Healthcare Expenditures among the Elderly in China
The Role of Catastrophic Medical Insurance
Bibliographic Data
| ID | 15514723 |
|---|---|
| Authors | Hongmei Cao (0000-0003-2096-5785, Nanjing Drum Tower Hospital), Xinpeng Xu (0000-0002-8238-8701, Nanjing Medical University, corresponding author), Xin-Peng Xu (0000-0002-5829-9960, Nanjing Medical University, corresponding author), Hua You (0000-0002-0004-0470, Nanjing Medical University, corresponding author), Jinghong Gu (0000-0002-7706-7989, University of Washington), Hongyan Hu (0009-0003-3170-4860, Nanjing Drum Tower Hospital), Shan Jiang (0000-0001-7766-222X, Nanjing Drum Tower Hospital) |
| Year | 2022 |
| Volume | 19 |
| Issue | 21 |
| Pages | 14313-14313 |
| Publication date | 2022-11-02 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph192114313 |
| PMID | 36361192 |
| OpenAlex | W4308119372 |
| Language | EN |
| Citations received | 5 |
| References cited | 39 |
China has been piloting the catastrophic medical insurance (CMI) program since 2012 and rolled it out nationally in 2016 to reduce the incidence of catastrophic health expenditure among Chinese residents. Few studies have been conducted to determine its effect on healthcare expenditures, particularly among the elderly. The purpose of this study is to examine the effect of CMI on healthcare expenditures among China's elderly population. The data for this study were derived from 4 waves of the Chinese Longitudinal Healthy Longevity Survey, which included 344 and 1199 individuals in the treatment and control groups, respectively. To examine the effect of CMI on healthcare expenditures among the elderly, we used difference-in-differences and fixed-effects models. Additionally, a heterogeneity analysis was used to examine the differences in the impact of CMI on different groups. Finally, we confirmed the robustness of the results using robustness and placebo tests. CMI increased total health and out-of-pocket expenditures significantly, as well as inpatient and corresponding out-of-pocket expenditures. The reassults of the heterogeneity analysis indicated that CMI had a greater impact on elderly residents of rural areas. Economic burden protection has been enhanced for low-income groups and patients with serious diseases over the last two years. Our research indicated that CMI can promote the use of inpatient medical services for the elderly to a certain extent. Targeted measures such as expanding the CMI compensation list, establishing a more precise compensation scheme, and specific diseases associated with high healthcare expenditures can be considered in the practice of CMI implementation
Catastrophic illness · China · Economic growth · Environmental health · Geography · Health care · Population · Demography · Global Health Care Issues · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine · Gerontology
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The effect of China’s new cooperative medical scheme on health expenditures among the rural elderly
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| Citations per year | 2.5 |
|---|---|
| Citation span | 2024 - 2026 (3) |
| Highly cited | No |