Health Care Services Utilization and Health Insurance Coverage: Evidence from Argentina
Keywords:
health insurance, health care utilization, selection bias, Argentina, morbidity, outpatient servicesAbstract
This study is the first comprehensive analysis of the relationship between health care services utilization and health insurance coverage for Argentina. Using data from a 1989 household survey, a two equation model is estimated in order to account for the selection bias in health insurance markets and the stochastic dependence between health insurance and utilization. The evidence found, using data on visits to outpatient health care services, is consistent with conventional theory and studies for the other countries. Health insurance coverage positively affects health care utilization. The most important factors determining the intensity of health care services utilization are morbidity conditions. Health insurance coverage is strongly affected by factors related to the labor market; income appears to have an important effect only on the health insurance equation.Downloads
References
Aedo, C., & Bertranou, F. (1993). Días de hospitalización: Análisis empírico de sus determinantes económicos. Estudios, 66(julio/septiembre), 75–81.
Arrow, K. J. (1963). Uncertainty and the welfare economics of medical care. American Economic Review, 53(5), 941–973.
Bertranou, F. (1997). Argentina's health care sector: Organization, performance and reform [Mimeo]. University of Pittsburgh.
Bolduc, D., Lacroix, G., & Muller, C. (1996). The choice of medical providers in rural Bénin: A comparison of discrete choice models. Journal of Health Economics, 15(4), 477–498. https://doi.org/10.1016/s0167-6296(96)00492-4
Cardon, J., & Hendel, I. (1996). Asymmetric information in health care and health insurance markets: Evidence from the National Medical Expenditure Survey [Mimeo]. Princeton University.
Cameron, A. C., Trivedi, P. K., & Milne, F. (1988). A microeconometric model of the demand for health care and health insurance in Australia. Review of Economic Studies, 55(1), 85–106. https://doi.org/10.2307/2297531
Cameron, A. C., & Trivedi, P. K. (1991). The role of income and health risk in the choice of health insurance. Evidence from Australia. Journal of Public Economics, 45(1), 1–28.
Currie, J., & Thomas, J. (1995). Health insurance eligibility, utilization of medical care, and child health (NBER Working Paper N.º 5052). National Bureau of Economic Research.
Farley, P. J., & Monheit, A. C. (1985). Selectivity in the demand for health insurance and health care. In R. M. Scheffler & L. F. Rossiter (Eds.), Advances in health economics and health services research (Vol. 6, pp. 231–248). JAI Press.
Feldstein, M. S. (1973). The welfare loss of excess health insurance. Journal of Political Economy, 81(2), 251–280. https://doi.org/10.1086/260027
Gertler, P., & Sturm, R. (1997). Private insurance and public expenditures in Jamaica. Journal of Econometrics, 77(1), 237–257. https://doi.org/10.1016/s0304-4076(96)01814-3
Greene, W. H. (1997). Econometric analysis (3.ª ed.). Prentice Hall.
Grossman, M. (1972). The demand for health: A theoretical and empirical investigation. Columbia University Press.
Hopkins, S., & Kidd, M. P. (1996). The determinants of the demand for private health insurance under Medicare. Applied Economics, 28(12), 1623–1632. https://doi.org/10.1080/000368496327598
Katz, J., Arce, H., & Muñoz, A. (1993). El modelo organizacional vigente y sus orígenes histórico-institucionales. In J. Katz (Ed.), El sector salud en la República Argentina: Su estructura y comportamiento (pp. 13–30). Fondo de Cultura Económica.
Katz, J., & Muñoz, O. (1988). Organización del sector salud. Puja distributiva y equidad. CEAL-CEPAL.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 1998 Fabio Bertranou

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Article usage
- ViewsTimes this article's page was opened since the journal started recording statistics. One person can visit more than once.
- 216
- DownloadsTimes the full text of this article (usually the PDF) was opened or downloaded.
- 226
All time, as recorded by the journal.
Last 2 years: 54 views, 88 downloads.
1.05 downloads per view (journal average 1.65).Downloads of the full text for every abstract view of this article, compared with the whole journal.
Explore the journal's metrics