Heterogeneous Impacts of Basic Social Health Insurance on Medical Expenditure: Evidence from China's New Cooperative Medical Scheme

被引：3
|
作者：
Fang, Conglong [1 ]
He, Chaofei [2 ]
Rozelle, Scott [3 ]
Shi, Qinghua [1 ]
Sun, Jiayin [4 ]
Yu, Ning [3 ,5 ]
机构：
[1] Shanghai Jiao Tong Univ, Antai Coll Econ & Management, Shanghai 200030, Peoples R China
[2] Nanjing Audit Univ, Sch Finance, Nanjing 211815, Peoples R China
[3] Stanford Univ, Freeman Spogli Inst Int Studies, Rural Educ Act Program, Stanford, CA 94305 USA
[4] Univ British Columbia, Dept Stat, Vancouver, BC V6T 1Z4, Canada
[5] Nanjing Audit Univ, Inst Social & Econ Res, Nanjing 211815, Peoples R China
来源：
HEALTHCARE | 2019年 / 7卷 / 04期
基金：
中国国家自然科学基金; 国家教育部科学基金资助;
关键词：
New Cooperative Medical Scheme (NCMS); medical expenditure; health insurance; China;
D O I：
10.3390/healthcare7040131
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
This paper examines the effects of China's New Cooperative Medical Scheme (NCMS) on medical expenditure. Utilizing the quasi-random rollout of the NCMS for a difference-in-difference analysis, we find that the NCMS increased medical expenditure by 12.3%. Most significantly, the good-health group witnessed a 22.1% rise in medical expenditure, and the high-income group saw a rise of 20.6%. The effects, however, were not significant among the poor-health or low-income groups. The findings are suggestive of the need for more help for the very poor and less healthy.
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页数：10
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