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The effect of health insurance reform: Evidence from China

He, Huajing and Nolen, Patrick J (2018) 'The effect of health insurance reform: Evidence from China.' China Economic Review. ISSN 1043-951X

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Abstract

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.

Item Type: Article
Uncontrolled Keywords: Health insurance reform, Health outcomes, China
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > R Medicine (General)
Divisions: Faculty of Social Sciences > Economics, Department of
Depositing User: Elements
Date Deposited: 04 Sep 2018 09:27
Last Modified: 29 Feb 2020 02:00
URI: http://repository.essex.ac.uk/id/eprint/22921

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