Social health insurance consolidation and urban-rural inequality in utilization and financial risk protection in China
Dados Bibliográficos
| ID | 4602013 |
|---|---|
| Autores | Di Yang (0000-0002-5749-9004, Pennsylvania State University, autor correspondente), Yubraj Acharya (0000-0002-9003-636X, Pennsylvania State University), Xiaoting Liu (0000-0002-8386-9515, Zhejiang University) |
| Ano | 2022 |
| Volume | 308 |
| Páginas | 115200 |
| Data de publicação | 2022-09-01 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Social Science & Medicine (JOURNAL) |
| Identificadores do periódico | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Editora | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2022.115200 |
| PMID | 35863151 |
| OpenAlex | W4284891892 |
| Idioma | EN |
| Citações recebidas | 20 |
| Referências citadas | 24 |
Universal health care is a long-term policy goal for health care reform in China. In 2016, China consolidated its urban and rural resident social health insurance programs into one program with a goal to reduce disparities between rural and urban populations. Using a nationally-representative sample of 14,967 individuals from the China Family Panel Studies surveys (2012-2018), we investigate whether the consolidation reduced gaps in total and out-of-pocket medical expenditure, and reimbursement between rural and urban residents. Our identification approach relies on an augmented difference-in-differences analysis whereby we compare the two programs that were consolidated to a different program that was not consolidated, before and after the consolidation. We find no evidence that the urban-rural gaps in these measures have narrowed as a result of the consolidation, at least in the near term. This surprising result may be partly explained by urban-rural inequality in access to care and provincial fiscal spending on health care. While these findings need to be confirmed with additional data and research, we call for continued efforts on addressing supply-side challenges, particularly in under-served areas
Business · China · Consolidation (business · Demographic economics · Economic growth · Economics · Health care · Health equity · Inequality · Panel data · Political science · Public economics · Reimbursement · Rural area · Social determinants of health · Social insurance · Socioeconomics · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Finance · Health Policy
Can urban‒rural health insurance integration narrow the urban‒rural income gap? Evidence from China
How inclusive welfare reforms shape political trust
The impact of integrated urban and rural resident basic medical insurance on health service equity
The poverty prevention effects of health insurance
Does basic medical insurance promote public health? Evidence from China family panel study
Medical insurance, vulnerability to poverty, and wealth inequality
Effects of multimorbidity patterns and socioeconomic status on catastrophic health expenditure of widowed older adults in China
Effects of basic medical insurance integration on subjective wellbeing of residents in China
Does the integration of urban and rural health insurance influence the functional limitations of the middle-aged and elderly in rural China
Urban-rural medical insurance integration and universal health insurance coverage in China
From individual burden to social risk pooling
Does the immediate reimbursement of medical insurance reduce the socioeconomic inequality in health among the floating population? Evidence from China
Trends in health service needs, utilization, and non-communicable chronic diseases burden of older adults in China
Oral health and nutrition
Stewed Chicken and Long-Nosed Kings
Impact of Urban–Rural Health Insurance Integration on Mental Health Among Rural Adults in China
Impact of the targeted poverty alleviation policy on older adults' healthcare utilization
The efficient moral hazard effect of health insurance
Impact of medical insurance integration on reducing urban-rural health disparity
Unintended Benefits
Twopm
The Urban–rural Income Gap and Inequality in China
Health-system reform and universal health coverage in Latin America
Universal health coverage in Turkey
Years of health-care reform in China
Cycling to School
The Chinese Health System At A Crossroads
Colombia Case Study
The Promise and Pitfalls of Differences-in-Differences
Effects of health insurance integration on health care utilization and its equity among the mid-aged and elderly
National equity of health resource allocation in China
The inequality of inpatient care net benefit under integration of urban-rural medical insurance systems in China
The comparison of healthcare utilization inequity between URRBMI and NCMS in rural China
The equity of China’s emergency medical services from 2010–2014
Equity and efficiency of medical service systems at the provincial level of China’s mainland
Equity in healthcare financing following the introduction of the unified residents’ health insurance scheme in China
The top-level design of social health insurance reforms in China
The black report and beyond what are the issues
| Obras citantes distintas | 20 |
|---|---|
| Citações por ano | 5 |
| Intervalo de citações | 2022 - 2026 (5) |
| Velocidade de citação | current |
| Altamente citado | Não |
| Tipos de citação | Neutras: 20 |