The roll-out of a health insurance program and its impact on the supply of healthcare services: a new method to evaluate time-varying continuous interventions
Por:
Huffman, Curtis, van Gameren, Edwin
Publicada:
8 nov 2018
Resumen:
BackgroundWe analyze the effects of the Mexican universal health
insurance program, Seguro Popular, on key variables associated with the
provision of healthcare services. Given that the program was introduced
gradually over a period that lasted more than a decade, the dynamics of
the roll-out of the program and its reaction to the expansion of
healthcare services it caused should be accounted for when evaluating
the program.MethodsWe present a new semiparametric procedure to analyze
time-varying continuous interventions. This is accomplished by bringing
together the literatures on continuous and on dynamic treatments. Our
approach allows the researcher to estimate mean and quantile
dose-response functions by applying local regression methods to
appropriately weighted samples that control for time-dependent
confounding.ResultsUsing administrative data, we show compelling
evidence that Seguro Popular has incremented the human and physical
resources available for healthcare services over the period 2001-2013.
Moreover, we show that these effects have been heterogeneously
distributed.ConclusionsThe program has proven most helpful in less
vulnerable territories, leaving behind those in greater need.
Filiaciones:
Huffman, Curtis:
Univ Nacl Autonoma Mexico, Univ Nacl Autonoma Mexico, Programa Univ Estudios Desarrollo, Dev Studies Program, Mexico City, DF, Mexico
van Gameren, Edwin:
Colegio Mexico, Ctr Econ Studies, Carretera Picacho Ajusco 20, Mexico City 14110, DF, Mexico
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