The effect of health insurance reform: Evidence from China
The effect of health insurance reform: Evidence from China
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DOI：
10.1016/j.chieco.2018.08.013
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发表时间：
2019-02-01
影响因子：
6.8
通讯作者：
Nolen, Patrick J.
中科院分区：
文献类型：
--
作者：
He, Huajing;Nolen, Patrick J.
本文估计了医疗保险改革对中国城市居民健康结果的影响。利用中国健康与营养调查数据，我们发现这一改革显著提高了非国有企业职工的医疗保险覆盖率。双差（DD）估计表明，改革也带来了更好的健康结果：工人生病的可能性更小，更有可能使用预防保健。使用工具变量（IV）的方法来看待医疗保险的因果关系，我们发现那些有医疗保险的人使用更多的预防性护理，但没有报告显着更好的健康结果，增加医疗保健利用率，或增加自付医疗支出。
This paper estimates the impact of a health insurance reform on health outcomes in urban China. Using the China Health and Nutrition Survey' we find that this reform increases the rate of health insurance coverage significantly among workers in Non-State Owned Enterprises. The double difference (DD) estimations show that the reform also leads to better health outcomes: workers are less likely to get sick and more likely to use preventive care. Using an instrumental variable (IV) approach to look at the causal effect of health insurance, we find those with health insurance use more preventive care but do not report significantly better health outcomes, an increase in health care utilisation, or an increase in out-of-pocket medical expenditure.