Health Insurance and Health Status: Exploring the Causal Effect from a Policy Intervention
Health Insurance and Health Status: Exploring the Causal Effect from a Policy Intervention
复制标题
健康保险和健康状况：探索政策干预的因果效应
DOI：
10.1002/hec.3225
复制
发表时间：
2016-11-01
期刊：
影响因子：
2.1
通讯作者：
Liu, Gordon G.
中科院分区：
文献类型：
--
作者：
Pan, Jay;Lei, Xiaoyan;Liu, Gordon G.
长期以来，在评估发达国家和发展中国家医疗保险的全部价值时，医疗保险是否对健康有重要意义一直是辩论的中心问题。2007年，政府主导的城镇居民基本医疗保险（URBMI）计划在中国试点，随后于2009年在全国范围内实施。不同城市和群体的政府保费补贴提供了一个独特的机会，采用工具变量估计方法来确定健康保险对健康的因果影响。使用全国小组调查的URBMI，我们发现，URBMI受益人的经验，统计上更好的健康比未投保。此外，教育和收入处于不利地位的群体的保险健康福利似乎比他们的同行更强。此外，被保险人可以得到更多更好的住院治疗，而无需支付更多的服务费用。版权所有（c）2015约翰威利父子有限公司
Whether health insurance matters for health has long been a central issue for debate when assessing the full value of health insurance coverage in both developed and developing countries. In 2007, the government-led Urban Resident Basic Medical Insurance (URBMI) program was piloted in China, followed by a nationwide implementation in 2009. Different premium subsidies by government across cities and groups provide a unique opportunity to employ the instrumental variables estimation approach to identify the causal effects of health insurance on health. Using a national panel survey of the URBMI, we find that URBMI beneficiaries experience statistically better health than the uninsured. Furthermore, the insurance health benefit appears to be stronger for groups with disadvantaged education and income than for their counterparts. In addition, the insured receive more and better inpatient care, without paying more for services. Copyright (c) 2015 John Wiley & Sons, Ltd.