Encouraging Health Insurance for the Informal Sector : A Cluster Randomized Trial

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collection.link.5
https://openknowledge.worldbank.org/handle/10986/9
collection.name.5
Policy Research Working Papers
dc.contributor.author
Wagstaff, Adam
dc.contributor.author
Nguyen, Ha Thi Hong
dc.contributor.author
Dao, Huyen
dc.contributor.author
Bales, Sarah
dc.date.accessioned
2014-06-25T21:41:26Z
dc.date.available
2014-06-25T21:41:26Z
dc.date.issued
2014-06
dc.date.lastModified
2021-04-23T14:03:49Z
dc.description.abstract
Subsidized voluntary enrollment in government-run health insurance schemes is often proposed as a way of increasing coverage among informal sector workers and their families. This paper reports the results of a cluster randomized control trial in which 3,000 households in 20 communes in Vietnam were randomly assigned at baseline to a control group or one of three treatments: an information leaflet about Vietnam s government-run scheme and the benefits of health insurance; a voucher entitling eligible household members to 25 percent off their annual premium; and both. The four groups were balanced at baseline. In the control group, 6.3 percent (82/1296) of individuals were enrolled in the endline, compared with 6.3 percent (79/1257), 7.2 percent (96/1327), and 7.0 percent (87/1245) in the information, subsidy, and combined intervention groups; the adjusted odds ratios were 0.94, 1.12, and 1.15, respectively. Only among those reporting poor health were any significant intervention effects found, and only for the combined intervention: an enrollment rate of 16.3 percent (33/202) compared with 8.3 percent (18/218) in the control group, and an adjusted odds ratio of 2.50. The results suggest limited opportunities to raise voluntary health insurance enrollment through information campaigns and subsidies, and that these interventions exacerbate adverse selection.
en
dc.identifier
http://documents.worldbank.org/curated/en/2014/06/19641542/encouraging-health-insurance-informal-sector-cluster-randomized-trial-encouraging-health-insurance-informal-sector-cluster-randomized-trial
dc.identifier.uri
http://hdl.handle.net/10986/18768
dc.language
English
dc.language.iso
en_US
dc.publisher
World Bank, Washington, DC
dc.relation.ispartofseries
Policy Research Working Paper;No. 6910
dc.rights
CC BY 3.0 IGO
dc.rights.uri
http://creativecommons.org/licenses/by/3.0/igo/
dc.subject
ADVERSE SELECTION
dc.subject
CHEMOTHERAPY
dc.subject
COMMUNES
dc.subject
COMMUNITIES
dc.subject
COMMUNITY HEALTH
dc.subject
DEMAND FOR HEALTH
dc.subject
DEMAND FOR INSURANCE
dc.subject
DIALYSIS
dc.subject
DISTRICTS
dc.subject
ENROLLEES
dc.subject
EXPECTED LOSS
dc.subject
FAMILIES
dc.subject
FINANCIAL INCENTIVES
dc.subject
FINANCIAL PROTECTION
dc.subject
HEALTH CARE
dc.subject
HEALTH COVERAGE
dc.subject
HEALTH ECONOMICS
dc.subject
HEALTH FACILITIES
dc.subject
HEALTH FINANCING
dc.subject
HEALTH INSURANCE
dc.subject
HEALTH INSURANCE ENROLLMENT DECISION
dc.subject
HEALTH INSURANCE PROGRAM
dc.subject
HEALTH INSURANCE SCHEME
dc.subject
HEALTH INSURANCE SCHEMES
dc.subject
HEALTH ORGANIZATION
dc.subject
HEALTH PLANNING
dc.subject
HEALTH POLICY
dc.subject
HEALTH STRATEGY
dc.subject
HEALTH SYSTEM
dc.subject
HEALTH SYSTEM PERFORMANCE
dc.subject
HEALTH SYSTEMS
dc.subject
HEALTH-CARE
dc.subject
HOUSEHOLD INCOME
dc.subject
HOUSEHOLDS
dc.subject
HUMAN DEVELOPMENT
dc.subject
INCOME COUNTRIES
dc.subject
INFORMAL SECTOR
dc.subject
INFORMAL SECTOR WORKERS
dc.subject
INFORMATION CAMPAIGNS
dc.subject
INFORMATION PACK
dc.subject
INSURANCE COVERAGE
dc.subject
INSURANCE PREMIUM
dc.subject
INTERVENTION
dc.subject
INTERVENTIONS
dc.subject
LIVING STANDARDS
dc.subject
LOCALITIES
dc.subject
MEDICAL PERSONNEL
dc.subject
PHYSICIAN
dc.subject
POLICY DISCUSSIONS
dc.subject
POLICY RESEARCH
dc.subject
PRIMARY CARE
dc.subject
PROBABILITY
dc.subject
PUBLIC HOSPITAL
dc.subject
SOCIAL HEALTH INSURANCE
dc.subject
SOCIAL SCIENCE
dc.subject
SOCIAL SECURITY
dc.subject
SOCIAL SECURITY HEALTH INSURANCE
dc.subject
TREATMENTS
dc.subject
UNIVERSAL HEALTH INSURANCE COVERAGE
dc.subject
WORKERS
dc.title
Encouraging Health Insurance for the Informal Sector : A Cluster Randomized Trial
en
okr.date.disclosure
2014-06-01
okr.doctype
Publications & Research :: Policy Research Working Paper
okr.doctype
Publications & Research
okr.docurl
http://documents.worldbank.org/curated/en/2014/06/19641542/encouraging-health-insurance-informal-sector-cluster-randomized-trial-encouraging-health-insurance-informal-sector-cluster-randomized-trial
okr.globalpractice
Social, Urban, Rural and Resilience
okr.globalpractice
Health, Nutrition, and Population
okr.globalpractice
Governance
okr.globalpractice
Health, Nutrition, and Population
okr.googlescholar.linkpresent
yes
okr.identifier.doi
10.1596/1813-9450-6910
okr.identifier.externaldocumentum
000158349_20140609100646
okr.identifier.internaldocumentum
19641542
okr.identifier.report
WPS6910
okr.language.supported
en
okr.pdfurl
http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/06/09/000158349_20140609100646/Rendered/PDF/WPS6910.pdf
en
okr.region.administrative
East Asia and Pacific
okr.region.country
Vietnam
okr.topic
Health Monitoring and Evaluation
okr.topic
Law and Development :: Health Law
okr.topic
Housing and Human Habitats
okr.topic
Health Systems Development and Reform
okr.topic
Health Economics and Finance
okr.topic
Communities and Human Settlements
okr.topic
Health, Nutrition and Population
okr.unit
Human Development and Public Services Team, Development Research Group
okr.volume
1 of 1

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