Who pays for health care in Asia?

Owen O'Donnell; Eddy van Doorslaer; Ravi P. Rannan-Eliya; Aparnaa Somanathan; Shiva Raj Adhikari; Baktygul Akkazieva; Deni Harbianto; Charu C. Garg; Piya Hanvoravongchai; Alejandro N. Herrin; Mohammed N. Huq; Shamsia Ibragimova; Anup Karan; Soon man Kwon; Gabriel M. Leung; Jui fen Rachel Lu; Yasushi Ohkusa; Badri Raj Pande; Rachel Racelis; Keith Tin; Kanjana Tisayaticom; Laksono Trisnantoro; Quan Wan; Bong Min Yang; Yuxin Zhao

doi:10.1016/j.jhealeco.2007.08.005

Who pays for health care in Asia?

Owen O'Donnell^*, Eddy van Doorslaer, Ravi P. Rannan-Eliya, Aparnaa Somanathan, Shiva Raj Adhikari, Baktygul Akkazieva, Deni Harbianto, Charu C. Garg, Piya Hanvoravongchai, Alejandro N. Herrin, Mohammed N. Huq, Shamsia Ibragimova, Anup Karan, Soon man Kwon, Gabriel M. Leung, Jui fen Rachel Lu, Yasushi Ohkusa, Badri Raj Pande, Rachel Racelis, Keith TinKanjana Tisayaticom, Laksono Trisnantoro, Quan Wan, Bong Min Yang, Yuxin Zhao

^*Corresponding author for this work

Graduate Institute of Mangement

Research output: Contribution to journal › Journal Article › peer-review

218 Scopus citations

Abstract

We estimate the distributional incidence of health care financing in 13 Asian territories that account for 55% of the Asian population. In all territories, higher-income households contribute more to the financing of health care. The better-off contribute more as a proportion of ability to pay in most low- and lower-middle-income territories. Health care financing is slightly regressive in three high-income economies with universal social insurance. Direct taxation is the most progressive source of finance and is most so in poorer economies. In universal systems, social insurance is proportional to regressive. In high-income economies, the out-of-pocket (OOP) payments are proportional or regressive while in low-income economies the better-off spend relatively more OOP. But in most low-/middle-income countries, the better-off not only pay more, they also get more health care.

Original language	English
Pages (from-to)	460-475
Number of pages	16
Journal	Journal of Health Economics
Volume	27
Issue number	2
DOIs	https://doi.org/10.1016/j.jhealeco.2007.08.005
State	Published - 03 2008

Keywords

Asia
Equity
Health care financing
Progressivity

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.jhealeco.2007.08.005

Cite this

O'Donnell, O., van Doorslaer, E., Rannan-Eliya, R. P., Somanathan, A., Adhikari, S. R., Akkazieva, B., Harbianto, D., Garg, C. C., Hanvoravongchai, P., Herrin, A. N., Huq, M. N., Ibragimova, S., Karan, A., Kwon, S. M., Leung, G. M., Lu, J. F. R., Ohkusa, Y., Pande, B. R., Racelis, R., ... Zhao, Y. (2008). Who pays for health care in Asia? Journal of Health Economics, 27(2), 460-475. https://doi.org/10.1016/j.jhealeco.2007.08.005

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title = "Who pays for health care in Asia?",

abstract = "We estimate the distributional incidence of health care financing in 13 Asian territories that account for 55% of the Asian population. In all territories, higher-income households contribute more to the financing of health care. The better-off contribute more as a proportion of ability to pay in most low- and lower-middle-income territories. Health care financing is slightly regressive in three high-income economies with universal social insurance. Direct taxation is the most progressive source of finance and is most so in poorer economies. In universal systems, social insurance is proportional to regressive. In high-income economies, the out-of-pocket (OOP) payments are proportional or regressive while in low-income economies the better-off spend relatively more OOP. But in most low-/middle-income countries, the better-off not only pay more, they also get more health care.",

keywords = "Asia, Equity, Health care financing, Progressivity",

author = "Owen O'Donnell and {van Doorslaer}, Eddy and Rannan-Eliya, {Ravi P.} and Aparnaa Somanathan and Adhikari, {Shiva Raj} and Baktygul Akkazieva and Deni Harbianto and Garg, {Charu C.} and Piya Hanvoravongchai and Herrin, {Alejandro N.} and Huq, {Mohammed N.} and Shamsia Ibragimova and Anup Karan and Kwon, {Soon man} and Leung, {Gabriel M.} and Lu, {Jui fen Rachel} and Yasushi Ohkusa and Pande, {Badri Raj} and Rachel Racelis and Keith Tin and Kanjana Tisayaticom and Laksono Trisnantoro and Quan Wan and Yang, {Bong Min} and Yuxin Zhao",

year = "2008",

month = mar,

doi = "10.1016/j.jhealeco.2007.08.005",

language = "英语",

volume = "27",

pages = "460--475",

journal = "Journal of Health Economics",

issn = "0167-6296",

publisher = "Elsevier B.V.",

number = "2",

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O'Donnell, O, van Doorslaer, E, Rannan-Eliya, RP, Somanathan, A, Adhikari, SR, Akkazieva, B, Harbianto, D, Garg, CC, Hanvoravongchai, P, Herrin, AN, Huq, MN, Ibragimova, S, Karan, A, Kwon, SM, Leung, GM, Lu, JFR, Ohkusa, Y, Pande, BR, Racelis, R, Tin, K, Tisayaticom, K, Trisnantoro, L, Wan, Q, Yang, BM & Zhao, Y 2008, 'Who pays for health care in Asia?', Journal of Health Economics, vol. 27, no. 2, pp. 460-475. https://doi.org/10.1016/j.jhealeco.2007.08.005