Efectos heterogéneos y distributivos del Seguro Popular sobre la oferta de servicios de salud en México

Curtis Huffman and Edwin van Gameren
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Curtis Huffman: Universidad Nacional Autónoma de México

El Trimestre Económico, 2019, vol. 86 (3), issue 343, 667-713

Abstract: Background: The effects that the expansion of the Seguro Popular (SP), Mexico’s universal —according to the government— health insurance program, has had on the human and material resources needed to meet the new demand remain largely unexplored. It is a key piece in the quest for universal healthcare that we analyze in this paper. Methodology: Unlike previous evaluations, we use sanitary jurisdictions as units of analysis and operationalize SP’s intervention as a continuous treatment indicator (relative to the number of recipients). Results: Estimates using a variety of propensity score approaches suggest that, on the average, SP effectively has had a positive impact on Mexico’s health resources. However, quantile and interaction treatment effects also suggest unexpected distributional effects on health resources. Conclusions: Overall, our results suggest that the program may be leaving behind some of the most vulnerable geographical areas.

Keywords: generalized propensity score methods; continuous treatments; quantile treatment effects; interaction treatment effects; Mexico; Seguro Popular; causal inference. (search for similar items in EconPapers)
JEL-codes: C21 I13 I38 (search for similar items in EconPapers)
Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:elt:journl:v:86:y:2019:i:343:p:667-713

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DOI: 10.20430/ete.v86i343.719

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