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Migrant children's take‐up of social health insurance

Experimental evidence from China

Bibliographic Data

ID6437596
AuthorsMenghan Shen (0000-0001-6051-954X, Center for Chinese Public Administration Research, School of Government Sun Yat‐sen University Guangzhou China, corresponding author), Zhiwei Tang (0000-0002-2686-7951, Center for Chinese Public Administration Research, School of Government Sun Yat‐sen University Guangzhou China), Xiaoxia Liang (0009-0005-4357-2265, Center for Chinese Public Administration Research, School of Government Sun Yat‐sen University Guangzhou China), Xiaoyang Ye (0000-0003-2872-824X, Annenberg Institute Brown University Providence Rhode Island USA)
Year2024
Volume44
Issue2
Pages456-482
Publication date2024-02-23
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Policy Analysis and Management (JOURNAL)
Journal identifiersISSN: 0276-8739 • E-ISSN: 1520-6688
PublisherWiley (PUBLISHER • GB)
DOI10.1002/pam.22585
OpenAlexW4392110834
LanguageEN
Citations received3
References cited64

There is mounting evidence on the importance of health insurance for children's health and well‐being. However, many disadvantaged families do not enroll their eligible children in social health insurance programs. This study examines the effectiveness of interventions aimed at increasing social health insurance enrollment for disadvantaged migrant children in Guangzhou, China. We conducted a two‐stage randomized controlled trial with a 3 × 2 design: (1) randomly assigning parents to a control group or one of two treatment groups, where they received digital information on eligibility or eligibility plus comparative benefits and costs; and (2) nudging half of the parents with text message reminders about the enrollment deadline. Informing parents about eligibility alone did not have any impact. However, providing information on eligibility plus comparative benefits and costs increased enrollment in social health insurance in Guangzhou by over 44% (9.4 percentage points). Nudging produced no significant impact. Exploiting treatment group assignment as an instrument for coverage, we were unable to detect any positive effects of having social health insurance in the first year after the intervention

Business · China · Demographic economics · Economic growth · Economics · Environmental health · Health care · Health insurance · Political science · Social insurance · Global Health Care Issues · Healthcare Policy and Management · Healthcare Systems and Reforms · Law · Medicine

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Unique citing works3
Citations per year3
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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