The effects of access to health insurance: Evidence from a regression discontinuity design in Peru

Noelia Bernal Lobato, M.A. Carpio, Tobias Klein

Research output: Contribution to journalArticleScientificpeer-review

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Abstract

In many countries large parts of the population do not have access to health insurance. Peru has made an effort to change this in the early 2000’s. The institutional setup gives rise to the rare opportunity to study the effects of health insurance coverage exploiting a sharp regression discontinuity design. We find large effects on utilization that are most pronounced for the provision of curative care. Individuals seeing a doctor leads to increased awareness about health problems and generates a potentially desirable form of supplier-induced demand: they decide to pay themselves for services that are in short supply.
Original languageEnglish
Pages (from-to)122-136
JournalJournal of Public Economics
Volume154
DOIs
Publication statusPublished - Oct 2017

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Health insurance
Peru
Regression discontinuity design
Doctors
Supplier-induced demand
Health

Keywords

  • public health insurance
  • informal sector
  • health care utilization
  • regression
  • discontinuity design
  • supplier-induced demand

Cite this

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title = "The effects of access to health insurance: Evidence from a regression discontinuity design in Peru",
abstract = "In many countries large parts of the population do not have access to health insurance. Peru has made an effort to change this in the early 2000’s. The institutional setup gives rise to the rare opportunity to study the effects of health insurance coverage exploiting a sharp regression discontinuity design. We find large effects on utilization that are most pronounced for the provision of curative care. Individuals seeing a doctor leads to increased awareness about health problems and generates a potentially desirable form of supplier-induced demand: they decide to pay themselves for services that are in short supply.",
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The effects of access to health insurance: Evidence from a regression discontinuity design in Peru. / Bernal Lobato, Noelia; Carpio, M.A.; Klein, Tobias.

In: Journal of Public Economics, Vol. 154, 10.2017, p. 122-136.

Research output: Contribution to journalArticleScientificpeer-review

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