Social health insurance vs. tax-financed health systems: evidence from the OECD

"This paper exploits the transitions between tax-financed health care and social health insurance in the OECD countries over the period 1960-2006 to assess the effects of adopting social health insurance over tax finance on per capita health spending, amenable mortality, and labor market outcom...

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Bibliographische Detailangaben
1. Verfasser: Wagstaff, Adam (VerfasserIn)
Format: Elektronisch E-Book
Sprache:English
Veröffentlicht: [Washington, D.C] World Bank 2009
Schriftenreihe:Policy research working paper 4821
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Zusammenfassung:"This paper exploits the transitions between tax-financed health care and social health insurance in the OECD countries over the period 1960-2006 to assess the effects of adopting social health insurance over tax finance on per capita health spending, amenable mortality, and labor market outcomes. The paper uses regression-based generalizations of difference-in-differences and instrumental variables to address the possible endogeneity of a country's health system. It finds that adopting social health insurance in preference to tax financing increases per capita health spending by 3-4 percent, reduces the formal sector share of employment by 8-10 percent, and reduces total employment by as much as 6 percent. For the most part, social health insurance adoption has no significant impact on amenable mortality, but for one cause-breast cancer among women-social health insurance systems perform significantly worse, with 5-6 percent more potential years of life lost. "--World Bank web site
Beschreibung:Includes bibliographical references. - Title from PDF file as viewed on 5/8/2009
Beschreibung:1 Online-Ressource
DOI:10.1596/1813-9450-4821