The right to health and the health effects of denials

Códigos JEL: I11, I13, I18, K4

Autores:
Bhalotra, Sonia
Fernández, Manuel
Tipo de recurso:
Work document
Fecha de publicación:
2021
Institución:
Universidad de los Andes
Repositorio:
Séneca: repositorio Uniandes
Idioma:
eng
OAI Identifier:
oai:repositorio.uniandes.edu.co:1992/51781
Acceso en línea:
http://hdl.handle.net/1992/51781
Palabra clave:
Health care
Health insurance
Mortality
Right-to-health
Litigation
Universal-health-coverage
Colombia
Rights
openAccess
License
http://creativecommons.org/licenses/by-nc-nd/4.0/
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spelling Al consultar y hacer uso de este recurso, está aceptando las condiciones de uso establecidas por los autores.http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Bhalotra, Sonia85ced17c-e8a3-4d17-9c06-4cdd7900c2b3500Fernández, Manuelb713da7f-811a-4846-adf2-fc6ea10c2b015002021-08-25T13:12:23Z2021-08-25T13:12:23Z2021http://hdl.handle.net/1992/517811657-719110.57784/1992/51781instname:Universidad de los Andesreponame:Repositorio Institucional Sénecarepourl:https://repositorio.uniandes.edu.co/Códigos JEL: I11, I13, I18, K4We estimate the health costs of supply-side barriers to accessing medical care. The setting is Colombia, where citizens have a constitutional right to health care, but insurance companies that manage delivery impose restrictions on access. We use administrative data on judicial claims for health as a proxy for unmet demand. We validate this using the register recording all health service utilization, estimating that a one standard deviation increase in judicial claims is associated with pervasive decreases in utilization rates of between 0.25 and 0.71 standard deviations, including in medical consultations, procedures, hospitalizations and emergency care. These restrictions on access manifest in population health outcomes. We estimate that a one standard deviation increase in judicial claims increases the all-cause mortality rate by between 0.10 and 0.23 standard deviations. Increases in mortality are pervasive across causes, with the largest increase in deaths from certain cancers. They are also pervasive across the age and sex distribution but larger among individuals over the age of fifty and (weakly) among women and the low-income population.53 páginasapplication/pdfengUniversidad de los Andes, Facultad de Economía, CEDEDocumentos CEDE No. 44 Agosto de 2021https://ideas.repec.org/p/col/000089/019555.htmlThe right to health and the health effects of denialsDocumento de trabajoinfo:eu-repo/semantics/workingPaperhttp://purl.org/coar/resource_type/c_8042http://purl.org/coar/version/c_970fb48d4fbd8a85Texthttps://purl.org/redcol/resource_type/WPHealth careHealth insuranceMortalityRight-to-healthLitigationUniversal-health-coverageColombiaFacultad de EconomíaPublicationTEXTdcede2021-44.pdf.txtdcede2021-44.pdf.txtExtracted texttext/plain110629https://repositorio.uniandes.edu.co/bitstreams/df53e9d1-aaea-448e-a422-50875bbcd997/downloadc318b23bc00892697e0fc5dcd72bf94bMD54THUMBNAILdcede2021-44.pdf.jpgdcede2021-44.pdf.jpgIM Thumbnailimage/jpeg16597https://repositorio.uniandes.edu.co/bitstreams/4873c57d-1fe8-4eb0-b9db-260243a1eee0/download0397d1c7937b4f86dc6f03ff57fea923MD55ORIGINALdcede2021-44.pdfdcede2021-44.pdfapplication/pdf11910823https://repositorio.uniandes.edu.co/bitstreams/1185f93c-e68a-40f3-8bc0-dcbb57bac855/downloada662b9ac946c6d1149ebbe8a388f6363MD511992/51781oai:repositorio.uniandes.edu.co:1992/517812024-06-04 15:46:13.86http://creativecommons.org/licenses/by-nc-nd/4.0/open.accesshttps://repositorio.uniandes.edu.coRepositorio institucional Sénecaadminrepositorio@uniandes.edu.co
dc.title.none.fl_str_mv The right to health and the health effects of denials
title The right to health and the health effects of denials
spellingShingle The right to health and the health effects of denials
Health care
Health insurance
Mortality
Right-to-health
Litigation
Universal-health-coverage
Colombia
title_short The right to health and the health effects of denials
title_full The right to health and the health effects of denials
title_fullStr The right to health and the health effects of denials
title_full_unstemmed The right to health and the health effects of denials
title_sort The right to health and the health effects of denials
dc.creator.fl_str_mv Bhalotra, Sonia
Fernández, Manuel
dc.contributor.author.none.fl_str_mv Bhalotra, Sonia
Fernández, Manuel
dc.subject.keyword.none.fl_str_mv Health care
Health insurance
Mortality
Right-to-health
Litigation
Universal-health-coverage
Colombia
topic Health care
Health insurance
Mortality
Right-to-health
Litigation
Universal-health-coverage
Colombia
description Códigos JEL: I11, I13, I18, K4
publishDate 2021
dc.date.accessioned.none.fl_str_mv 2021-08-25T13:12:23Z
dc.date.available.none.fl_str_mv 2021-08-25T13:12:23Z
dc.date.issued.none.fl_str_mv 2021
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dc.relation.ispartofseries.none.fl_str_mv Documentos CEDE No. 44 Agosto de 2021
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dc.publisher.none.fl_str_mv Universidad de los Andes, Facultad de Economía, CEDE
publisher.none.fl_str_mv Universidad de los Andes, Facultad de Economía, CEDE
institution Universidad de los Andes
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