• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文学位 >The Impact of Health Insurance Coverage on the Use of Preventive Health Services and Healthy Behaviors: Evidence from Mexico's Public Health Insurance Program 'Seguro Popular'.
【24h】

The Impact of Health Insurance Coverage on the Use of Preventive Health Services and Healthy Behaviors: Evidence from Mexico's Public Health Insurance Program 'Seguro Popular'.

机译：健康保险承保范围对预防保健服务的使用和健康行为的影响：来自墨西哥公共健康保险计划“ Seguro Popular”的证据。

获取原文
获取原文并翻译 | 示例
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

By reducing the cost of care, health insurance positively affects the income of consumers but reduces the returns of investing in prevention that, in turn, affect the risk or severity of illness. This situation in which consumers alter their behavior when provided with health insurance coverage is called moral hazard. After gaining health insurance that covers preventive care, newly insured individuals may increase their consumption of preventive services. However, they may also engage in riskier behaviors. Empirical studies have attempted to test these countervailing effects of insurance coverage in prevention but findings are ambiguous. This dissertation analyzes the impact of Mexico's Public Health Insurance Program, Seguro Popular (SP) (formally introduced in every Mexican state after the 2003 Mexican health reform to expand coverage to the uninsured), on different measures of healthy behaviors and use of preventive care. Using longitudinal data from the Mexican Life Family Survey (2002-2009), a difference-in-difference (DD) approach is used to exploit exogenous variation in SP coverage both across states and over time. Results suggest that SP had positive impact on the use of preventive doctor visits (mostly among women), and on the self-reported use of breast exam among women aged 30-50, but these effects were only temporary. Long-term effects suggest that SP negatively affected the proportion of young women aged 15-29 who report to have a Pap smear periodically, and had a negative impact on the level of physical activity reported by both men and women. Understanding the effect of health insurance on the uptake of preventive care has important policy implications for government sponsored health insurance programs that aim to promote disease prevention and healthy lifestyle choices. Policy options to address these issues include: (i) increased access to preventive services through mobile units of care in remote underserved areas, (ii) gender-specific educational campaigns to provide Mexicans with more and better information about the importance of prevention and services available through SP; and (iii) specific interventions to encourage individuals to take simple steps in their everyday routines that could increase exercise adherence.
机译：通过降低护理成本，健康保险会积极影响消费者的收入，但会减少预防投资的回报，进而影响疾病的风险或严重性。消费者在获得健康保险后会改变其行为的这种情况称为道德风险。在获得涵盖预防保健的健康保险后，新参保的个人可能会增加其预防服务的消费。但是，他们也可能从事冒险行为。实证研究试图检验保险在预防中的反作用，但结果尚不明确。本文分析了墨西哥公共健康保险计划Seguro Popular（SP）（在2003年墨西哥健康改革后正式在每个墨西哥州引入，以将覆盖范围扩大到未投保者）对健康行为和预防保健措施的不同影响。利用来自墨西哥生命家庭调查（2002-2009）的纵向数据，采用差异差异（DD）方法来研究各州之间以及一段时间内SP覆盖率的外生变化。结果表明，SP对预防性就诊（主要在女性中）的使用以及对30-50岁女性自我报告的乳房检查使用产生积极影响，但这些影响只是暂时的。长期影响表明，SP对15-29岁的年轻妇女的比例产生了负面影响，这些妇女报告定期进行子宫颈抹片检查，对男性和女性的体育锻炼水平均具有负面影响。理解健康保险对预防保健的影响对政府发起的旨在促进疾病预防和健康生活方式选择的健康保险计划具有重要的政策意义。解决这些问题的政策选择包括：（i）通过偏远服务不足地区的流动医疗单位增加获得预防服务的机会；（ii）针对性别的教育运动，以向墨西哥人提供更多和更好的有关预防和可用服务的重要性的信息通过SP; （iii）采取具体干预措施，鼓励个人在日常工作中采取简单的步骤，以增加运动的依从性。

著录项

  • 作者

    Torres Garcia, Ana Cristina.;

  • 作者单位

    The George Washington University.;

  • 授予单位 The George Washington University.;
  • 学科 Public policy.;Latin American studies.;Health care management.;Economics.
  • 学位 Ph.D.
  • 年度 2015
  • 页码 129 p.
  • 总页数 129
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号