The impact of tax-subsidized health insurance on health and out-of-pocket burden in China

被引:0
作者
Yang, Feiyan [1 ]
Wei, Li [2 ]
机构
[1] Southwestern Univ Finance & Econ, 555 Liutai Ave, Chengdu 611130, Sichuan, Peoples R China
[2] Renmin Univ China, Beijing, Peoples R China
关键词
Tax-subsidized health insurance; Health outcome; Out-of-pocket burden; Healthcare utilization; FINANCIAL PROTECTION; RURAL CHINA; CARE; ACCESS; MORTALITY; MEDICARE; OUTCOMES; ELIGIBILITY; COST; RISK;
D O I
10.1057/s41288-022-00276-4
中图分类号
F8 [财政、金融];
学科分类号
0202 ;
摘要
To achieve a tiered healthcare system in China, the government has beefed up efforts to encourage people to embrace private health insurance. One of the steps is to introduce tax-subsidized health insurance (TSHI) in 2015. This paper assesses whether TSHI is successful in improving health and easing financial burden. Using unique data from the Domestic TSHI Consumers Evaluation Survey in 2019 and Propensity Score Matching method, we find that TSHI has been effective in improving participants' health status, but not in lowering out-of-pocket (OOP) burden. Besides, TSHI can increase the utilization of both inpatient and outpatient care, which provides a possible explanation for beneficial health effect. From an internal perspective, TSHI has the potential to reduce disparities in health and access to healthcare services. Our results provide implications on modifying the benefit design of TSHI to better complement basic medical insurance system and on reforming the current tax incentive policy to reach out a large number of low-income people.
引用
收藏
页码:194 / 246
页数:53
相关论文
共 50 条
[41]   Do out-of-pocket health expenditures rise with age among older Americans? [J].
Stewart, ST .
GERONTOLOGIST, 2004, 44 (01) :48-57
[42]   The Impact of Public, Private, and Out-of-Pocket Health Expenditures on Under-Five Mortality in Malaysia [J].
Logarajan, Renuka Devi ;
Nor, Norashidah Mohamed ;
Sirag, Abdalla ;
Said, Rusmawati ;
Ibrahim, Saifuzzaman .
HEALTHCARE, 2022, 10 (03)
[43]   The impact of out-of-pocket health expenditure on household impoverishment: Evidence from Morocco [J].
Oudmane, Mourji ;
Mourji, Fouzi ;
Ezzrari, Abdeljaouad .
INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT, 2019, 34 (04) :E1569-E1585
[44]   The Burden of Out-of-Pocket and Indirect Costs of Prostate Cancer [J].
Jayadevappa, Ravishankar ;
Schwartz, J. Sanford ;
Chhatre, Sumedha ;
Gallo, Joseph J. ;
Wein, Alan J. ;
Malkowicz, S. Bruce .
PROSTATE, 2010, 70 (11) :1255-1264
[45]   The effect of a community-based health insurance on the out-of-pocket payments for utilizing medically trained providers in Bangladesh [J].
Khan, Jahangir A. M. ;
Ahmed, Sayem ;
Sultana, Marufa ;
Sarker, Abdur Razzaque ;
Chakrovorty, Sanchita ;
Rahman, Mohammad Hafizur ;
Islam, Ziaul ;
Rehnberg, Clas ;
Niessen, Louis W. .
INTERNATIONAL HEALTH, 2020, 12 (04) :287-298
[46]   The role of consumer choice in out-of-pocket spending on health [J].
Nuebler, Laura ;
Busse, Reinhard ;
Siegel, Martin .
INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH, 2023, 22 (01)
[47]   Distress financing of out-of-pocket health expenditure in India [J].
Sangar, Shivendra ;
Dutt, Varun ;
Thakur, Ramna .
REVIEW OF DEVELOPMENT ECONOMICS, 2019, 23 (01) :314-330
[48]   An Analysis of Catastrophic Out-of-Pocket Health Expenditures in Ghana [J].
Sataru, Fuseini ;
Twumasi-Ankrah, Kwame ;
Seddoh, Anthony .
FRONTIERS IN HEALTH SERVICES, 2022, 2
[49]   Examining the Economic Burden of Out-of-Pocket Health Expenditures for Households in Different Socio-Economic Groups in Turkey [J].
Manavgat, Gokce ;
Saygili, Fatih ;
Audibert, Martine .
SOSYOEKONOMI, 2020, 28 (46) :25-49
[50]   Health Care Utilization and Out-of-Pocket Payments among Elderly with Cognitive Frailty in Malaysia [J].
Alkhodary, Ahmed Abdelmajed ;
Aljunid, Syed Mohamed ;
Ismail, Aniza ;
Nur, Amrizal Muhammad ;
Shahar, Suzana .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2022, 19 (06)