Economic and health impacts of China’s comprehensive health care system reform
We estimate the effects of the Comprehensive Medical Reform (CMR), a large-scale and comprehensive health care system reform in China, on medical burden and health status. Leveraging a time-varying difference-in-differences methodology and utilizing microdata from the Chinese Family Panel Study (CFP...
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Language: | English |
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Taylor & Francis Group
2024-12-01
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Series: | Journal of Applied Economics |
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Online Access: | https://www.tandfonline.com/doi/10.1080/15140326.2024.2425257 |
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author | Guangya Sun Yaping Sun |
author_facet | Guangya Sun Yaping Sun |
author_sort | Guangya Sun |
collection | DOAJ |
description | We estimate the effects of the Comprehensive Medical Reform (CMR), a large-scale and comprehensive health care system reform in China, on medical burden and health status. Leveraging a time-varying difference-in-differences methodology and utilizing microdata from the Chinese Family Panel Study (CFPS), we demonstrate that exposure to the CMR leads to significant reduction in individuals’ out-of-pocket medical expenses and an improvement in their health status. Notably, there are no substantial changes in total medical expenses. Additionally, we find that the CMR enhances medical satisfaction and level, expands health insurance coverage, and increases residents’ propensity to select lower-grade hospitals. Lastly, we uncover that the economic and health effects vary among different groups of individuals. |
format | Article |
id | doaj-art-37ff917d103a4fb7a0cc7e78bc6ee4b0 |
institution | Matheson Library |
issn | 1514-0326 1667-6726 |
language | English |
publishDate | 2024-12-01 |
publisher | Taylor & Francis Group |
record_format | Article |
series | Journal of Applied Economics |
spelling | doaj-art-37ff917d103a4fb7a0cc7e78bc6ee4b02025-06-27T12:10:52ZengTaylor & Francis GroupJournal of Applied Economics1514-03261667-67262024-12-0127110.1080/15140326.2024.2425257Economic and health impacts of China’s comprehensive health care system reformGuangya Sun0Yaping Sun1School of Business, Shantou University, Shantou City, Guangdong Province, ChinaSchool of Economics, Zhejiang University of Finance and Economics, Hangzhou City, Zhejiang Province, ChinaWe estimate the effects of the Comprehensive Medical Reform (CMR), a large-scale and comprehensive health care system reform in China, on medical burden and health status. Leveraging a time-varying difference-in-differences methodology and utilizing microdata from the Chinese Family Panel Study (CFPS), we demonstrate that exposure to the CMR leads to significant reduction in individuals’ out-of-pocket medical expenses and an improvement in their health status. Notably, there are no substantial changes in total medical expenses. Additionally, we find that the CMR enhances medical satisfaction and level, expands health insurance coverage, and increases residents’ propensity to select lower-grade hospitals. Lastly, we uncover that the economic and health effects vary among different groups of individuals.https://www.tandfonline.com/doi/10.1080/15140326.2024.2425257Health care systemmedical burdenhealth |
spellingShingle | Guangya Sun Yaping Sun Economic and health impacts of China’s comprehensive health care system reform Journal of Applied Economics Health care system medical burden health |
title | Economic and health impacts of China’s comprehensive health care system reform |
title_full | Economic and health impacts of China’s comprehensive health care system reform |
title_fullStr | Economic and health impacts of China’s comprehensive health care system reform |
title_full_unstemmed | Economic and health impacts of China’s comprehensive health care system reform |
title_short | Economic and health impacts of China’s comprehensive health care system reform |
title_sort | economic and health impacts of china s comprehensive health care system reform |
topic | Health care system medical burden health |
url | https://www.tandfonline.com/doi/10.1080/15140326.2024.2425257 |
work_keys_str_mv | AT guangyasun economicandhealthimpactsofchinascomprehensivehealthcaresystemreform AT yapingsun economicandhealthimpactsofchinascomprehensivehealthcaresystemreform |