ArticleInternational journal of environmental research and public health2020
The Mixed Effect of China's New Health Care Reform on Health Insurance Coverage and the Efficiency of Health Service Utilisation: A Longitudinal Approach.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- From coverage to care: how basic medical insurance shapes patients' experiences of primary care in China.Frontiers in epidemiology · 2026Article
- The spatial effects and influencing factors of inter-provincial health resource allocation efficiency in China.BMC health services research · 2025Article
- Did China's hospital reforms improve curative care expenditures? Evidence from Beijing hospitals.BMC health services research · 2025Article
- Article
- Can Comprehensive Medical Reform Improve the Efficiency of Medical Resource Allocation? Evidence From China.International journal of public health · 2023Article
- Estimating the spatial correlation and convergence of China's healthcare resources allocation: evidence from the Yangtze River Delta Region.Archives of public health = Archives belges de sante publique · 2022Article
- Perceived extrinsic barriers hinder community detection and management of mild cognitive impairment: a cross-sectional study of general practitioners in Shanghai, China.BMC geriatrics · 2022Article
- The Service Capability of Primary Health Institutions under the Hierarchical Medical System.Healthcare (Basel, Switzerland) · 2022Article
- Effects of Healthcare Policies and Reforms at the Primary Level in China: From the Evidence of Shenzhen Primary Care Reforms from 2018 to 2019.International journal of environmental research and public health · 2022Article
- Experience of Dry Eye Patients With Anxiety and Depression: A Qualitative Study.Frontiers in medicine · 2022Article
- 3D Differential Equation Model for Patients' Choice of Hospital in China.Frontiers in public health · 2022Article
- The COVID-19 Run on Medical Resources in Wuhan China: Causes, Consequences and Lessons.Healthcare (Basel, Switzerland) · 2021Article
- Exploring the barriers of patients with diabetic foot complications in China: a qualitative interview study.Annals of translational medicine · 2021Article
- Substantial Increase in Accessibility to Essential Anticancer Medicines in Anhui, China: A Longitudinal Study.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
3 authors.
Funding
Abstract
In 2009, China launched a new health care reform as it endeavoured to develop a tiered system of disease diagnosis and treatment to promote the integration of medical resources. This was important for improving service capacity and building medical alliances that would eventually lead to improved health service utilisation efficiency. However, while the 2009 reform aimed to provide universal health insurance coverage to all citizens, its overall effect on health service utilisation efficiency remains unclear. We aimed to examine the new health care reform's mixed effect by applying a longitudinal study using China Health and Nutrition Survey (CHNS) data and the difference-in-difference (DID) method to estimate the health reform's impact on health insurance coverage rate. Then, we studied whether the increase in health insurance coverage rate affected health service utilisation efficiency in China. Our results showed that the increase in insurance coverage rate has indeed made expensive medical services available to low-income individuals. However, it also increased the likelihood of use of hospitals rather than primary care facilities, since there is more insurance cover for outpatient visits, which has led to an increased demand for quality services. This effect has generated a negative impact on health care utilisation which directly pertains to systemic inefficiency. This study thus indicates that China's latest health reform requires further policies to improve its overall efficiency.
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