Page 1 |
Save page Remove page | Previous | 1 of 146 | Next |
|
small (250x250 max)
medium (500x500 max)
large ( > 500x500)
Full Resolution
All (PDF)
|
This page
All
Subset |
EXPANDING HEALTH INSURANCE TO INCREASE UTILIZATION:
DOES DISTANCE STILL MATTER?
by
Erlyana Erlyana
_______________________________________________________
A Dissertation Presented to the
FACULTY OF THE GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(PUBLIC ADMINISTRATION)
December 2008
Copyright 2008 Erlyana Erlyana
Object Description
| Title | Expanding health insurance to increase utilization: does distance still matter? |
| Author | Erlyana, Erlyana |
| Author email | erlyana.c@gmail.com; erlyana@usc.edu |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Public Administration |
| School | School of Policy, Planning, and Development |
| Date defended/completed | 2008-05-28 |
| Date submitted | 2008 |
| Restricted until | Unrestricted |
| Date published | 2008-11-07 |
| Advisor (committee chair) | Melnick, Glenn |
| Advisor (committee member) |
Myrtle, Robert Mayer, Doe |
| Abstract | This dissertation examines the factors that affect the use and choice of health care facilities in Indonesia, a country in South East Asia that is currently implementing a social health insurance program. Policy makers believed that the expansion of insurance coverage would greatly increase the use of medical services, particularly among the poor and among rural populations. However, despite massive efforts to expand health insurance coverage, the problem of low use of medical care services in Indonesia still persists.; This dissertation explores some of the factors that may explain an individual's medical care provider choice. My study examines factors affecting demand for ambulatory care services of insured and uninsured individuals by using discrete choice analysis. Data are drawn from the 2000 Indonesia Family Life Survey (IFLS3) funded by the US National Institute of Aging and the National Institute of Child Health and Human Development. The analysis suggests that distance to a medical provider and the price of medical care have different effects for different populations. Uninsured people who live in rural areas are more sensitive to the distance to the nearest medical facility, while uninsured people who live in urban areas are more sensitive to the price of medical services. In addition, for the higher income groups the effect of distance and price upon use of medical services seems to diminish, indicating that these factors pose less of a constraint to richer families. Among those covered by insurance, the effect of distance and price does not appear to be significant. These findings suggest that reducing the cost of medical care to the individual (through insurance) diminishes the individual's sensitivity to distance and price. One implication is that expanding health insurance will benefit urban dwellers more than rural populations since the former are relatively more sensitive to price. |
| Keyword | health; insurance; utilization; distance |
| Geographic subject (country) | Indonesia |
| Coverage date | 2000 |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m1750 |
| Rights | Erlyana, Erlyana |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | http://www.usc.edu/isd/libraries/services/ask_a_librarian/email/ |
| Filename | etd-Erlyana-2130 |
| Archival file | uscthesesreloadpub_Volume17/etd-Erlyana-2130.pdf |
Description
| Title | Page 1 |
| Full text | EXPANDING HEALTH INSURANCE TO INCREASE UTILIZATION: DOES DISTANCE STILL MATTER? by Erlyana Erlyana _______________________________________________________ A Dissertation Presented to the FACULTY OF THE GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (PUBLIC ADMINISTRATION) December 2008 Copyright 2008 Erlyana Erlyana |
Comments
Post a Comment for Page 1
