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El trimestre económico
On-line version ISSN 2448-718XPrint version ISSN 0041-3011
Abstract
HUFFMAN, Curtis and GAMEREN, Edwin van. Heterogeneous and distributional effects of Mexico’s health insurance for the poor on the supply of healthcare services.Translated byFausto José Trejo. El trimestre econ [online]. 2019, vol.86, n.343, pp.667-713. Epub June 23, 2020. ISSN 2448-718X. https://doi.org/10.20430/ete.v86i343.719.
Background:
The effects that the expansion of the Seguro Popular (SP), Mexico’s universal -according to the government- health insurance program, has had on the human and material resources needed to meet the new demand remain largely unexplored. It is a key piece in the quest for universal healthcare that we analyze in this paper.
Methodology:
Unlike previous evaluations, we use sanitary jurisdictions as units of analysis and operationalize SP’s intervention as a continuous treatment indicator (relative to the number of recipients).
Results:
Estimates using a variety of propensity score approaches suggest that, on the average, SP effectively has had a positive impact on Mexico’s health resources. However, quantile and interaction treatment effects also suggest unexpected distributional effects on health resources.
Conclusions:
Overall, our results suggest that the program may be leaving behind some of the most vulnerable geographical areas.
Keywords : generalized propensity score methods; continuous treatments; quantile treatment effects; interaction treatment effects; Mexico; Seguro Popular; causal inference.
