The Impact of Health Insurance Schemes for the Informal Sector in Low- and Middle-Income Countries : A Systematic Review
This paper summarizes the literature on the impact of state subsidized or social health insurance schemes that have been offered, mostly on a voluntary basis, to the informal sector in low- and middle-income countries. A substantial number of papers provide estimations of average treatment on the tr...
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Published by Oxford University Press on behalf of the World Bank
2015
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| Online Access: | http://hdl.handle.net/10986/21431 |
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okr-10986-214312021-04-23T14:04:02Z The Impact of Health Insurance Schemes for the Informal Sector in Low- and Middle-Income Countries : A Systematic Review Acharya, Arnab Vellakkal, Sukumar Taylor, Fiona Masset, Edoardo Satija, Ambika Burke, Margaret Ebrahim, Shah aging population anxiety diabetes health care health services mortality nutrition public health randomized controlled trials health insurance This paper summarizes the literature on the impact of state subsidized or social health insurance schemes that have been offered, mostly on a voluntary basis, to the informal sector in low- and middle-income countries. A substantial number of papers provide estimations of average treatment on the treated effect for insured persons. We summarize papers that correct for the problem of self-selection into insurance and papers that estimate the average intention to treat effect. Summarizing the literature was difficult because of the lack of (1) uniformity in the use of meaningful definitions of outcomes that indicate welfare improvements and (2) clarity in the consideration of selection issues. We find the uptake of insurance schemes, in many cases, to be less than expected. In general, we find no strong evidence of an impact on utilization, protection from financial risk, and health status. However, a few insurance schemes afford significant protection from high levels of out-of-pocket expenditures. In these cases, however, the impact on the poor is weaker. More information is needed to understand the reasons for low enrollment and to explain the limited impact of health insurance among the insured. 2015-02-11T22:43:06Z 2015-02-11T22:43:06Z 2013-08-01 Journal Article World Bank Research Observer 1564-6971 http://hdl.handle.net/10986/21431 en_US CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo/ World Bank Published by Oxford University Press on behalf of the World Bank Publications & Research Publications & Research :: Journal Article |
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Digital Repository |
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Foreign Institution |
| institution |
Digital Repositories |
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World Bank Open Knowledge Repository |
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World Bank |
| language |
en_US |
| topic |
aging population anxiety diabetes health care health services mortality nutrition public health randomized controlled trials health insurance |
| spellingShingle |
aging population anxiety diabetes health care health services mortality nutrition public health randomized controlled trials health insurance Acharya, Arnab Vellakkal, Sukumar Taylor, Fiona Masset, Edoardo Satija, Ambika Burke, Margaret Ebrahim, Shah The Impact of Health Insurance Schemes for the Informal Sector in Low- and Middle-Income Countries : A Systematic Review |
| description |
This paper summarizes the literature on the impact of state subsidized or social health insurance schemes that have been offered, mostly on a voluntary basis, to the informal sector in low- and middle-income countries. A substantial number of papers provide estimations of average treatment on the treated effect for insured persons. We summarize papers that correct for the problem of self-selection into insurance and papers that estimate the average intention to treat effect. Summarizing the literature was difficult because of the lack of (1) uniformity in the use of meaningful definitions of outcomes that indicate welfare improvements and (2) clarity in the consideration of selection issues. We find the uptake of insurance schemes, in many cases, to be less than expected. In general, we find no strong evidence of an impact on utilization, protection from financial risk, and health status. However, a few insurance schemes afford significant protection from high levels of out-of-pocket expenditures. In these cases, however, the impact on the poor is weaker. More information is needed to understand the reasons for low enrollment and to explain the limited impact of health insurance among the insured. |
| format |
Journal Article |
| author |
Acharya, Arnab Vellakkal, Sukumar Taylor, Fiona Masset, Edoardo Satija, Ambika Burke, Margaret Ebrahim, Shah |
| author_facet |
Acharya, Arnab Vellakkal, Sukumar Taylor, Fiona Masset, Edoardo Satija, Ambika Burke, Margaret Ebrahim, Shah |
| author_sort |
Acharya, Arnab |
| title |
The Impact of Health Insurance Schemes for the Informal Sector in Low- and Middle-Income Countries : A Systematic Review |
| title_short |
The Impact of Health Insurance Schemes for the Informal Sector in Low- and Middle-Income Countries : A Systematic Review |
| title_full |
The Impact of Health Insurance Schemes for the Informal Sector in Low- and Middle-Income Countries : A Systematic Review |
| title_fullStr |
The Impact of Health Insurance Schemes for the Informal Sector in Low- and Middle-Income Countries : A Systematic Review |
| title_full_unstemmed |
The Impact of Health Insurance Schemes for the Informal Sector in Low- and Middle-Income Countries : A Systematic Review |
| title_sort |
impact of health insurance schemes for the informal sector in low- and middle-income countries : a systematic review |
| publisher |
Published by Oxford University Press on behalf of the World Bank |
| publishDate |
2015 |
| url |
http://hdl.handle.net/10986/21431 |
| _version_ |
1764448242541527040 |