The impact of subsidized health insurance on the poor in Colombia: Evaluating the case of Medellın

This paper uses count and binary data models with an endogenous dummy variable, and propensity score matching to evaluate the effect of the subsidized health care program in Medellin (Colombia). The subsidized program, which primarily covers poor people, is found to have neither a significant impact...

Full description

Autores:
Ramírez Hassan, Andrés
Cardona Jimenez, Johnatan
Cadavid Montoya, Ramiro
Tipo de recurso:
Fecha de publicación:
2011
Institución:
Universidad EAFIT
Repositorio:
Repositorio EAFIT
Idioma:
eng
OAI Identifier:
oai:repository.eafit.edu.co:10784/586
Acceso en línea:
http://hdl.handle.net/10784/586
Palabra clave:
Program Evaluation
Endogenous Dummy Regression
Count Models
Binary Models
Propensity Score Matching
Rights
License
Acceso abierto
id REPOEAFIT2_eed1fedcae76347983de10e4610ca2b0
oai_identifier_str oai:repository.eafit.edu.co:10784/586
network_acronym_str REPOEAFIT2
network_name_str Repositorio EAFIT
repository_id_str
dc.title.eng.fl_str_mv The impact of subsidized health insurance on the poor in Colombia: Evaluating the case of Medellın
title The impact of subsidized health insurance on the poor in Colombia: Evaluating the case of Medellın
spellingShingle The impact of subsidized health insurance on the poor in Colombia: Evaluating the case of Medellın
Program Evaluation
Endogenous Dummy Regression
Count Models
Binary Models
Propensity Score Matching
title_short The impact of subsidized health insurance on the poor in Colombia: Evaluating the case of Medellın
title_full The impact of subsidized health insurance on the poor in Colombia: Evaluating the case of Medellın
title_fullStr The impact of subsidized health insurance on the poor in Colombia: Evaluating the case of Medellın
title_full_unstemmed The impact of subsidized health insurance on the poor in Colombia: Evaluating the case of Medellın
title_sort The impact of subsidized health insurance on the poor in Colombia: Evaluating the case of Medellın
dc.creator.fl_str_mv Ramírez Hassan, Andrés
Cardona Jimenez, Johnatan
Cadavid Montoya, Ramiro
dc.contributor.author.none.fl_str_mv Ramírez Hassan, Andrés
Cardona Jimenez, Johnatan
Cadavid Montoya, Ramiro
dc.subject.keyword.eng.fl_str_mv Program Evaluation
Endogenous Dummy Regression
Count Models
Binary Models
Propensity Score Matching
topic Program Evaluation
Endogenous Dummy Regression
Count Models
Binary Models
Propensity Score Matching
description This paper uses count and binary data models with an endogenous dummy variable, and propensity score matching to evaluate the effect of the subsidized health care program in Medellin (Colombia). The subsidized program, which primarily covers poor people, is found to have neither a significant impact on the use of preventive medical care nor hospitalization. However, parametric specification of preventive utilization indicates that there is both selection and moral hazard, effects that compensated approximately. These facts imply that the program can improve its coverage if mechanisms are created to lower the individual moral hazard effect.
publishDate 2011
dc.date.issued.none.fl_str_mv 2011-09-05
dc.date.available.none.fl_str_mv 2013-03-08
2013-03-11T14:17:15Z
dc.date.accessioned.none.fl_str_mv 2013-03-11T14:17:15Z
dc.type.eng.fl_str_mv workingPaper
info:eu-repo/semantics/workingPaper
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_b1a7d7d4d402bcce
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_8042
dc.type.local.spa.fl_str_mv Documento de trabajo de investigación
dc.type.hasVersion.eng.fl_str_mv draft
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10784/586
dc.identifier.jel.none.fl_str_mv I18
I38
C21
url http://hdl.handle.net/10784/586
identifier_str_mv I18
I38
C21
dc.language.iso.eng.fl_str_mv eng
language eng
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.local.spa.fl_str_mv Acceso abierto
rights_invalid_str_mv Acceso abierto
http://purl.org/coar/access_right/c_abf2
dc.coverage.spatial.eng.fl_str_mv Medellín de: Lat: 06 15 00 N degrees minutes Lat: 6.2500 decimal degrees Long: 075 36 00 W degrees minutes Long: -75.6000 decimal degrees
institution Universidad EAFIT
bitstream.url.fl_str_mv https://repository.eafit.edu.co/bitstreams/404a00ba-944a-4206-8126-47fcd5973278/download
https://repository.eafit.edu.co/bitstreams/3ee108dd-09c7-4ea9-9e92-fbfb84cfef81/download
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bitstream.checksumAlgorithm.fl_str_mv MD5
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repository.name.fl_str_mv Repositorio Institucional Universidad EAFIT
repository.mail.fl_str_mv repositorio@eafit.edu.co
_version_ 1814110447542992896
spelling Medellín de: Lat: 06 15 00 N degrees minutes Lat: 6.2500 decimal degrees Long: 075 36 00 W degrees minutes Long: -75.6000 decimal degrees2013-03-082013-03-11T14:17:15Z2011-09-052013-03-11T14:17:15Zhttp://hdl.handle.net/10784/586I18I38C21This paper uses count and binary data models with an endogenous dummy variable, and propensity score matching to evaluate the effect of the subsidized health care program in Medellin (Colombia). The subsidized program, which primarily covers poor people, is found to have neither a significant impact on the use of preventive medical care nor hospitalization. However, parametric specification of preventive utilization indicates that there is both selection and moral hazard, effects that compensated approximately. These facts imply that the program can improve its coverage if mechanisms are created to lower the individual moral hazard effect.engThe impact of subsidized health insurance on the poor in Colombia: Evaluating the case of MedellınworkingPaperinfo:eu-repo/semantics/workingPaperDocumento de trabajo de investigacióndrafthttp://purl.org/coar/version/c_b1a7d7d4d402bccehttp://purl.org/coar/resource_type/c_8042Acceso abiertohttp://purl.org/coar/access_right/c_abf2Program EvaluationEndogenous Dummy RegressionCount ModelsBinary ModelsPropensity Score MatchingRamírez Hassan, AndrésCardona Jimenez, JohnatanCadavid Montoya, Ramiroaramir21@eafit.edu.cojhonatamc@gmail.comramirocadavid@gmail.comORIGINAL2011-11 Andres Ramirez Hassan.pdf2011-11 Andres Ramirez Hassan.pdfapplication/pdf472155https://repository.eafit.edu.co/bitstreams/404a00ba-944a-4206-8126-47fcd5973278/download6bedc89a24ad33286a37f28229efd6a5MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://repository.eafit.edu.co/bitstreams/3ee108dd-09c7-4ea9-9e92-fbfb84cfef81/download8a4605be74aa9ea9d79846c1fba20a33MD5210784/586oai:repository.eafit.edu.co:10784/5862024-03-05 14:06:25.349open.accesshttps://repository.eafit.edu.coRepositorio Institucional Universidad EAFITrepositorio@eafit.edu.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