Effect of financial inclusion on out-of-pocket health expenditure: empirics from Ghana

Title
Effect of financial inclusion on out-of-pocket health expenditure: empirics from Ghana
Publication Date
2021-12
Author(s)
Koomson, Isaac
( author )
OrcID: https://orcid.org/0000-0002-2929-4992
Email: ikoomso2@une.edu.au
UNE Id une-id:ikoomso2
Abdul-Mumuni, Abdallah
Abbam, Anthony
Type of document
Journal Article
Language
en
Entity Type
Publication
Publisher
Springer
Place of publication
Germany
DOI
10.1007/s10198-021-01320-1
UNE publication id
une:1959.11/31090
Abstract
Empirical evidence on the link between financial inclusion and out-of-pocket health expenditure remains sparse while existing studies have mainly not used a multidimensional financial inclusion index. This study examines the link between financial inclusion and out-of-pocket health expenditure in Ghana using data from the seventh round of the Ghana Living Standards Survey. To ensure robustness in findings, the standard instrumental variable (with external instruments) and Lewbel's heteroskedasticity-based instrumental variable approaches are both applied. Our findings indicate that a standard deviation increase in financial inclusion is associated with an increase in households' out-of-pocket health expenditure between 0.1367 and 1.7608 standard deviations. This finding is more pronounced for female-headed and urban-located households. Financial inclusion has a bigger association with expenses on medical products/appliances than on outpatient services. Policymakers are encouraged to design and implement programs to scale up the level of financial inclusion which has the potential of facilitating demand for health, thereby leading to better health outcomes.
Link
Citation
The European Journal of Health Economics, 22(9), p. 1411-1425
ISSN
1618-7601
1618-7598
Pubmed ID
34089114
Start page
1411
End page
1425
Rights
Attribution-NonCommercial-NoDerivatives 4.0 International

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