Does Public Health Insurance Coverage Lead to Better Health Outcomes? Evidence From Chinese Adults

Fan, Hongli; Qi, Yan; Coyte, Peter C.; Yu, Wenguang

doi:10.1177/0046958019842000

Cited by 31 publications

(22 citation statements)

References 33 publications

(37 reference statements)

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“…Due to the differences in social-economic status, differences will also exist in the level of understanding of TB. A study conducted among Chinese adults suggested that medical insurance for urban workers had the greater impact on improving health-related behaviors than the NCMS [37]. This may be the reason why people who were insured under the medical insurance for urban workers scheme had a higher rate of awareness of TB.…”

Section: Discussionmentioning

confidence: 99%

Public Awareness of Tuberculosis in Southeast China: A Population-Based Study

Chen

Wang

et al. 2019

IJERPH

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Few provinces in China have recently conducted population-based surveys on tuberculosis (TB) awareness at the provincial level. Hence, we conducted a population-based, cross-sectional study to evaluate the level of awareness of TB knowledge among residents of Zhejiang Province, China from October 2018 to December 2018. A total of 7174 individuals were randomly selected to participate in this survey. The rate of awareness of key information on TB was found to be 48.0%. The study’s participants exhibited a good understanding of the transmission route (80.8%), curable outcome (78.3%), and designated treatment sites (67.0%) of TB. The rate of awareness of suspicious TB symptoms (36.1%) and the relief policy on diagnosis and first-line therapeutic drugs (38.0%) were found to be relatively low among the respondents. People living in rural areas, those who were less educated, and students all showed a low level of awareness of key knowledge about TB. In conclusion, residents in Zhejiang Province generally lacked key information about TB, which is not conducive to the early detection and treatment of TB. Corresponding efforts should be made for different groups of people to achieve favorable effects on the prevention and control of TB.

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Section: Discussionmentioning

confidence: 99%

Public Awareness of Tuberculosis in Southeast China: A Population-Based Study

Chen

Wang

et al. 2019

IJERPH

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“…24 Fan et al discovered that public health insurance significantly improves the physical and mental health of health insurance beneficiaries after controlling for other covariates. 25 Pan et al concluded that Urban Resident Basic Medical Insurance (URBMI) beneficiaries experience statistically better health than the uninsured. 26 Finkelstein et al, using a randomized controlled design, found that health insurance in Oregon significantly improved the self-reported physical and mental health of the insured.…”

Section: Introductionmentioning

confidence: 99%

Does Health Insurance Lead to Improvement of Health Status Among Chinese Rural Adults? Evidence From the China Family Panel Studies

Sun

Lyu

2020

Int J Health Serv

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The purpose of this study is to examine the causal relationship between the New Rural Cooperative Medical Scheme (NRCMS) and health status among Chinese rural adults. The data were drawn from China Family Panel Studies performed in 2016, involving 2,093 rural adults. Furthermore, this study employed k-nearest neighbor matching out of propensity score matching (PSM) to investigate the impact of NRCMS on health status among rural adults. Moreover, radius matching, kernel matching, and nearest-neighbor matching within caliper out of PSM were adopted to conduct sensitivity analyses. This study demonstrates that NRCMS enrollment has had a significant and positive effect on the self-assessed and mental health of rural adults, and the health effect shows significant age and income disparities. Moreover, the positive health effect may result from 2 channels, including the increase of health services utilization and the fact that adults with NRCMS are more likely to seek health care in lower-level medical institutions.

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“…25 Fan H (2019) compared the healthcare utilization of the insured between the BMISUR and NRCMS, and showed that healthcare utilization was higher among BMISUR participants than among NRCMS participants, with the BMISUR improving health to a greater extent than the NRCMS. 26 Gong X (2019) studied the effects of social medical insurance (BMISUE and BMISUR) on the utilization of hospice medical services of elder adults. found that under the same conditions, either BMISUE or BMISUR can significantly improve the utilization level of hospice medical services for the elderly, but the total hospice expenditure of the elderly covered by BMISUE is 33.11% higher than that of BMISUR.…”

Section: Introductionmentioning

confidence: 99%

<p>Out-Patient Service and in-Patient Service: The Impact of Health Insurance on the Healthcare Utilization of Mid-Aged and Older Residents in Urban China</p>

Han

Zhang

Meng

2020

RMHP

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Purpose: Medical insurance is a disease risk-sharing mechanism that can improve residents' financial access to medical treatment and thus increase their utilization of health services. This paper aims to identify the impact of different kinds of medical insurances on the use of healthcare for Chinese mid-aged and older urban residents from four aspects: outpatient behaviour, outpatient costs, inpatient behaviour and inpatient costs. Materials and Methods: The data used in this study were from 2015 China Health and Retirement Longitudinal Study (CHARLS) conducted by Peking University. Binary logit model and multiple linear regression model were used to analyse the impact of health insurance on the use of healthcare, and the PSM method was used to test the robustness of the results. Results: Participating in either BMIUSE or BMISURR can significantly improve all kinds of healthcare utilization for mid-aged and older urban groups. However, there are huge differences on the healthcare utilization between BMISUE and BMISURR. Specifically, the probability of using inpatient care and inpatient costs of urban residents enrolled in the BMISUE are 4.2% and 45% higher, respectively, than those covered by the BMISURR, but there are no differences in outpatient care utilization and outpatient costs between these two health insurance programs. Conclusion: This paper suggests that the large gaps between BMISUE and BMISURR only reflect on inpatient care and inpatient costs, there is no difference in outpatient services between these two health insurance programs. "Excessive demand", "induced demand" and other moral hazard phenomena in BMISUE should be avoided when receiving hospitalization services.

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Does Public Health Insurance Coverage Lead to Better Health Outcomes? Evidence From Chinese Adults

Cited by 31 publications

References 33 publications

Public Awareness of Tuberculosis in Southeast China: A Population-Based Study

Public Awareness of Tuberculosis in Southeast China: A Population-Based Study

Does Health Insurance Lead to Improvement of Health Status Among Chinese Rural Adults? Evidence From the China Family Panel Studies

<p>Out-Patient Service and in-Patient Service: The Impact of Health Insurance on the Healthcare Utilization of Mid-Aged and Older Residents in Urban China</p>

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