Journal
JOURNAL OF THE ROYAL STATISTICAL SOCIETY SERIES A-STATISTICS IN SOCIETY
Volume 178, Issue 1, Pages 101-124Publisher
WILEY
DOI: 10.1111/rssa.12048
Keywords
Health coverage; Health financing; Mortality; Panel data econometrics; Reverse causality
Funding
- Rockefeller Foundation
- UK Medical Research Council [G1002338]
- Medical Research Council [G1002338] Funding Source: researchfish
- MRC [G1002338] Funding Source: UKRI
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Progress towards universal health coverage involves providing people with access to needed health services without entailing financial hardship and is often advocated on the grounds that it improves population health. The paper offers econometric evidence on the effects of health coverage on mortality outcomes at the national level. We use a large panel data set of countries, examined by using instrumental variable specifications that explicitly allow for potential reverse causality and unobserved country-specific characteristics. We employ various proxies for the coverage level in a health system. Our results indicate that expanded health coverage, particularly through higher levels of publicly funded health spending, results in lower child and adult mortality, with the beneficial effect on child mortality being larger in poorer countries.
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