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

By: Contributor(s): Resource type: Ressourcentyp: Buch (Online)Book (Online)Language: English Series: Policy research working paper ; 4821Publisher: [Washington, D.C] : World Bank, 2009Description: Online-RessourceSubject(s): Additional physical formats: Wagstaff, Adam: Social health insurance vs. tax-financed health systems LOC classification:
  • HG3881.5.W57
DOI: DOI: 10.1596/1813-9450-4821Online resources: Additional physical formats: Also available in print.Summary: "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 sitePPN: PPN: 834961997Package identifier: Produktsigel: ZDB-1-WBA | ZDB-110-WBL
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2009. (World Bank eLibrary). Also available in print |2009||||||||||