Does health insurance decrease health expenditure risk in developing countries? the case of China

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dc.contributor.authorJung, Juergen
dc.contributor.authorLiu, Jialu
dc.contributor.departmentTowson University. Department of Economicsen_US
dc.date.accessioned2018-05-16T17:33:25Z
dc.date.available2018-05-16T17:33:25Z
dc.date.issued2011
dc.date.updated2014-04-02
dc.description.abstractThis paper studies the impact of health insurance on individual out-of-pocket health expenditures in China. Using China Health and Nutrition Survey data between 1991 and 2006, we apply two-part and sample selection models to address issues caused by censored data and selection on unobservables. We find that, although the probability of accessing health care increases with the availability of health insurance, the level of out-of-pocket health expenditure decreases. Our results from a selection model with instrumental variables suggest that having health insurance reduces the expected out-of-pocket health expenditure of an individual by 29.42 percent unconditionally. Meanwhile, conditional on being subjected to positive health expenditure, health insurance helps reduce out-of-pocket spending by 44.38 percent. This beneficial effect of health insurance weakens over time, which may be attributable to increases in the coinsurance rates of health insurances in China.en_US
dc.description.urihttps://ideas.repec.org/p/tow/wpaper/2011-04.htmlen_US
dc.formatapplication/pdf
dc.format.extent35 pagesen_US
dc.genreworking papersen_US
dc.identifierdoi:10.13016/M2M32ND27
dc.identifier.citationJuergen Jung & Jialu Liu, 2011. "Does Health Insurance Decrease Health Expenditure Risk in Developing Countries? The Case of China," Working Papers 2011-04, Towson University, Department of Economics, revised Apr 2014.en_US
dc.identifier.otherJEL: I11
dc.identifier.otherJEL: C33
dc.identifier.otherJEL: C34
dc.identifier.urihttp://hdl.handle.net/11603/10766
dc.language.isoen_USen_US
dc.publisherTowson University. Department of Economicsen_US
dc.relation.isAvailableAtTowson University
dc.relation.ispartofseriesTowson University Department of Economics Working Paper Series;2011-04
dc.subjectHealth insuranceen_US
dc.subjectMedical care, Cost ofen_US
dc.subjectTwo-part modelen_US
dc.subjectBivariate sample selection modelen_US
dc.subjectChina Health and Nutrition Survey (CHNS)en_US
dc.titleDoes health insurance decrease health expenditure risk in developing countries? the case of Chinaen_US
dc.typeTexten_US

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