The expansion of public health insurance and the demand for private health insurance in rural China

2011 ◽  
Vol 22 (1) ◽  
pp. 28-41 ◽  
Author(s):  
Hong Liu ◽  
Song Gao ◽  
John A. Rizzo
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Private Health Insurance ◽  
Rural China ◽  
Public Health Insurance

scholarly journals Geographic variation in health insurance coverage : United States, 2019

2021 ◽  
Author(s):  
Robin A. Cohen ◽  
◽  
Emily P. Terlizzi ◽  
Amy E. Cha ◽  
Michael E. Martinez ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Health Insurance ◽  
Geographic Variation ◽  
Private Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Public Health Insurance ◽  
National Estimates ◽  
State Regional

This report presents state, regional, and national estimates of the percentage of persons who were uninsured, had private health insurance coverage, and had public health insurance coverage in 2019.

scholarly journals The Effect of Additional Private Health Insurance on Mortality in the Context of Universal Public Health Insurance

2021 ◽  
Vol 18 (16) ◽  
pp. 8363
Author(s):  
Eun-Mi Baek ◽  
Jae-Il Oh ◽  
Eun-Jung Kwon
Keyword(s):  
Public Health ◽  
Health Disparities ◽  
Health Insurance ◽  
Longitudinal Study ◽  
Private Health Insurance ◽  
Public Health Insurance ◽  
Health Coverage ◽  
Cox Proportional Hazard ◽  
System 2 ◽  
Cox Proportional Hazard Regression

(1) Background: Korea operates its national health insurance (NHI) system as a form of public health insurance, and is commonly regarded as having achieved universal health coverage (UHC). However, many Korean households register for additional private health insurance (PHI) programs. Typically, registration rates for PHI are higher for individuals with a higher socioeconomic status (SES). A difference in mortality between those with and without additional PHI would indicate that there are health inequalities within the Korean NHI system under UHC. Therefore, this study aimed to confirm whether additional PHI affects mortality under the Korean NHI system. (2) Methods: We conducted a longitudinal study using the Korean Longitudinal Study of Aging data from the first to the sixth wave. The analysis included 8743 participants, who were divided into two groups: those who only had NHI and those who had both NHI and PHI. Differences in mortality between the two groups were compared using the Cox proportional hazard regression. (3) Results: The group with both NHI and PHI had lower mortality than the group with only NHI (hazard ratio = 0.53, 95% confidence interval: 0.41, 0.9). (4) Conclusions: The results of this study reveal that there are health disparities according to SES and PHI within the Korean NHI system under UHC. Therefore, relevant government institutions and experts should further improve the NHI system to reduce health disparities.

scholarly journals Effects of Public Health Insurance on Labor Supply in Rural China

2017 ◽  
Vol 83 (1) ◽  
pp. 127
Author(s):  
Z. Shen ◽  
M. Parker ◽  
D. Brown ◽  
X. Fang
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Labor Supply ◽  
Rural China ◽  
Public Health Insurance

scholarly journals Geographic Variation in Health Insurance Coverage: United States, 2020

2022 ◽  
Author(s):  
Emily Terlizzi ◽  
Robin Cohen
Keyword(s):  
Public Health ◽  
United States ◽  
Health Insurance ◽  
Geographic Variation ◽  
Private Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Public Health Insurance ◽  
National Estimates ◽  
State Regional

This report presents state, regional, and national estimates of the percentage of people who were uninsured, had private health insurance coverage, and had public health insurance coverage at the time of the interview.

scholarly journals Public Medical Insurance and Healthcare Utilization and Expenditures of Older with Chronic Diseases in Rural China: Evidence from NRCMS

2020 ◽  
Vol 17 (20) ◽  
pp. 7683
Author(s):  
Qi Liu ◽  
Jin Liu ◽  
Shuntian Sui
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Insurance ◽  
Chronic Diseases ◽  
Rural China ◽  
Health Care Service ◽  
Outpatient Service ◽  
Public Health Insurance ◽  
Care Utilization ◽  
The Impact

China’s rural older are the threat from chronic diseases, making it important to evaluate the effect of public health insurance on the health care utilization and expenditures with chronic diseases. In 2003, China initiated a public health insurance, which was called the New Rural Cooperative Medical System (NRCMS). NRCMS is a voluntary program, targeting rural residents with government subsidies and individual contribution. Using the two-stage residual inclusion approach (2SRI), we analyzed the impact of NRCMS on health-care service utilization and expenditure of rural older with chronic diseases by using the 2011 and 2013 China Health and Retirement Survey (CHARLS) data. The results showed NRCMS did not play an effective role on improving the medical services utilization of rural older with chronic diseases. Although NRCMS immediate reimbursement significantly reduced the outpatient service fee, the actual outpatient reimbursement is the opposite. In addition, NRCMS did not significantly decrease their hospitalization expense. Policy makers should pay attention to health management about chronic diseases in rural China, and some measures should be taken to deepen the medical security system reform and improve the public health service system.

scholarly journals Childhood Nutrition in Rural China: What Impact Does Public Health Insurance Have?

2020 ◽  
Author(s):  
Hongli Fan ◽  
Qingyue Yan ◽  
Suchun Liu ◽  
Jiaoli Cai ◽  
Peter C. Coyte
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Rural China ◽  
Public Health Insurance ◽  
Childhood Nutrition

scholarly journals The impacts of health insurance on financial strain for people with chronic diseases

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zixuan Peng ◽  
Li Zhu
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Chronic Diseases ◽  
Private Health Insurance ◽  
Private Insurance ◽  
Binary Logistic Regression ◽  
Public Health Insurance ◽  
Financial Strain ◽  
Chi Square ◽  
Financial Barriers

Abstract Background Due to ongoing expenses for both short-term and long-term needs for health services, people with chronic diseases tend to struggle with financial hardship. Health insurance is employed as a useful tool in aiding people to solve such financial strain. This study aims to examine and compare the impacts of public and private health insurance on solving financial barriers for people with chronic diseases. Methods This research obtained an outpatient sample consisted of 1739 individuals and an inpatient sample consisted of 1034 individuals. We employed a Chi-square test and a two-sample T-test to explore differences in financial strain and insurance status between people with chronic diseases and those without. Then we adopted binary logistic regression technique to assess the impacts of different types of health insurance on outpatient and inpatient financial strain for people with chronic diseases. Results Our research has five key findings: first, people with chronic diseases were more likely to experience both the outpatient and inpatient financial strain (P < 0.01); second, public health insurance was found to reduce the outpatient financial strain; third, private health insurance was found to positively associate with inpatient financial barriers; fourth, Urban Employment Insurance (UEI) was expected to reduce both the outpatient and inpatient financial barriers, while self-paid private insurance (SPI) was positively associated with inpatient financial barriers; and fifth, income was identified as a positive predictor of having outpatient and inpatient financial strain. Conclusions Public health insurance has the potential to reduce the outpatient financial strain for people with chronic diseases. Private health insurance was identified as a positive predictor of inpatient financial strain for people with chronic diseases. Policy should be proposed to promote the capacity of public health insurance and explore the potential effects of private health insurance on solving the inpatient financial barriers faced by people with chronic diseases in China.

Sign in / Sign up

Export Citation Format

Share Document