Is preventive care utilization associated with lower outpatient and inpatient health‐care expenses among Chinese older adults? A longitudinal analysis

Lee, Yen‐Han; Chang, Yen‐Chang; Shelley, Mack

doi:10.1002/hpm.2945

Cited by 5 publications

(1 citation statement)

References 31 publications

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“…Among all respondents, AHC utilization increased from 31.96% in 2011 to 71.35% in 2018. Consistent with our finding, a previous study using CLHLS data conducted in 2011 showed that 34.72% of elderly people underwent AHC [40], and it increased to 67% in 2017 [41]. Following China's rapid economic growth and social development, with its accompanying enhanced health beliefs, per capita subsidies for BPHS were increased from CNY 15 in 2009 to CNY 55 in 2018 (USD 1 = CNY 6.50).…”

Section: Discussionsupporting

confidence: 89%

The Effect of Health Check-Ups on Health Among the Elderly in China: Evidence From 2011–2018 Longitudinal Data

Zhao¹,

Zhou²,

Shen³

et al. 2022

Int J Public Health

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Objectives: To assess the effect of health check-ups on health among the elderly Chinese.Methods: The first dataset was panel data extracted from the 2011, 2014, and 2018 waves of the Chinese Longitudinal Health Longevity Survey (CLHLS). The second dataset was cross-sectional data come from CLHLS 2018 linked with the lagged term of health check-ups in CLHLS 2011. Health check-ups were measured by a binary variable annual health check-up (AHC). Health was assessed by a binary variable self-rated health (SRH). A coarsened exact matching method and individual fixed-effects models, as well as logistic regressions were employed.Results: AHC attendance among the elderly increased from 2011 to 2018, with higher utilization of AHC also detected in the rural group. AHC had positive effects on SRH among rural respondents (short-term effect: OR = 1.567, p < 0.05; long-term effect: OR = 3.385, p < 0.001).Conclusion: This study highlights a higher utilization of AHC in rural area, and the effectiveness of AHC in SRH improvement among rural participants. It indicates enhanced access to public healthcare services in rural area and underlying implications of health check-ups for reducing urban–rural health inequalities.

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Section: Discussionsupporting

confidence: 89%

The Effect of Health Check-Ups on Health Among the Elderly in China: Evidence From 2011–2018 Longitudinal Data

Zhao¹,

Zhou²,

Shen³

et al. 2022

Int J Public Health

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Association between tobacco and alcohol consumption behavioral variation and healthcare expenses among Chinese older adults

Lee,

Chang,

Rovito

et al. 2024

International Journal of Healthcare Management

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Impact of Health Insurance on Health Care Utilisation and Out-of-Pocket Health Expenditure in Vietnam

Thuong

Huy

Tài

et al. 2020

BioMed Research International

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Background. In recent years, health insurance (HI) has been chosen by many low- and middle-income countries to obtain an important health policy target—universal health coverage. Vietnam has recently introduced the Revised Health Insurance Law, and the effects of the voluntary health insurance (VHI) and heavily subsidised health insurance (HSHI) programmes have not yet been analysed. Therefore, this study is aimed at examining the impact of these HI programmes on the utilisation of health care services and out-of-pocket health expenditure (OOP) in general and across different health care providers in particular. Methods. Using the two waves of Vietnam Household Living Standard Surveys 2014 and 2016 and the difference-in-difference method, the impacts of VHI and HSHI on health care utilisation and OOP in Vietnam were estimated. Results. For both the VHI and HSHI groups, we found that HI increased the probability of seeking outpatient care, the mean number of outpatient visits, the total number of visits, and the mean number of visits at the district level of health care providers in the last 12 months. However, there was no evidence that the HSHI programmes increased the mean number of inpatient visits and the number of visits at the provincial hospital. We also found that while the VHI programme reduced OOP for both outpatient and inpatient care, the HSHI scheme did not result in a reduction in OOP for hospitalisation, although HI lowered the total OOP. Similarly, we found that for both groups, HI reduced OOP when the insured visited district and provincial hospitals. However, the statistically significant impact was not demonstrated when the enrolees of HSHI programmes visited provincial hospitals. Conclusion. The study offers evidence that the Vietnamese HI scheme increased health care service utilisation and decreased OOP for the participants of the VHI and HSHI programmes. Therefore, the government should continue to consider improving the HI system as a strategy to achieve universal health coverage.

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Is preventive care utilization associated with lower outpatient and inpatient health‐care expenses among Chinese older adults? A longitudinal analysis

Cited by 5 publications

References 31 publications

The Effect of Health Check-Ups on Health Among the Elderly in China: Evidence From 2011–2018 Longitudinal Data

The Effect of Health Check-Ups on Health Among the Elderly in China: Evidence From 2011–2018 Longitudinal Data

Association between tobacco and alcohol consumption behavioral variation and healthcare expenses among Chinese older adults

Impact of Health Insurance on Health Care Utilisation and Out-of-Pocket Health Expenditure in Vietnam

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