The Impact of the Urban Resident Basic Medical Insurance on Health Services Utilisation in China

2013 ◽  
Vol 32 (3) ◽  
pp. 277-292 ◽  
Author(s):  
Gang Chen ◽  
Gordon G. Liu ◽  
Fei Xu
Keyword(s):  
Health Services ◽  
Medical Insurance ◽  
Urban Resident ◽  
Basic Medical Insurance ◽  
The Impact ◽  
Basic Medical

scholarly journals The Effect of Health Shock and Basic Medical Insurance on Family Educational Investment for Children in China

2021 ◽  
Vol 18 (10) ◽  
pp. 5242
Author(s):  
Pu Liao ◽  
Zhihong Dou ◽  
Xingxing Guo
Keyword(s):  
Negative Impact ◽  
Medical Insurance ◽  
Generation Model ◽  
Two Phase ◽  
Parental Health ◽  
Health Shock ◽  
Basic Medical Insurance ◽  
Child Education ◽  
The Impact ◽  
Basic Medical

This paper explores the role of basic medical insurance in protecting family investment in child education. First, this paper establishes a two-phase overlapping generation model to theoretically analyse the impact of basic medical insurance on investment in child education under the influence of the impact of parental health. The results show that health shock reduces parental investment in child education, and medical insurance significantly alleviates the negative impact of parental health shock on investment in child education. Furthermore, this paper establishes a two-way fixed effect regression model based on the data of China Family Panel Studies (CFPS) in 2014 and 2016 to empirically test the above results. The results showed that parental health shocks negatively affect investment in child education, and paternal health shock has a more significant impact than maternal health shock. However, medical insurance significantly reduces this negative impact, provides security in investment in child education, and promotes the improvement of human capital.

scholarly journals Empirical Study on the Impact of Urban and Rural Resident Basic Medical Insurance on Children's Educational Outcomes

2021 ◽  
Vol 9 ◽  
Author(s):  
Hua Chen ◽  
Gandan Xiao ◽  
Jianing Xing ◽  
Qing Zhou
Keyword(s):  
Educational Outcomes ◽  
Medical Insurance ◽  
Mathematics Performance ◽  
Rural Resident ◽  
Basic Medical Insurance ◽  
Channel Effects ◽  
Negative Effect ◽  
Cooperative Medical Scheme ◽  
The Impact ◽  
Basic Medical

This paper employs data from the 2016 and 2018 China Family Panel Studies (CFPS) to study the impact of participation in Urban and Rural Resident Basic Medical Insurance (URRBMI) on children's educational outcomes by using the logit model, double selection Lasso model, and propensity score matching. It is found that participating in URRBMI has no significant effect on children's Chinese performance, but has a significant negative effect on children's mathematics performance. The negative effect is more obvious for children who participating in the New Cooperative Medical Scheme (NCMS). The paper also studies the channel effects of participation in URRBMI on children's educational outcomes trough two different ways. It is noticed that both channel effects are not significant, that is, participation in URRBMI neither improves children's health nor changes household education expenditures.

scholarly journals The Impact of Health Insurance Policy on the Health of the Senior Floating Population—Evidence from China

2018 ◽  
Vol 15 (10) ◽  
pp. 2159 ◽  
Author(s):  
Yingying Meng ◽  
Junqiang Han ◽  
Siqi Qin
Keyword(s):  
Health Insurance ◽  
Instrumental Variable ◽  
Academic Research ◽  
Medical Insurance ◽  
Floating Population ◽  
Insurance System ◽  
Self Rated Health ◽  
Basic Medical Insurance ◽  
The Impact ◽  
Basic Medical

The impact of health insurance on residents’ health is one of the focal points of academic research. Due to the fact that China’s medical insurance system is composed of a variety of programs and that the pooling districts are at the lower administrative level, enrollment in different medical insurance programs or at different places may have certain influences on the health of residents. This has mostly been neglected by previous studies. This paper uses data from the 2015 China Migrants Dynamic Survey (CMDS), focusing on the senior floating population and taking the difference in government subsidy proportions as an instrumental variable in order to identify the effects of health insurance programs and regional differences on the health of the senior floating population. Three effects were observed: First, participation in the health insurance system significantly improves floating seniors’ self-rated health. Second, the health status of floating seniors affects their choice of health insurance program: Less healthy persons tend to choose high-paying, wide-coverage basic medical insurance available for urban employees. Using an instrumental variable to control for the problem of endogeneity, it is discovered that compared with the basic medical insurance system for urban residents, the system for urban employees significantly enhances the health of the senior floating population. Third, “adverse selection” could be observed in the choice between enrolling in health insurance at the place of settlement or another place. Senior migrants with worse self-rated health tend to choose place of settlement in order to enjoy higher compensation and less complex reimbursement procedures. With an instrumental variable to control for the problem of endogeneity, it was found that compared with joining the medical insurance system at other places, joining at a place of settlement could improve the health of the floating senior population.

scholarly journals Utilisation of health services among urban patients who had an ischaemic stroke with different health insurance - a cross-sectional study in China

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e040437 ◽  
Author(s):  
Yong Yang ◽  
Xiaowei Man ◽  
Stephen Nicholas ◽  
Shuo Li ◽  
Qian Bai ◽  
...  
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Outcome Measures ◽  
Medical Insurance ◽  
Secondary Outcome ◽  
Secondary Outcome Measure ◽  
Research Association ◽  
Insurance System ◽  
Basic Medical Insurance ◽  
Basic Medical

ObjectivesThis study investigates the disparities in the utilisation of patient health services for patients who had a stroke covered by different urban basic health insurance schemes in China.DesignWe conducted descriptive analysis based on a 5% random sample from claims data of China Urban Employees’ Basic Medical Insurance (UEBMI) and Urban Residents’ Basic Medical Insurance (URBMI) in 2015, supplied by the China Health Insurance Research Association.SettingChinese urban social insurance system.ParticipantsA total of 56 485 patients who had a stroke were identified, including 36 487 UEBMI patients and 19 998 URBMI patients.Primary and secondary outcome measuresThe primary outcome measures include annual number of hospitalisations, average length of stay (ALOS) and average hospitalisation cost. Out-of-pocket (OOP) cost is the secondary outcome measure.ResultsThe annual mean number of hospitalisations of UEBMI patients was 1.21 and 1.15 for URBMI patients. The ALOS was significantly longer for UEBMI than for URBMI patients (13.93 vs 10.82, p<0.001). Hospital costs were significantly higher for UEBMI than for URBMI patients (US$1724.02 vs US$986.59 (p<0.001), while the OOP costs were significantly higher for URBMI than for UEBMI patients (US$423.17 vs US$407.81 (p<0.001). Patients with UEBMI had higher reimbursement rate than URBMI patients (79.41% vs 66.92%, p<0.001) and a lower self-paid ratio than URBMI patients (23.65% vs 42.89%, p<0.001).ConclusionsSignificant disparities were found in the utilisation of hospital services between UEBMI and URBMI patients. Our results call for a systemic strategy to improve the fragmented social health insurance system and narrow the gaps in China’s health insurance schemes.

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