The effects of social health insurance expansion and increased choice on perinatal health and health care use: lessons from the uruguayan health care reform

Balsa, Ana Inés; Triunfo, Patricia

dc.rights.license	Attribution-NonCommercial-NoDerivatives 4.0 Internacional	*
dc.contributor.author	Balsa, Ana Inés
dc.contributor.author	Triunfo, Patricia
dc.date.accessioned	2022-07-06T17:32:31Z
dc.date.available	2022-07-06T17:32:31Z
dc.date.issued	2018	es
dc.identifier.uri	https://hdl.handle.net/20.500.12806/1366
dc.description.abstract	In 2007 the Uruguayan government launched a reform aimed at expanding social healthinsurance to family-members of formal workers and to retirees. The policy increased insurance generosity -relative to the safety net alternative- and increased competition by allowing new beneficiaries to choose care from a set of private providers. Exploiting the phased-in implementation and the geographic variation in the intensity of the reform, we find that the expansion of social health insurance had a negligible effect on perinatal health and health care among adolescent mothers and their newborns. Our results do not support prior research showing health care quality improvements in settings with increased choice. We hypothesize that health care rationing by private providers due to rising wages, a smaller primary care infrastructure of private providers in low-income neighborhoods, and cultural and financial barriers may have accounted for the lack of positive effects.	es
dc.format.extent	41 p.	es
dc.format.mimetype	application/pdf	es
dc.language	eng	es
dc.publisher	Universidad de Montevideo, Facultad de Ciencias Empresariales y Economía, Departamento de Economía	es
dc.relation.ispartof	Documentos de trabajo del Departamento de Economía	es
dc.rights	Abierto	es
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/4.0/	*
dc.subject	Social health insurance	es
dc.subject	Provider choice	es
dc.subject	Competition	es
dc.subject	Birthweight	es
dc.subject	Prenatal care	es
dc.subject	Health reform	es
dc.subject	Latin America	es
dc.title	The effects of social health insurance expansion and increased choice on perinatal health and health care use: lessons from the uruguayan health care reform	es
dc.type	Documento de trabajo	es
dc.contributor.filiacion	Balsa, Ana Inés. Universidad de Montevideo, Uruguay	es
dc.contributor.filiacion	Triunfo, Patricia. Universidad de la República, Uruguay	es
dc.type.version	Publicada	es