卫生筹资方案能否减轻发展中国家的粮食不安全状况?

IF 1.5 4区 经济学 Q3 BUSINESS, FINANCE
Raymond Elikplim Kofinti, Isaac Koomson, Josephine Baako-Amponsah
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引用次数: 0

摘要

尽管自费医疗支出对家庭财务支出产生了破坏性影响,可能会扼杀家庭用于食品消费所需的资源,但医疗筹资计划与食品不安全之间的关系尚未得到文献所需的关注。本研究采用食物不安全经验量表(FIES)和几种准实验方法,调查了健康资助计划(概念上是国家健康保险计划的成员资格)对家庭食物不安全的影响,从而做出了重要贡献。利用加纳第七轮生活水平调查的数据,我们的内生性校正结果表明,加入医疗融资计划有助于降低家庭粮食不安全程度。这些结果对粮食不安全的其他概念和不同的准实验方法都是稳健的。加入卫生筹资计划对粮食不安全的影响在城市家庭和女户主家庭中更为明显。我们的研究结果进一步表明,家庭储蓄是加入卫生筹资计划降低粮食不安全程度的一个重要渠道。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Can health financing programmes reduce food insecurity in a developing country?

Despite the devastating effects of out-of-pocket healthcare expenditures on households' financial outlays, which potentially stifle household resources needed for food consumption, the health financing program-food insecurity nexus is yet to receive much needed attention in the literature. This study makes a significant contribution by investigating the effect of health financing program, conceptualised as membership of a National Health Insurance Scheme, on household food insecurity using the food insecurity experience scale (FIES) and several quasi-experimental methods. Using data from the seventh round of the Ghana Living Standards Survey, our endogeneity-corrected results indicate that membership of a health financing program can contribute to reduction in household food insecurity. The results are robust to alternative conceptualisations of food insecurity and different quasi-experimental methods. The effect of health financing programme membership on food insecurity is more pronounced among urban and female-headed households. Our findings further point to household savings as an important channel through which membership of health financing program reduces food insecurity.

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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
18
期刊介绍: The focus of the International Journal of Health Economics and Management is on health care systems and on the behavior of consumers, patients, and providers of such services. The links among management, public policy, payment, and performance are core topics of the relaunched journal. The demand for health care and its cost remain central concerns. Even as medical innovation allows providers to improve the lives of their patients, questions remain about how to efficiently deliver health care services, how to pay for it, and who should pay for it. These are central questions facing innovators, providers, and payers in the public and private sectors. One key to answering these questions is to understand how people choose among alternative arrangements, either in markets or through the political process. The choices made by healthcare managers concerning the organization and production of that care are also crucial. There is an important connection between the management of a health care system and its economic performance. The primary audience for this journal will be health economists and researchers in health management, along with the larger group of health services researchers. In addition, research and policy analysis reported in the journal should be of interest to health care providers, managers and policymakers, who need to know about the pressures facing insurers and governments, with consequences for regulation and mandates. The editors of the journal encourage submissions that analyze the behavior and interaction of the actors in health care, viz. consumers, providers, insurers, and governments. Preference will be given to contributions that combine theoretical with empirical work, evaluate conflicting findings, present new information, or compare experiences between countries and jurisdictions. In addition to conventional research articles, the journal will include specific subsections for shorter concise research findings and cont ributions to management and policy that provide important descriptive data or arguments about what policies follow from research findings. The composition of the editorial board is designed to cover the range of interest among economics and management researchers.Officially cited as: Int J Health Econ ManagFrom 2001 to 2014 the journal was published as International Journal of Health Care Finance and Economics. (Articles published in Vol. 1-14 officially cited as: Int J Health Care Finance Econ)
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