The Effects of Private Health Insurance on Universal Health Coverage Objectives in China: A Systematic Literature Review

Wu, Runguo; Li, Niying; Ercia, Angelo

doi:10.3390/ijerph17062049

Cited by 37 publications

(45 citation statements)

References 50 publications

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“…In China, government encouragement of the expansion of PHI is not for the purpose of covering individuals who are unable to acquire SBMI. Rather, PHI in China is a form of supplementary coverage for individuals who are already enrolled in the SBMI scheme [8]. Our study revealed that PHI purchasing was significantly associated with household financial status, including household income and medical spending.…”

Section: Discussionmentioning

confidence: 68%

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What Are the Determinants of the Decision to Purchase Private Health Insurance in China?

Wan

Peng

Shi

et al. 2020

IJERPH

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The objective of this study was to assess the determinants of the decision to purchase private health insurance (PHI) in China. Nationally representative data from the fourth wave of the China Household Finance Survey from 2017 were used, and the dataset comprised 105,691 individuals aged 18 years or older. The Andersen health services utilization model was used to inform the research. Chi-square tests and logistic regression analyses were used to estimate the decision to purchase PHI. The proportion of the sample that had PHI was small, at 5.06%, but coverage for social basic medical insurance (SBMI) was 90.64%. Among PHI holders, the overwhelming majority (87.40%) also had SBMI. Logistic regression analysis demonstrated that predisposing factors (age, education, marital status, household size), enabling factors (household income, SBMI status, geographical factors, household medical expense, and medical debt), and needs-based factors (health status) were statistically significant determinants of the decision to purchase PHI. This study suggests that the socio-economic circumstances of households play a crucial role in the decision to acquire PHI. The findings may be used by the insurance industry to inform actions to enhance PHI coverage and by policy decision-makers that seek to improve equality in access to PHI.

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Section: Discussionmentioning

confidence: 68%

“…Private health insurance (PHI) was initially introduced in China in the 1980s [8], and it helped to expand the breadth of universal health coverage (UHC) in the absence of SBMI. With the rapid increase in income in the last 20 years, individuals now seek enhancements to the quality of healthcare [9].…”

Section: Introductionmentioning

confidence: 99%

What Are the Determinants of the Decision to Purchase Private Health Insurance in China?

Wan

Peng

Shi

et al. 2020

IJERPH

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“…Such types of research are program design, implementation, evaluations, related policies, strategies, activities, etc. [13][14][15] Last but not least, SR must be used by creative model other than narrow and classical way so that coming researcher shall develop and improve with more pragmatic approaches.…”

mentioning

confidence: 99%

Methodological issues on ‘challenges and opportunities towards the road of universal health coverage (UHC) in Nepal: a systematic review’

Ranabhat

Acharya

2020

Arch Public Health

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Challenges and opportunities towards the road of universal health coverage (UHC) in Nepal: a systematic review' is a policy review paper and we published in BMC-Archives of Public Health. Policy research is the process of conducting research, analysis of, a fundamental social problem in order to provide policymakers with pragmatic, action-oriented recommendations for alleviating the problem. The objective of this paper is to illustrate some methodological issues used in that paper.

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“…This explains the growing private healthcare plan market in China, and the state-led maternity insurance fund managers can learn from them. Suffice to say that such an ambitious venture may come at a cost, but this can be controlled [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…The management of maternity insurance in China has been decentralized; hence the day-to-day decision-making starts at the local community, county, provincial or regional government before it is approved at the national level [ 22 ]. As is with every form of insurance scheme, the maternity insurance scheme in China comprises of an inlet or inflow sources (income) and the outlet or outflow channels which are the expenditure component [ 23 ]. In most provinces in China, four main sources of funds flow into the maternity insurance fund.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Analysis of Impact of Universal Two-Child Policy on Maternity Insurance Fund in Jiangsu Province and Guangxi Zhuang AR

Antwi

Zhou

et al. 2021

Healthcare

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The maternity insurance fund in some provinces in China has accumulated unprecedented deficit levels. This imminent depletion can cause a catastrophic health crisis for maternal health. This study analyzed the post-policy impact of key factors on maternity insurance income inflow and outflow in Jiangsu Province and Guangxi Zhuang Autonomous Region (AR). We applied Pasera’s ARLD model and VECM Granger Causality Test to establish long- and short-term impact of selected factors that determines the income and expenditure of the maternity insurance fund in the two regions based on data from 2011 to 2019. Our results show that the addition of new births due to the universal two-child policy has increased the per capita utilization of the maternity insurance fund in both areas. We further observed that the impact of the maternity insurance contribution rate to the maternity insurance fund decays with time giving a long-run limited impact in both provinces. Thus the positive impact is stronger in the short term, but in the long term, its influence or contribution to stability of the funds reduces. The positive impact of interest from investment in the maternity insurance fund is however insignificant in both provinces, giving a major cause for concern on its role in maternity insurance fund income generation. In the short term, the contribution rate of the maternity insurance fund must be adjusted upward or the payment base expanded to receive additional contribution from all employees to avoid complete depletion of the fund. In the long term, we recommend the need to replenish the maternity insurance funds through proper investment options for the funds. We further recommend the need to look for other sources of funding social interventions based on existing practices in other countries.

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The Effects of Private Health Insurance on Universal Health Coverage Objectives in China: A Systematic Literature Review

Cited by 37 publications

References 50 publications

What Are the Determinants of the Decision to Purchase Private Health Insurance in China?

What Are the Determinants of the Decision to Purchase Private Health Insurance in China?

Methodological issues on ‘challenges and opportunities towards the road of universal health coverage (UHC) in Nepal: a systematic review’

A Comparative Analysis of Impact of Universal Two-Child Policy on Maternity Insurance Fund in Jiangsu Province and Guangxi Zhuang AR

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