Does the universal medical insurance system reduce catastrophic health expenditure among middle-aged and elderly households in China? A longitudinal analysis

Zhou, Yue; Wushouer, Haishaerjiang; Vuillermin, Daniel; Guan, Xiaodong; Shi, Luwen

doi:10.1007/s10198-021-01267-3

Cited by 22 publications

(20 citation statements)

References 35 publications

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“…This study verified that the public medical insurance system can significantly improve individual health level and further facilitated labor supply by improving individual health status. This finding coincided with the research findings in the existing literature ( 10 , 11 ). Belonging to the category of social insurance redistribution, the public medical insurance policy reaches the secondary allocation effect by compensating medical costs for people with medical expenditures.…”

Section: Discussionsupporting

confidence: 92%

“…In addition, the preventive health care services offered by the public medical insurance system such as physical examination and health education can improve the individual awareness of health and fitness, with significant effects on disease prevention and timely treatment ( 6 ). The elevated utilization rate of medical services is an important channel for the NRCMCS to influence the health level of participants ( 11 , 16 ).…”

Section: Discussionmentioning

confidence: 99%

“…The policy enlightenments of this study are as follows. First, the government should continue to expand the input of basic public services and social insurance, strengthen the basic medical facility construction, perfect the public medical insurance system, enhance the supply capacity of medical and health services, give full play to the health effect and economic effect of public medical insurance system, strengthen individual human capitals, and improve their labor productivity ( 11 ). Second, to realize the reasonable allocation of limited financial funds, medical insurance at different levels can be provided to different people, and the emphasis can be laid on elevating medical subsidies and compensation proportion of major diseases for disadvantaged groups, such as rural middle-aged and aged people and low-income people ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

“…The NRCMCS contributes to the improvement of the health level of peasant participants, mitigates participants’ “unwillingness to seek for medical treatment of their diseases,” and especially improves the health level of high-income participants ( 10 ). The elevated utilization rate of medical services is an important channel for the NRCMCS to influence the health level of participants ( 11 ). However, although the NRCMCS can facilitate the daily life, actions, and cognitive functions of the aged, the self-assessment of their health level is not promoted accordingly ( 12 ).…”

Section: Introductionmentioning

confidence: 99%

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Influences of Public Medical Insurance System on Labor Health Status and Supply

Bai¹,

Yan²,

Liu³

2021

ijph

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Background: The emergence of COVID-19 in 2020 has brought dramatic impacts to the global economy. The resulting health crisis and widespread fear have triggered labor shortage problems such as high job vacancy rate and low labor participation rate. Thus, how to increase the labor supply has become a hotspot among scholars. We aimed to analyze the influences of public medical insurance system on labor health status and supply. Method: Using the China Health and Nutrition Survey five-phase panel data, the new rural cooperative medical system was taken as an example to empirically analyze the influences of public medical insurance system on the individual health status and labor supply via the panel Tobit model and panel binary Logit model. The analysis revealed the mediating effect of health status. Results: First, Public medical insurance system could significantly improve individual health status. Second, public medical insurance system will lengthen the labor supply time and elevate the labor supply rate by improving individual health status. Third, the influences of public medical insurance system on labor health status and supply vary with gender and age. Conclusion: Public medical insurance system will generate positive influences on labor health status and labor supply. Hence, perfecting the public medical insurance system is able to mitigate the negative impacts of population aging and pandemic on the labor supply.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Influences of Public Medical Insurance System on Labor Health Status and Supply

Bai¹,

Yan²,

Liu³

2021

ijph

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show abstract

“…Second, the elderly's choice of medical institutions has no direct impact on the elderly family income inequality. Besides, the result of the F-value [see Column (3) of Table 4] shows that there is no weak instrumental variable problem with Institution. Hence, Institution is an appropriate instrumental variable for Insurance.…”

Section: Endogeneity Testmentioning

confidence: 99%

Can Basic Medical Insurance Reduce Elderly Family Income Inequality in China?

Wang

Zhang

et al. 2022

Front. Public Health

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Basic medical insurance is the critical medical security system to realize common prosperity in China. This study explores the impact of basic medical insurance on elderly family income inequality in China using the China Family Panel Studies (CFPS) data in 2018. Our finding shows that basic medical insurance is significantly negatively correlated with elderly family income inequality, indicating basic medical insurance has a positive impact on narrowing the elderly family income inequality. The heterogeneity analysis shows that basic medical insurance has a more significant reduction effect among the eastern elderly and the younger elderly family. The results also suggest that health performance significantly mediates the relationship between basic medical insurance and elderly family income inequality. This study implies that the Chinese government should increase the proportion of basic medical insurance reimbursement and expand the scope of reimbursement for basic medical insurance to realize income fairness among elderly families.

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Effects of establishing a financing scheme for outpatient care on inpatient services: empirical evidence from a quasi-experiment in China

2021

Eur J Health Econ

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Does the universal medical insurance system reduce catastrophic health expenditure among middle-aged and elderly households in China? A longitudinal analysis

Cited by 22 publications

References 35 publications

Influences of Public Medical Insurance System on Labor Health Status and Supply

Influences of Public Medical Insurance System on Labor Health Status and Supply

Can Basic Medical Insurance Reduce Elderly Family Income Inequality in China?

Effects of establishing a financing scheme for outpatient care on inpatient services: empirical evidence from a quasi-experiment in China

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