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健康融资计划能否减少发展中国家的粮食不安全?

Can health financing programmes reduce food insecurity in a developing country?

机构信息

Department of Data Science and Economic Policy, School of Economics, University of Cape Coast, Cape Coast, Ghana.

African Centre of Excellence for Inequality Research (ACEIR), University of Nairobi, Nairobi, Kenya.

出版信息

Int J Health Econ Manag. 2024 Dec;24(4):595-621. doi: 10.1007/s10754-024-09380-5. Epub 2024 Jun 3.

Abstract

Despite the devastating effects of out-of-pocket healthcare expenditures on households' financial outlays, which potentially stifle household resources needed for food consumption, the health financing program-food insecurity nexus is yet to receive much needed attention in the literature. This study makes a significant contribution by investigating the effect of health financing program, conceptualised as membership of a National Health Insurance Scheme, on household food insecurity using the food insecurity experience scale (FIES) and several quasi-experimental methods. Using data from the seventh round of the Ghana Living Standards Survey, our endogeneity-corrected results indicate that membership of a health financing program can contribute to reduction in household food insecurity. The results are robust to alternative conceptualisations of food insecurity and different quasi-experimental methods. The effect of health financing programme membership on food insecurity is more pronounced among urban and female-headed households. Our findings further point to household savings as an important channel through which membership of health financing program reduces food insecurity.

摘要

尽管自付医疗支出对家庭支出有破坏性影响,可能抑制家庭用于食品消费的资源,但健康融资计划与粮食不安全之间的联系在文献中尚未得到应有的重视。本研究通过使用粮食不安全经验量表(FIES)和几种准实验方法,研究健康融资计划(概念化为参加国家健康保险计划)对家庭粮食不安全的影响,做出了重要贡献。利用加纳生活水平调查第七轮的数据,我们的内生性校正结果表明,参加健康融资计划有助于减少家庭粮食不安全。这些结果对于粮食不安全的不同概念化和不同的准实验方法都是稳健的。健康融资计划参与对粮食不安全的影响在城市和女性户主家庭中更为明显。我们的研究结果进一步指出,家庭储蓄是健康融资计划参与减少粮食不安全的一个重要渠道。

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