Journal
JOURNAL OF HEALTH ECONOMICS
Volume 26, Issue 3, Pages 505-535Publisher
ELSEVIER
DOI: 10.1016/j.jhealeco.2006.10.006
Keywords
impact evaluation; health sector reform; catastrophic spending; impoverishment; China
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This paper combines differences-in-differences with propensity score matching to estimate the impacts of a health reform project in China that combined supply-side interventions aimed at improving the effectiveness and quality of care with demand-side measures aimed at expanding health insurance and providing financial support to the very poor. Data from household, village and facility surveys suggest the project reduced out-of-pocket spending, and the incidence of catastrophic spending and impoverishment through health expenses. Little impact is detected on the use of services, and while the evidence points to the project reducing sickness days, the evidence on health outcomes is mixed. (C) 2006 Elsevier B.V. All rights reserved.
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