FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1526079862> ?p ?o ?g. }

• W1526079862 abstract "Access to public and private health insurance in rural areas of low income countries is severely constrained by high unit cost of transaction per contract due to information asymmetries between insurance sellers and buyers. This leads to a situation in which the majority of the poor have to rely on out-of-pocket expenditures when they are ill, resulting in a high vulnerability for health shocks which negatively affect the overall risk management of the household, investment and resource allocation decisions. Recently, however, in various parts of the world community based health insurance schemes have emerged and are becoming increasingly recognized as an instrument to finance health care in poor developing countries. These mutual insurance schemes often develop out of micro-finance institutions such as the Grameen Bank in Bangladesh and are based on similar principles, i.e. relying on collective shared norms, solidarity and enforcement by peers. Taking the example of les mutuelles de santes (mutual health organization) in rural Senegal this paper analyzes weather or not members in a mutual health insurance scheme have actually a better access to health care than non-members. A binary probit model is estimated for the determinants of participation in a mutual and a logit/log linear model is used to measure the impact on health care utilization and financial protection. Impact is measured in terms of (a) access to health care facilities, i.e. if members frequent health facilities more often than non-members controlling for age, sex, education and the frequency of illness, which capture the need for health care and the health status and (b) the amount of out-of-pocket payments in case of health care use. The results show that while the health insurance schemes reach otherwise excluded people, the poorest of the poor in the communities are not covered. As important determinants for being a member beside income, we find that religion, belonging to a certain ethnic group, access to social capital and community characteristics are important. Regarding the impact on the access to health care, members of a mutual have better access to health care services than non-members after controlling for common individual, household and community characteristics. The probability of making use of hospitalization increases by 2 %-age points with membership and expenditure in case of need is reduced by about 50% compared with non-members. Given the results from this study, community financing schemes have the potential to improve existing the risk management capacity of rural households. To reduce identified limitations of the schemes, an enlargement of the risk pool and a scaling up/linking of the schemes is, however, a prerequisite. Appropriate instruments to be further tested should include re-insurance policies, subsidies for the poorest and developing linkages to the private sector via the promotion of group insurance policies. All these instruments call for a stronger role of public health policy in rural areas of low income countries." @default.
• W1526079862 created "2016-06-24" @default.
• W1526079862 creator A5079188061 @default.
• W1526079862 date "2002-01-01" @default.
• W1526079862 modified "2023-09-24" @default.
• W1526079862 title "THE IMPACT OF HEALTH INSURANCE ON THE ACCESS TO HEALTH CARE AND FINANCIAL PROTECTION IN RURAL AREAS OF DEVELOPING COUNTRIES: CASE STUDY SENEGAL" @default.
• W1526079862 doi "https://doi.org/10.22004/ag.econ.19641" @default.
• W1526079862 hasPublicationYear "2002" @default.
• W1526079862 type Work @default.
• W1526079862 sameAs 1526079862 @default.
• W1526079862 citedByCount "0" @default.
• W1526079862 crossrefType "posted-content" @default.
• W1526079862 hasAuthorship W1526079862A5079188061 @default.
• W1526079862 hasConcept C100001284 @default.
• W1526079862 hasConcept C10138342 @default.
• W1526079862 hasConcept C102139631 @default.
• W1526079862 hasConcept C14293393 @default.
• W1526079862 hasConcept C144133560 @default.
• W1526079862 hasConcept C160735492 @default.
• W1526079862 hasConcept C162118730 @default.
• W1526079862 hasConcept C162324750 @default.
• W1526079862 hasConcept C47344431 @default.
• W1526079862 hasConcept C50522688 @default.
• W1526079862 hasConcept C68799949 @default.
• W1526079862 hasConcept C78491826 @default.
• W1526079862 hasConcept C83864248 @default.
• W1526079862 hasConcept C96535974 @default.
• W1526079862 hasConceptScore W1526079862C100001284 @default.
• W1526079862 hasConceptScore W1526079862C10138342 @default.
• W1526079862 hasConceptScore W1526079862C102139631 @default.
• W1526079862 hasConceptScore W1526079862C14293393 @default.
• W1526079862 hasConceptScore W1526079862C144133560 @default.
• W1526079862 hasConceptScore W1526079862C160735492 @default.
• W1526079862 hasConceptScore W1526079862C162118730 @default.
• W1526079862 hasConceptScore W1526079862C162324750 @default.
• W1526079862 hasConceptScore W1526079862C47344431 @default.
• W1526079862 hasConceptScore W1526079862C50522688 @default.
• W1526079862 hasConceptScore W1526079862C68799949 @default.
• W1526079862 hasConceptScore W1526079862C78491826 @default.
• W1526079862 hasConceptScore W1526079862C83864248 @default.
• W1526079862 hasConceptScore W1526079862C96535974 @default.
• W1526079862 hasLocation W15260798621 @default.
• W1526079862 hasOpenAccess W1526079862 @default.
• W1526079862 hasPrimaryLocation W15260798621 @default.
• W1526079862 hasRelatedWork W187265402 @default.
• W1526079862 hasRelatedWork W2030771550 @default.
• W1526079862 hasRelatedWork W2097367275 @default.
• W1526079862 hasRelatedWork W2144088730 @default.
• W1526079862 hasRelatedWork W2147916938 @default.
• W1526079862 hasRelatedWork W2148018380 @default.
• W1526079862 hasRelatedWork W2198846339 @default.
• W1526079862 hasRelatedWork W2883504763 @default.
• W1526079862 hasRelatedWork W2967664065 @default.
• W1526079862 hasRelatedWork W3004933993 @default.
• W1526079862 hasRelatedWork W3005226996 @default.
• W1526079862 hasRelatedWork W3007820775 @default.
• W1526079862 hasRelatedWork W3124907323 @default.
• W1526079862 hasRelatedWork W3125107684 @default.
• W1526079862 hasRelatedWork W3125685024 @default.
• W1526079862 hasRelatedWork W3140235130 @default.
• W1526079862 hasRelatedWork W318596442 @default.
• W1526079862 hasRelatedWork W3202518536 @default.
• W1526079862 hasRelatedWork W34011512 @default.
• W1526079862 hasRelatedWork W879511075 @default.
• W1526079862 isParatext "false" @default.
• W1526079862 isRetracted "false" @default.
• W1526079862 magId "1526079862" @default.
• W1526079862 workType "article" @default.