Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/266783 
Authors: 
Year of Publication: 
2022
Citation: 
[Journal:] Health Economics [ISSN:] 1099-1050 [Volume:] 31 [Issue:] 11 [Publisher:] Wiley [Place:] Hoboken, NJ [Year:] 2022 [Pages:] 2445-2464
Publisher: 
Wiley, Hoboken, NJ
Abstract: 
Climate change induced rising temperatures will pose a detrimental threat to decent health in the coming decades. Especially at risk are individuals with chronic diseases, since heat can exacerbate a variety of health conditions. In this article, I examine the heat‐morbidity relationship in the context of Indonesia, focusing on chronic, non‐communicable diseases, namely diabetes, cardiovascular and respiratory diseases. Using a novel dataset from the Indonesian national health insurance scheme Jaminan Kesehatan Nasional/Badan Penyelenggara Jaminan Sosial (BPJS) and linking it with meteorological data on the daily‐district level, I estimate the causal effect of high temperatures on the daily number of primary health care visits. The results show that on a hot day all‐cause visits and visits with a diagnosis of diabetes and cardiovascular diseases increase by 8%, 25% and 14%, respectively. These increases are permanent and not offset by visit displacement or 'harvesting'. Visits related to respiratory diseases seem not to be affected by high temperatures. I use several climate change scenarios to predict the increase in visits and costs by the end of the century, which all forecast a substantial financial burden for the health care system. These results might have relevance for other middle‐income countries with similar climatic conditions.
Subjects: 
climate change
health
Indonesia
JKN/BPJS kesehatan
non‐communicable diseases
temperature
Persistent Identifier of the first edition: 
Creative Commons License: 
cc-by-nc-nd Logo
Document Type: 
Article
Document Version: 
Published Version

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