社会健康保险对产前护理的影响:以加纳为例。

Stephen O Abrokwah, Christine M Moser, Edward C Norton
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引用次数: 31

摘要

许多发展中国家引入了社会健康保险方案,以帮助实现联合国千年发展目标中的两个目标——降低婴儿死亡率和改善孕产妇健康状况。决策者希望,通过使现代卫生保健更容易获得和负担得起,更多的妇女将寻求产前护理,从而改善健康结果。本文研究了加纳的社会健康保险计划如何影响产前护理使用和自付支出,使用两部分模型来模拟产前护理支出。我们测试了加纳的社会健康保险是否改善了产前护理的使用,减少了自付费用,并增加了产前护理就诊的次数。地区一级在实施时间上的差异造成了获得医疗保险的外生差异,因此具有很强的识别性。享有社会健康保险的人获得护理的可能性更高,接受产前护理的次数更多,以护理支出为条件的自付支出更少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effect of social health insurance on prenatal care: the case of Ghana.

Many developing countries have introduced social health insurance programs to help address two of the United Nations' millennium development goals-reducing infant mortality and improving maternal health outcomes. By making modern health care more accessible and affordable, policymakers hope that more women will seek prenatal care and thereby improve health outcomes. This paper studies how Ghana's social health insurance program affects prenatal care use and out-of-pocket expenditures, using the two-part model to model prenatal care expenditures. We test whether Ghana's social health insurance improved prenatal care use, reduced out-of-pocket expenditures, and increased the number of prenatal care visits. District-level differences in the timing of implementation provide exogenous variation in access to health insurance, and therefore strong identification. Those with access to social health insurance have a higher probability of receiving care, a higher number of prenatal care visits, and lower out-of-pocket expenditures conditional on spending on care.

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