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El trimestre económico
versión On-line ISSN 2448-718Xversión impresa ISSN 0041-3011
Resumen
HUFFMAN, Curtis y GAMEREN, Edwin van. Heterogeneous and distributional effects of Mexico’s health insurance for the poor on the supply of healthcare services.Traducido porFausto José Trejo. El trimestre econ [online]. 2019, vol.86, n.343, pp.667-713. Epub 23-Jun-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.
Palabras llave : generalized propensity score methods; continuous treatments; quantile treatment effects; interaction treatment effects; Mexico; Seguro Popular; causal inference.