Progressive universalism? The impact of targeted coverage on health care access and expenditures in Peru.
Health Econ
; 26(12): e179-e203, 2017 12.
Article
en En
| MEDLINE
| ID: mdl-28205370
ABSTRACT
Like other countries seeking a progressive path to universalism, Peru has attempted to reduce inequalities in access to health care by granting the poor entitlement to tax-financed basic care without charge. We identify the impact of this policy by comparing the target population's change in health care utilization with that of poor adults already covered through employment-based insurance. There are positive effects on receipt of ambulatory care and medication that are largest among the elderly and the poorest. The probability of getting formal health care when sick is increased by almost two fifths, but the likelihood of being unable to afford treatment is reduced by more than a quarter. Consistent with the shallow coverage offered, there is no impact on use of inpatient care. Neither is there any effect on average out-of-pocket health care expenditure, but medical spending is reduced by up to 25% in the top quarter of the distribution. Copyright © 2017 John Wiley & Sons, Ltd.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Aceptación de la Atención de Salud
/
Gastos en Salud
/
Cobertura Universal del Seguro de Salud
/
Accesibilidad a los Servicios de Salud
/
Necesidades y Demandas de Servicios de Salud
/
Seguro de Salud
Tipo de estudio:
Health_economic_evaluation
Límite:
Adult
/
Female
/
Humans
/
Male
País/Región como asunto:
America do sul
/
Peru
Idioma:
En
Revista:
Health Econ
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2017
Tipo del documento:
Article
País de afiliación:
Países Bajos