Financial Protection of Patients Through Compensation of Providers: The Impact of Health Equity Funds in Cambodia

Tinbergen Institute Discussion Paper No. 11-169/3

31 Pages Posted: 29 Nov 2011

See all articles by Gabriela Flores

Gabriela Flores

University of Lausanne

Por Ir

National Institute of Public Health

Chean R. Men

affiliation not provided to SSRN

Owen O'Donnell

affiliation not provided to SSRN

Eddy van Doorslaer

Erasmus School of Economics

Date Written: November 28, 2011

Abstract

Public providers have no financial incentive to respect their legal obligation to exempt the poor from user fees. Health Equity Funds (HEFs) aim to make exemptions effective by giving NGOs responsibility for assessing eligibility and compensating providers for lost revenue. We use the geographic spread of HEFs in Cambodia to identify their impact on out-of-pocket (OOP) payments. Among households with some OOP payment, HEFs reduce the amount by 29%, on average. The effect is larger for households that are poorer, mainly use public health care and live closer to a district hospital. HEFs are more effective in reducing OOP payments when they are operated by a NGO, rather than the government, and when they operate in conjunction with the contracting of public health services. HEFs reduce households' health-related debt by around 25%, on average. There is no significant impact on non-medical consumption and health care utilization.

Keywords: health financing, user fees, financial protection, health care, Cambodia

JEL Classification: H42, H51, I18

Suggested Citation

Flores, Gabriela and Ir, Por and Men, Chean R. and O'Donnell, Owen and van Doorslaer, Eddy, Financial Protection of Patients Through Compensation of Providers: The Impact of Health Equity Funds in Cambodia (November 28, 2011). Tinbergen Institute Discussion Paper No. 11-169/3, Available at SSRN: https://ssrn.com/abstract=1965953 or http://dx.doi.org/10.2139/ssrn.1965953

Gabriela Flores (Contact Author)

University of Lausanne ( email )

Quartier Chambronne
Lausanne, Vaud CH-1015
Switzerland

Por Ir

National Institute of Public Health ( email )

Lot no 80, Samdech Penn Nouth Blvd (street 289)
Phnom Penh, 12152
Cambodia

Chean R. Men

affiliation not provided to SSRN ( email )

Owen O'Donnell

affiliation not provided to SSRN

Eddy Van Doorslaer

Erasmus School of Economics ( email )

Netherlands

Here is the Coronavirus
related research on SSRN

Paper statistics

Downloads
82
Abstract Views
711
rank
330,685
PlumX Metrics