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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w28972 |
来源ID | Working Paper 28972 |
Women Left Behind: Gender Disparities in Utilization of Government Health Insurance in India | |
Pascaline Dupas; Radhika Jain | |
发表日期 | 2021-06-28 |
出版年 | 2021 |
语种 | 英语 |
摘要 | Using administrative data on over 4 million hospital visits, we document striking gender disparities within a government health insurance program that entitles 46 million poor individuals to free hospital care in Rajasthan, India. Females account for only 33% of hospital visits among children and 43% among the elderly. These shares are lower for more expensive types of care, and far lower than sex differences in illness prevalence can explain. Almost two-thirds of non-childbirth spending is on males. We combine these data with patient survey, census, and electoral data to show that 1) the program is unable to fully offset the costs of care-seeking, which results in disparities in hospital utilization because some households are willing to allocate more resources to male than female health; 2) lowering costs does not reduce disparities, because males benefit as much as females do; and 3) long-term exposure to village-level female leaders reduces the gender gap in utilization, but effects are modest and limited to girls and young women. In the presence of gender bias, increasing access to and subsidizing social services may increase levels of female utilization but fail to address gender inequalities without actions that specifically target females. |
主题 | Health, Education, and Welfare ; Health ; Labor Economics ; Demography and Aging ; Development and Growth ; Development |
URL | https://www.nber.org/papers/w28972 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/586646 |
推荐引用方式 GB/T 7714 | Pascaline Dupas,Radhika Jain. Women Left Behind: Gender Disparities in Utilization of Government Health Insurance in India. 2021. |
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w28972.pdf(755KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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