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    Rights statement: This is the author’s version of a work that was accepted for publication in China Economic Review. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in China Economic Review, 52, 2018 DOI: 10.1016/j.chieco.2018.06.004

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Demand for social health insurance: Evidence from the Chinese New Rural Cooperative Medical Scheme

Research output: Contribution to journalJournal articlepeer-review

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  • Miaoqing Yang
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<mark>Journal publication date</mark>12/2018
<mark>Journal</mark>China Economic Review
Volume52
Number of pages10
Pages (from-to)126-135
Publication StatusPublished
Early online date26/06/18
<mark>Original language</mark>English

Abstract

This paper assesses the determinants of enrolment in the New Rural Cooperative Medical Scheme (NRCMS), a heavily subsidized voluntary health insurance scheme in rural China. The analyses focus on the relationship between insurance purchase and health facility choice based on data drawn from the China Health and Nutrition Survey (CHNS). The results show that households from villages that reported use of village clinics are more likely to be insured compared with households from villages that reported use of county hospitals. The results indicate that the perception of quality of care is an important factor affecting people's enrolment decisions. The NRCMS is expected to help patients obtain better quality health services from higher-tier of the healthcare system that are unaffordable otherwise. However, given the prevailing fee-for-service payment mechanism for health care, the insurance may also drive up the healthcare cost and direct patients to use more expensive and unnecessary hospital care.

Bibliographic note

This is the author’s version of a work that was accepted for publication in China Economic Review. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in China Economic Review, 52, 2018 DOI: 10.1016/j.chieco.2018.06.004