Fan Victoria Y, Karan Anup, Mahal Ajay
Center for Global Development, 1800 Massachusetts Ave NW, Third Floor, Washington, DC 20036, USA.
Int J Health Care Finance Econ. 2012 Sep;12(3):189-215. doi: 10.1007/s10754-012-9110-5. Epub 2012 Jul 6.
In 2007 the state of Andhra Pradesh in southern India began rolling out Aarogyasri health insurance to reduce catastrophic health expenditures in households 'below the poverty line'. We exploit variation in program roll-out over time and districts to evaluate the impacts of the scheme using difference-in-differences. Our results suggest that within the first nine months of implementation Phase I of Aarogyasri significantly reduced out-of-pocket inpatient expenditures and, to a lesser extent, outpatient expenditures. These results are robust to checks using quantile regression and matching methods. No clear effects on catastrophic health expenditures or medical impoverishment are seen. Aarogyasri is not benefiting scheduled caste and scheduled tribe households as much as the rest of the population.
2007年，印度南部的安得拉邦开始推行“健康之星”（Aarogyasri）医疗保险，以减少“贫困线以下”家庭的灾难性医疗支出。我们利用该计划在不同时间和地区推行情况的差异，采用双重差分法来评估该计划的影响。我们的结果表明，在“健康之星”第一阶段实施的前九个月内，自付住院费用显著减少，门诊费用也有一定程度的减少。这些结果通过分位数回归和匹配方法进行检验后依然稳健。未发现对灾难性医疗支出或医疗致贫有明显影响。“健康之星”使在册种姓和在册部落家庭受益的程度不及其他人群。
