The affordability of access to health care for older adults in China
Bibliographic Data
| ID | 13119267 |
|---|---|
| Authors | Cai Xu (0000-0002-1412-4229, The University of Texas MD Anderson Cancer Center), Mack Shelley (0000-0002-0414-5843, Iowa State University, corresponding author) |
| Year | 2023 |
| Volume | 12 |
| Issue | 4 |
| Pages | 441-462 |
| Publication date | 2023-09-30 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Economic and Political Studies (JOURNAL) |
| Journal identifiers | ISSN: 2470-4024 • E-ISSN: 2095-4816 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/20954816.2023.2249715 |
| OpenAlex | W4387222758 |
| Language | EN |
| Citations received | 2 |
| References cited | 31 |
This study evaluates the inequalities of affordability in health care delivery for older adults in China, and explores the variables significantly affecting the affordability. Using the data from China Health and Retirement Longitudinal Study (CHARLS) and adapting the Andersen behavioural model, this study uses structural equation models (SEMs) with regression imputations to explore the direct and indirect effects of these variables for 1,720 respondents, which are cross-validated by the results from binary logistic regression models applying multiple imputations. SEM results indicate that the associations of age, education, and hukou with cost ratios are statistically significant. Specifically, the results of the logistic regression model show that older adults aged 60 and above pay less out of pocket than younger adults on health care services; respondents with higher levels of education and more types of insurance pay less out of pocket; and respondents with agricultural hukou and higher premiums pay more out of pocket. Future targeted efforts of policymakers should continue to focus on strengthening the affordability of access to health care services for older adults both in rural and urban areas by increasing the accessibility to and improving the efficiency of the health care system
Business · China · Demographic economics · Economic growth · Economics · Environmental health · Geography · Health care · Inequality · Logistic regression · Longitudinal study · Regression analysis · Rural area · Global Health Care Issues · Healthcare Systems and Reforms · Medicine · Psychology · Gerontology
Urban-rural differences in the association between access to healthcare and health outcomes among older adults in China
Early appraisal of China's huge and complex health-care reforms
What does 'access to health care' mean?
Consolidating the social health insurance schemes in China
Universal health insurance coverage for 1.3 billion people
The new cooperative medical scheme in China
The Impact of Health Insurance on Health Outcomes and Spending of the Elderly
Is China Abolishing the Hukou System?
Cutoff criteria for fit indexes in covariance structure analysis
Mediation in experimental and nonexperimental studies
Changing access to health services in urban China
Revisiting the Behavioral Model and Access to Medical Care
| Citations per year | 2 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |