Evidence map›Paper›PMID 42527581›Full record

Articlenpj health systems2026

Health insurance and end-of-life healthcare expenditures: evidence from Chinese Longitudinal Healthy Longevity Survey.

Liangjun Song, Xiaochen Zhang, Mingqi Wang

Abstract read
In one paragraph

Article in npj health systems, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Liangjun SongFudan Development Institute, Fudan University, Shanghai, China.
Xiaochen ZhangDivision of Social Sciences, Duke Kunshan University, Kunshan, China. xiaochen.zhang@dukekunshan.edu.cn.
Mingqi WangActuarial Department, Taiping Life Insurance Co., Ltd, Shanghai, China.

Funding

Think Tank Project of Shanghai Municipality WBH4300038Youth Development Research Project of Youth League of China WEH4300009
6 · The paper itself

Abstract

The terminal stage of life accounts for a substantial share of healthcare expenditures over the life course. Using data from the Chinese Longitudinal Healthy Longevity Survey (2005-2018), this study examines the impact of health insurance coverage on healthcare spending during the last year of life. To address potential selection bias, we first estimate the probability of insurance coverage using logistic regression and then compare expenditure patterns between insured and uninsured populations through propensity score matching. We further conduct rural-urban and regional subgroup analyses to explore heterogeneity in insurance effects. Our results reveal significant differences in medical expenditures associated with insurance utilization, while no significant disparities are observed in nursing care costs across groups. These findings provide new evidence about increasing healthcare spending in a non-Western context, and call for a more balanced health system to reduce inequalities in end-of-life healthcare due to insurance coverage among the elderly.

Identifiers

PMID42527581
PMCPMC13354233

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.