城市化与医疗支出:越南家庭的经验调查

IF 2.1 Q2 ECONOMICS Economies Pub Date : 2024-06-16 DOI:10.3390/economies12060153
Hang Thu Nguyen-Phung, Hai Le
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引用次数: 0

摘要

本研究探讨了城市化对家庭医疗支出的影响。通过使用越南 2012-2016 年独特的两年一次的家庭数据集,我们得出了以下主要结论。为减少可能存在的内生性问题,我们采用了两阶段最小二乘法回归(2SLS)方法,将省一级信息和通信(ICT)基础设施的发展作为工具变量(IV)。主要结论可归纳如下。首先,城市化大大降低了越南家庭的住院和门诊医疗费用。其次,随着城市化进程的推进,家庭的自我治疗费用会增加。此外,我们还进行了各种稳健性检验,包括不同的城市化度量、使用城市化的滞后期作为额外的IV,以及可信的外生IV。这些严格的敏感性分析得出的结果证明了我们主要结果的可靠性和一致性。最后,我们提出了解释这些结果的不同方法,包括医疗保险支出和家庭收入。
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Urbanization and Health Expenditure: An Empirical Investigation from Households in Vietnam
This study examines the effects of urbanization on household health expenditure. Using a unique bi-annually household-level dataset from 2012–2016 from Vietnam, we obtain key findings as follows. To mitigate possible endogeneity concerns, we utilize a two-stage least squares regression (2SLS) approach, employing the development of information and communication (ICT) infrastructure at the province level as an instrumental variable (IV). The key findings can be summarized as follows. First, urbanization significantly reduces Vietnamese households’ inpatient and outpatient health expenses. Second, the self-treatment expenses of households increase as the process of urbanization advances. In addition, we perform various robustness checks, encompassing different measures of urbanization, the use of lag of urbanization as an additional IV, and the plausible exogenous IV. The outcomes derived from these rigorous sensitivity analyses substantiate the reliability and consistency of our key results. Finally, we propose different ways to explain these results, including health insurance expenses and household income.
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来源期刊
Economies
Economies Economics, Econometrics and Finance-Economics, Econometrics and Finance (miscellaneous)
CiteScore
4.00
自引率
11.50%
发文量
271
审稿时长
11 weeks
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