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

Bai, Bing; Yan, Zhang; Liu, Yanbo

doi:10.18502/ijph.v50i8.6812

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…As the most basic demographic characteristics, age and gender [ 29 ] are usually included in the model to study the level of health, especially when the research object is the elderly group. The study finds that public health insurance system can improve personal health [ 30 ]. Therefore, the basic impact of medical insurance is also taken into consideration.…”

Section: Methodsmentioning

confidence: 99%

Do medical treatment choices affect the health of chronic patients in middle and old age in China?—Evidence from CHARLS 2018

et al. 2022

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Different medical treatment choices may affect the health of patients with chronic diseases. This study aims to assess the relationship between treatment choices, including the use of traditional Chinese medicine (TCM), and the health levels of middle-aged and elderly patients with six chronic diseases. The sample data comes from China Health and Retirement Longitudinal Study (CHARLS 2018). Basic conditions, medical choices and health status of patients are incorporated. The ordered Logit and Logit regression models are used to analyze and compare the effects of six chronic disease patients’ medical options on their self-rated health (SRH) and depression. The overall average score of SRH is the highest in patients with heart disease (the worst in SRH), which is 3.433. Arthritis patients have the highest overall depression average score (depression) at 0.444. Under the premise of controlling a variety of socio-demographic factors, compared with the non-treatment group, taking TCM has a significant positive effect on SRH of patients with five diseases except hypertension. Both taking western medicine (WM) and taking integrated Chinese and Western medicine (IM) have a significant positive effect on SRH scores of patients with six chronic diseases in middle and old age. Taking TCM has effect on depression of patients with heart or stomach diseases, and taking WM and IM affects depression of middle-aged and elderly chronic patients except diabetes. Taking IM has a greater effect on SRH and depression of chronically ill patients, followed by taking WM, and the effect of taking TCM is relatively small, which is related to the development stage of the disease. Therefore, in the future, the control and treatment of chronic diseases in the middle and late stages can be discussed from the perspective of integrated traditional Chinese and western medicine, but attention should be paid to drug interactions. In order to improve the treatment rate and health level of patients with chronic diseases, their economic burden should be reduced, and they should be guided to choose more reasonable treatment methods.

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Section: Methodsmentioning

confidence: 99%

Do medical treatment choices affect the health of chronic patients in middle and old age in China?—Evidence from CHARLS 2018

et al. 2022

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“…As primary medical insurance becomes more popular and widespread, the supply of primary health services will need to be adjusted accordingly. Zhou, Guo, and Bai pointed out that national and private medical insurance has a positive effect on people’s health [ 25 , 26 , 27 , 28 ], and our study used a patient’s health status to represent service demand.…”

Section: Research Frameworkmentioning

confidence: 99%

How to Make Primary Healthcare More Popular: Evidence from the Middle-Aged and Elderly in China

Fang

Yang

et al. 2022

Healthcare

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Since 2001, China has been an aging society; it is expected to become superaged by 2033. This rapid aging trend poses a challenge to the elderly regarding their pension services and healthcare. Primary healthcare has great potential for serving older adults in the community, yet it is not popular. This study used 1977 samples from the 2018 China Health and Retirement Longitudinal Study database to explore the use of outpatient services in primary care institutions among the middle-aged and elderly. Using a structural equations model, we constructed a framework to explore pathways leading to primary outpatient use. We discovered that the supply of primary health services had a significant direct and mediating effect on the utilization of primary outpatient services, and that community pension services may indirectly discourage it. In addition, the supply of primary health services has a suppressor effect between medical insurance and primary outpatient utilization. Health insurance directly promotes primary outpatient utilization, while the supply of primary care institutions suppresses the positive influence of medical insurance on the utilization of primary outpatient services. Therefore, community pension services should pay attention to differentiated services. Moreover, adjusting the coordinated development of medical insurance and the supply of primary healthcare could enhance the positive effects of medical insurance for outpatients.

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“…Reviewing the literature research on the impact of medical insurance on labour supply, medical insurance is found to have a diametrically opposite impact on labour supply through two aspects: security effect and health effect. First, medical insurance reduces the income loss of workers when they encounter disease risk (Zhang et al 2022, Li and Dou 2022, Bai et al 2021, which has a safeguard effect and workers tend to reduce their working hours. Page (2011) pointed out that the guarantee effect of the large transfer payment project of medical insurance will signi cantly inhibit the labour supply.…”

Section: Introductionmentioning

confidence: 99%

How does urban-rural integrated medical insurance affect labour supply of migrant workers

Zhou

Jin

2023

Preprint

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Based on the dynamic monitoring survey data of the floating population in 2018, this study analyses the impact of urban and rural integrated medical insurance on the labour supply of migrant workers. The study found that this medical insurance significantly promoted the labour participation rate of migrant workers and improved the quality of labour supply. Using instrumental variables to solve endogenous and propensity score matching method to solve selective bias, this study’s results are robust. Regarding the stability of labour supply, urban and rural integrated medical insurance has significantly increased the probability of migrant workers obtaining fixed income jobs and reduced the probability of them engaging in non-fixed income jobs. Further analysis shows that it has significantly reduced the working time of migrant workers, and improved the accessibility of their health rights and interests through health records, health education, and family contracted doctor services, which are important factors to improve the labour supply of migrant workers.

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

Cited by 3 publications

References 15 publications

Do medical treatment choices affect the health of chronic patients in middle and old age in China?—Evidence from CHARLS 2018

Do medical treatment choices affect the health of chronic patients in middle and old age in China?—Evidence from CHARLS 2018

How to Make Primary Healthcare More Popular: Evidence from the Middle-Aged and Elderly in China

How does urban-rural integrated medical insurance affect labour supply of migrant workers

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