Assessing the Impact of Health Insurance on Household Financial Protection in Togo

作     者：Aboubakar Issa Yaovi Tossou Kodjo Evlo Aboubakar Issa;Yaovi Tossou;Kodjo Evlo

作者机构：Département d’Politique et Système de Santé Institut Régional de Santé Publique Ouidah Bénin Programme Couverture Sanitaire Universelle Ministère de la Santé de l’Hygiène Publique et de l’Accès Universel Aux Soins Lomé Togo Direction des études de la Planification et de la Programmation Ministère de la Santé de l’Hygiène Publique et de l’Accès Universel Aux Soins Lomé Togo Département d’Economie Faculté des Sciences économiques et de Gestion Université de Lomé Lomé Togo 

出 版 物：《Health》 (健康（英文）)

年 卷 期：2023年第15卷第6期

页      面：507-516页

学科分类：08[工学] 0812[工学-计算机科学与技术（可授工学、理学学位）] 

主　　题：Impact Health Insurance Catastrophic Expenditure 

摘      要：Context: To facilitate financial access to care for the population, health insurance mechanisms have been established, in particular the National Health Insurance Institute, which covers civil servants and their dependents. In addition, other voluntary and community mechanisms have been developed. After several years of implementation, the level of catastrophic health expenditures among insured individuals shows that there is still a considerable level of financial risk associated with health care. This study aims to assess the impact of health insurance in Togo on insured populations. Methodology: The data used in this study come from the harmonized survey on household living conditions carried out in 2018 by the National Institute of Statistics, Economic and Demographic Studies. The propensity score matching method was used according to the following steps: estimation of propensity scores, verification of the conditional independence hypothesis (balancing property) and estimation of the average treatment effect on treated. Stata V14.2 software was used. Findings: The average effect of health insurance on household financial protection is −0.012 for the nearest neighbor method, −0.013 for the matching radius method, −0.015 for the Kernel and −0.016 for the stratification method. Results showed that health insurance contributes to reducing catastrophic health expenditures, but their effect remains very limited. This could be explained by the level of care package covered and the cost covered. Conclusion: Health insurance contributes to the reduction of catastrophic health expenses for households. However, it is important to widen the range of care covered and the cost covered. In addition, measures to extend this coverage to a larger proportion of the population will make it possible to have a greater impact.