 a 2010 y en base a modelos de dobles y triples diferencias, encontramos que el pasaje a prestadores privados tuvo un efecto positivo en la salud del recién nacido. Estas mejoras, sin embargo, no pueden explicarse por mejoras en el momento de captación de la embarazada o en el número de controles prenatales.

Suggested Citation

  • Ana Inés Balsa & Patricia Triunfo, 2015. "Aseguramiento público, provisión privada: Impacto en el acceso a servicios perinatales y en la salud del recién nacido," Documentos de Trabajo (working papers) 0415, Department of Economics - dECON.
    • Handle: RePEc:ude:wpaper:0415
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    References listed on IDEAS

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    More about this item

    Keywords

    provisión privada; peso al nacer; controles prenatales.;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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