Benefit Incidence Analysis Are Government Health Expenditures : More Pro-Rich Than We Think?

doi:10.1002/hec.1727

Publication:
Benefit Incidence Analysis Are Government Health Expenditures : More Pro-Rich Than We Think?

dc.contributor.author	Wagstaff, Adam
dc.date.accessioned	2012-03-30T07:31:32Z
dc.date.available	2012-03-30T07:31:32Z
dc.date.issued	2012-04
dc.description.abstract	Authors of benefit-incidence analyses (BIA) have to impute subsidies using assumptions about the relationship between unobserved subsidies 'captured' by the household and what can be observed at the household and aggregate levels. This paper shows that one of the two assumptions used in BIA studies to date will necessarily produce a more pro-rich (or less pro-poor) picture of government health spending than the other, depending on whether utilization is more pro-rich or pro-poor than fees paid to public providers. Both assumptions have their disadvantages, and the paper suggests a couple of alternatives that explicitly link fees paid to the costliness of care. It shows that in the most likely case where fees are distributed in a more pro-rich fashion than utilization, the two traditional assumptions will produce less pro-rich distributions of subsidies than the two new alternatives. Also considered are three complications that arise in BIA studies, including factoring in social health insurance. The paper's theoretical results are illustrated with an empirical BIA for Vietnam. Copyright (c) 2011 John Wiley & Sons, Ltd. May be used for non-commercial purposes in accordance with Wiley Terms and conditions at http://olabout.wiley.com/WileyCDA/Section/id-817011.html	en
dc.identifier.citation	Health Economics
dc.identifier.doi	10.1596/5146
dc.identifier.issn	1057-9230
dc.identifier.uri	https://hdl.handle.net/10986/5146
dc.language.iso	EN
dc.relation.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.rights	May be used for non-commercial purposes in accordance with Wiley Terms and conditions
dc.rights.holder	World Bank
dc.rights.uri	http://olabout.wiley.com/WileyCDA/Section/id-817011.html
dc.title	Benefit Incidence Analysis Are Government Health Expenditures : More Pro-Rich Than We Think?	en
dc.title.alternative	Health Economics	en
dc.type	Journal Article	en
dc.type	Article de journal	fr
dc.type	Artículo de revista	es
dspace.entity.type	Publication
okr.date.doiregistration	2025-05-06T11:19:24.814158Z
okr.doctype	Journal Article
okr.externalcontent	External Content
okr.identifier.doi	10.1002/hec.1727
okr.identifier.externaldocumentum	1847
okr.identifier.internaldocumentum	21394820
okr.identifier.report	104034
okr.journal.nbpages	351-66
okr.language.supported	en
okr.peerreview	Academic Peer Review
okr.relation.associatedurl	http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=21394820
okr.relation.associatedurl	http://onlinelibrary.wiley.com/doi/10.1002/hec.1727/abstract
okr.volume	21(4)
relation.isAuthorOfPublication	5d38fde2-5803-56c6-b733-3866ea5be265
relation.isAuthorOfPublication.latestForDiscovery	5d38fde2-5803-56c6-b733-3866ea5be265