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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Main Authors: Guangya Sun, Yaping Sun
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Journal of Applied Economics
Subjects:
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.
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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