Can insurance increase financial risk?: the curious case of health insurance in China
Saved in:
| Main Author: | |
|---|---|
| Format: | Electronic eBook |
| Language: | English |
| Published: |
[Washington, D.C]
World Bank
2005
|
| Series: | Policy research working paper
3741 |
| Subjects: | |
| Links: | http://elibrary.worldbank.org/content/workingpaper/10.1596/1813-9450-3741 |
| Item Description: | Includes bibliographical references. - Title from PDF file as viewed on 10/7/2005 Erscheinungsjahr in Vorlageform:[2005] Weitere Ausgabe: Wagstaff, Adam : Can insurance increase financial risk? |
| Physical Description: | 1 Online-Ressource (22 Seiten) |
Staff View
MARC
| LEADER | 00000nam a2200000 cb4500 | ||
|---|---|---|---|
| 001 | BV040618346 | ||
| 003 | DE-604 | ||
| 005 | 20241217 | ||
| 007 | cr|uuu---uuuuu | ||
| 008 | 121206s2005 xxu o|||| 00||| eng d | ||
| 035 | |a (ZDB-1-WBA)093222939 | ||
| 035 | |a (OCoLC)874233739 | ||
| 035 | |a (DE-599)GBVNLM005459087 | ||
| 040 | |a DE-604 |b ger |e aacr | ||
| 041 | 0 | |a eng | |
| 044 | |a xxu |c XD-US | ||
| 049 | |a DE-12 |a DE-1102 |a DE-1051 |a DE-521 |a DE-863 |a DE-862 |a DE-522 |a DE-858 |a DE-573 |a DE-860 |a DE-1046 |a DE-1047 |a DE-Aug4 |a DE-2070s |a DE-M347 |a DE-1049 |a DE-898 |a DE-128 |a DE-M352 |a DE-70 |a DE-92 |a DE-150 |a DE-155 |a DE-22 |a DE-91 |a DE-384 |a DE-473 |a DE-19 |a DE-739 |a DE-20 |a DE-703 |a DE-706 |a DE-355 |a DE-29 |a DE-859 |a DE-Re13 |a DE-523 | ||
| 050 | 0 | |a HG3881.5.W57 | |
| 100 | 1 | |a Wagstaff, Adam |d 1959- |e Verfasser |0 (DE-588)170315606 |4 aut | |
| 245 | 1 | 0 | |a Can insurance increase financial risk? |b the curious case of health insurance in China |c Adam Wagstaff, Magnus Lindelow |
| 264 | 1 | |a [Washington, D.C] |b World Bank |c 2005 | |
| 300 | |a 1 Online-Ressource (22 Seiten) | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b c |2 rdamedia | ||
| 338 | |b cr |2 rdacarrier | ||
| 490 | 0 | |a Policy research working paper |v 3741 | |
| 500 | |a Includes bibliographical references. - Title from PDF file as viewed on 10/7/2005 | ||
| 500 | |a Erscheinungsjahr in Vorlageform:[2005] | ||
| 500 | |a Weitere Ausgabe: Wagstaff, Adam : Can insurance increase financial risk? | ||
| 520 | 1 | |a "The most basic argument for insurance is that it reduces financial risk. But since insurance opens up new opportunities for consuming expensive high-technology care which permits health improvements that are valued by the insured, and because in many settings the provider is able and has an incentive to exploit the informational advantage he has over the patient, it is not immediately obvious that insurance will in practice reduce financial risk. The authors analyze the effect of insurance on the probability of an individual incurring "high" annual health expenses using data from three household surveys-one a cross-section survey, the other two panel surveys. All come from China, a country where providers have until recently largely been paid fee-for-service (often according to a schedule that encourages the overprovision of high-technology care and the underprovision of basic care) and who are only lightly regulated. The authors define annual spending as "high" if it exceeds 5 percent of average income in the sample and as "catastrophic" if it exceeds 10 percent of the household's own per capita income. The estimates of the effect of insurance on financial risk allow for the possible endogeneity of health insurance in the panel datasets by allowing for a time-invariant fixed effect capturing unobserved risk that may be correlated with insurance status, and in the cross-section dataset by using instrumental variables, where availability of and eligibility for health insurance are used as instruments. The results suggest that during the 1990s China's government and labor insurance schemes increased financial risk associated with household health care spending, but that the rural cooperative medical scheme significantly reduced financial risk in some areas but increased it in others (though not significantly). | |
| 520 | 1 | |a [Fortsetzung 1. Abstract] From the results, it appears that China's new health insurance schemes (private schemes, including coverage of schoolchildren) have also increased the risk of high levels of out-of-pocket spending on health. Where the authors find evidence of health insurance increasing the risk of "high" out-of-pocket expenses, the marginal effect is of the order of 15-20 percent; in the case of "catastrophic" expenses, it is even larger. "--World Bank web site | |
| 534 | |c 2005 | ||
| 653 | |a Financial risk | ||
| 653 | |a Health insurance |a China | ||
| 653 | |a Risk |a China | ||
| 700 | 1 | |a Lindelow, Magnus |e Sonstige |4 oth | |
| 710 | 2 | |a World Bank |e Sonstige |4 oth | |
| 776 | 0 | 8 | |i Reproduktion von |a Wagstaff, Adam |t Can insurance increase financial risk? |d 2005 |
| 856 | 4 | 0 | |u http://elibrary.worldbank.org/content/workingpaper/10.1596/1813-9450-3741 |x Verlag |z URL des Erstveröffentlichers |3 Volltext |
| 912 | |a ZDB-1-WBA | ||
| 943 | 1 | |a oai:aleph.bib-bvb.de:BVB01-025445845 | |
Record in the Search Index
| DE-BY-TUM_katkey | 1900762 |
|---|---|
| _version_ | 1821940667682652161 |
| adam_text | |
| any_adam_object | |
| author | Wagstaff, Adam 1959- |
| author_GND | (DE-588)170315606 |
| author_facet | Wagstaff, Adam 1959- |
| author_role | aut |
| author_sort | Wagstaff, Adam 1959- |
| author_variant | a w aw |
| building | Verbundindex |
| bvnumber | BV040618346 |
| callnumber-first | H - Social Science |
| callnumber-label | HG3881 |
| callnumber-raw | HG3881.5.W57 |
| callnumber-search | HG3881.5.W57 |
| callnumber-sort | HG 43881.5 W57 |
| callnumber-subject | HG - Finance |
| collection | ZDB-1-WBA |
| ctrlnum | (ZDB-1-WBA)093222939 (OCoLC)874233739 (DE-599)GBVNLM005459087 |
| discipline | Wirtschaftswissenschaften |
| format | Electronic eBook |
| fullrecord | <?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>00000nam a2200000 cb4500</leader><controlfield tag="001">BV040618346</controlfield><controlfield tag="003">DE-604</controlfield><controlfield tag="005">20241217</controlfield><controlfield tag="007">cr|uuu---uuuuu</controlfield><controlfield tag="008">121206s2005 xxu o|||| 00||| eng d</controlfield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(ZDB-1-WBA)093222939</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(OCoLC)874233739</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)GBVNLM005459087</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-604</subfield><subfield code="b">ger</subfield><subfield code="e">aacr</subfield></datafield><datafield tag="041" ind1="0" ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="044" ind1=" " ind2=" "><subfield code="a">xxu</subfield><subfield code="c">XD-US</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">DE-12</subfield><subfield code="a">DE-1102</subfield><subfield code="a">DE-1051</subfield><subfield code="a">DE-521</subfield><subfield code="a">DE-863</subfield><subfield code="a">DE-862</subfield><subfield code="a">DE-522</subfield><subfield code="a">DE-858</subfield><subfield code="a">DE-573</subfield><subfield code="a">DE-860</subfield><subfield code="a">DE-1046</subfield><subfield code="a">DE-1047</subfield><subfield code="a">DE-Aug4</subfield><subfield code="a">DE-2070s</subfield><subfield code="a">DE-M347</subfield><subfield code="a">DE-1049</subfield><subfield code="a">DE-898</subfield><subfield code="a">DE-128</subfield><subfield code="a">DE-M352</subfield><subfield code="a">DE-70</subfield><subfield code="a">DE-92</subfield><subfield code="a">DE-150</subfield><subfield code="a">DE-155</subfield><subfield code="a">DE-22</subfield><subfield code="a">DE-91</subfield><subfield code="a">DE-384</subfield><subfield code="a">DE-473</subfield><subfield code="a">DE-19</subfield><subfield code="a">DE-739</subfield><subfield code="a">DE-20</subfield><subfield code="a">DE-703</subfield><subfield code="a">DE-706</subfield><subfield code="a">DE-355</subfield><subfield code="a">DE-29</subfield><subfield code="a">DE-859</subfield><subfield code="a">DE-Re13</subfield><subfield code="a">DE-523</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">HG3881.5.W57</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Wagstaff, Adam</subfield><subfield code="d">1959-</subfield><subfield code="e">Verfasser</subfield><subfield code="0">(DE-588)170315606</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Can insurance increase financial risk?</subfield><subfield code="b">the curious case of health insurance in China</subfield><subfield code="c">Adam Wagstaff, Magnus Lindelow</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">[Washington, D.C]</subfield><subfield code="b">World Bank</subfield><subfield code="c">2005</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">1 Online-Ressource (22 Seiten)</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="490" ind1="0" ind2=" "><subfield code="a">Policy research working paper</subfield><subfield code="v">3741</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Includes bibliographical references. - Title from PDF file as viewed on 10/7/2005</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Erscheinungsjahr in Vorlageform:[2005]</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Weitere Ausgabe: Wagstaff, Adam : Can insurance increase financial risk?</subfield></datafield><datafield tag="520" ind1="1" ind2=" "><subfield code="a">"The most basic argument for insurance is that it reduces financial risk. But since insurance opens up new opportunities for consuming expensive high-technology care which permits health improvements that are valued by the insured, and because in many settings the provider is able and has an incentive to exploit the informational advantage he has over the patient, it is not immediately obvious that insurance will in practice reduce financial risk. The authors analyze the effect of insurance on the probability of an individual incurring "high" annual health expenses using data from three household surveys-one a cross-section survey, the other two panel surveys. All come from China, a country where providers have until recently largely been paid fee-for-service (often according to a schedule that encourages the overprovision of high-technology care and the underprovision of basic care) and who are only lightly regulated. The authors define annual spending as "high" if it exceeds 5 percent of average income in the sample and as "catastrophic" if it exceeds 10 percent of the household's own per capita income. The estimates of the effect of insurance on financial risk allow for the possible endogeneity of health insurance in the panel datasets by allowing for a time-invariant fixed effect capturing unobserved risk that may be correlated with insurance status, and in the cross-section dataset by using instrumental variables, where availability of and eligibility for health insurance are used as instruments. The results suggest that during the 1990s China's government and labor insurance schemes increased financial risk associated with household health care spending, but that the rural cooperative medical scheme significantly reduced financial risk in some areas but increased it in others (though not significantly).</subfield></datafield><datafield tag="520" ind1="1" ind2=" "><subfield code="a">[Fortsetzung 1. Abstract] From the results, it appears that China's new health insurance schemes (private schemes, including coverage of schoolchildren) have also increased the risk of high levels of out-of-pocket spending on health. Where the authors find evidence of health insurance increasing the risk of "high" out-of-pocket expenses, the marginal effect is of the order of 15-20 percent; in the case of "catastrophic" expenses, it is even larger. "--World Bank web site</subfield></datafield><datafield tag="534" ind1=" " ind2=" "><subfield code="c">2005</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">Financial risk</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">Health insurance</subfield><subfield code="a">China</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">Risk</subfield><subfield code="a">China</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Lindelow, Magnus</subfield><subfield code="e">Sonstige</subfield><subfield code="4">oth</subfield></datafield><datafield tag="710" ind1="2" ind2=" "><subfield code="a">World Bank</subfield><subfield code="e">Sonstige</subfield><subfield code="4">oth</subfield></datafield><datafield tag="776" ind1="0" ind2="8"><subfield code="i">Reproduktion von</subfield><subfield code="a">Wagstaff, Adam</subfield><subfield code="t">Can insurance increase financial risk?</subfield><subfield code="d">2005</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">http://elibrary.worldbank.org/content/workingpaper/10.1596/1813-9450-3741</subfield><subfield code="x">Verlag</subfield><subfield code="z">URL des Erstveröffentlichers</subfield><subfield code="3">Volltext</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">ZDB-1-WBA</subfield></datafield><datafield tag="943" ind1="1" ind2=" "><subfield code="a">oai:aleph.bib-bvb.de:BVB01-025445845</subfield></datafield></record></collection> |
| id | DE-604.BV040618346 |
| illustrated | Not Illustrated |
| indexdate | 2025-01-11T15:28:06Z |
| institution | BVB |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-025445845 |
| oclc_num | 874233739 |
| open_access_boolean | |
| owner | DE-12 DE-1102 DE-1051 DE-521 DE-863 DE-BY-FWS DE-862 DE-BY-FWS DE-522 DE-858 DE-573 DE-860 DE-1046 DE-1047 DE-Aug4 DE-2070s DE-M347 DE-1049 DE-898 DE-BY-UBR DE-128 DE-M352 DE-70 DE-92 DE-150 DE-155 DE-BY-UBR DE-22 DE-BY-UBG DE-91 DE-BY-TUM DE-384 DE-473 DE-BY-UBG DE-19 DE-BY-UBM DE-739 DE-20 DE-703 DE-706 DE-355 DE-BY-UBR DE-29 DE-859 DE-Re13 DE-BY-UBR DE-523 |
| owner_facet | DE-12 DE-1102 DE-1051 DE-521 DE-863 DE-BY-FWS DE-862 DE-BY-FWS DE-522 DE-858 DE-573 DE-860 DE-1046 DE-1047 DE-Aug4 DE-2070s DE-M347 DE-1049 DE-898 DE-BY-UBR DE-128 DE-M352 DE-70 DE-92 DE-150 DE-155 DE-BY-UBR DE-22 DE-BY-UBG DE-91 DE-BY-TUM DE-384 DE-473 DE-BY-UBG DE-19 DE-BY-UBM DE-739 DE-20 DE-703 DE-706 DE-355 DE-BY-UBR DE-29 DE-859 DE-Re13 DE-BY-UBR DE-523 |
| physical | 1 Online-Ressource (22 Seiten) |
| psigel | ZDB-1-WBA |
| publishDate | 2005 |
| publishDateSearch | 2005 |
| publishDateSort | 2005 |
| publisher | World Bank |
| record_format | marc |
| series2 | Policy research working paper |
| spellingShingle | Wagstaff, Adam 1959- Can insurance increase financial risk? the curious case of health insurance in China |
| title | Can insurance increase financial risk? the curious case of health insurance in China |
| title_auth | Can insurance increase financial risk? the curious case of health insurance in China |
| title_exact_search | Can insurance increase financial risk? the curious case of health insurance in China |
| title_full | Can insurance increase financial risk? the curious case of health insurance in China Adam Wagstaff, Magnus Lindelow |
| title_fullStr | Can insurance increase financial risk? the curious case of health insurance in China Adam Wagstaff, Magnus Lindelow |
| title_full_unstemmed | Can insurance increase financial risk? the curious case of health insurance in China Adam Wagstaff, Magnus Lindelow |
| title_short | Can insurance increase financial risk? |
| title_sort | can insurance increase financial risk the curious case of health insurance in china |
| title_sub | the curious case of health insurance in China |
| url | http://elibrary.worldbank.org/content/workingpaper/10.1596/1813-9450-3741 |
| work_keys_str_mv | AT wagstaffadam caninsuranceincreasefinancialriskthecuriouscaseofhealthinsuranceinchina AT lindelowmagnus caninsuranceincreasefinancialriskthecuriouscaseofhealthinsuranceinchina AT worldbank caninsuranceincreasefinancialriskthecuriouscaseofhealthinsuranceinchina |