Does Free Public Health Care Increase Utilization and Reduce Spending? Heterogeneity and Long-Term Effects

Does Free Public Health Care Increase Utilization and Reduce Spending? Heterogeneity and... •A step-wise removal of user fees in publicly supported health facilities in Zambia is exploited.•Removal increased overall use of care but also led to a small shift in care seeking from private facilities.•Overall use increased more for individuals from low socioeconomic backgrounds.•Proportion of individuals incurring any medical spending reduced but total average spending did not change.•These effects were sustained in the long term. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png World Development Elsevier

Does Free Public Health Care Increase Utilization and Reduce Spending? Heterogeneity and Long-Term Effects

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Publisher
Elsevier
Copyright
Copyright © 2017 The Author(s)
ISSN
0305-750X
eISSN
1873-5991
D.O.I.
10.1016/j.worlddev.2017.05.040
Publisher site
See Article on Publisher Site

Abstract

•A step-wise removal of user fees in publicly supported health facilities in Zambia is exploited.•Removal increased overall use of care but also led to a small shift in care seeking from private facilities.•Overall use increased more for individuals from low socioeconomic backgrounds.•Proportion of individuals incurring any medical spending reduced but total average spending did not change.•These effects were sustained in the long term.

Journal

World DevelopmentElsevier

Published: Jan 1, 2018

References

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