TY - JOUR
T1 - Decoupling of elderly healthcare demand and expenditure in China
AU - Yang, Shangguang
AU - Wang, Danyang
AU - Li, Wenhui
AU - Wang, Chunlan
AU - Yang, Xi
AU - Lo, Kevin
N1 - Funding Information:
Funding: This work was supported by the General Program of National Natural Science Foundation of China [grant number: 71874054]; Innovation Program of Shanghai Municipal Education Commission [grant number: 2017-01-07-00-02-E00008]; Key Project of Shanghai Soft Science Foundation [grant number: 19692109100].
Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/10/10
Y1 - 2021/10/10
N2 - This study examined the changing trajectory and factors that influenced the health and medical expenditure of the Chinese elderly population over the past two decades. Based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 1998 to 2018, inferential and multiple linear regression models were constructed. The key finding is that China has experienced a decou-pling of healthcare demand (HCD) and healthcare expenditure (HCE) since around 2014, when HCE began to decline despite the fact that HCD continued to rise. This is a promising sign, suggesting that the government’s health insurance policy is working. Furthermore, participating in health insurance schemes can significantly reduce the elderly’s HCD and HCE, demonstrating that health insurance can effectively affect the elderly’s decision to seek medical treatment and improve their health condition. We also found that age, region, basic old-age insurance, and care by the government and institutions were significant factors that influenced the healthcare demand and expenditure of the elderly population.
AB - This study examined the changing trajectory and factors that influenced the health and medical expenditure of the Chinese elderly population over the past two decades. Based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 1998 to 2018, inferential and multiple linear regression models were constructed. The key finding is that China has experienced a decou-pling of healthcare demand (HCD) and healthcare expenditure (HCE) since around 2014, when HCE began to decline despite the fact that HCD continued to rise. This is a promising sign, suggesting that the government’s health insurance policy is working. Furthermore, participating in health insurance schemes can significantly reduce the elderly’s HCD and HCE, demonstrating that health insurance can effectively affect the elderly’s decision to seek medical treatment and improve their health condition. We also found that age, region, basic old-age insurance, and care by the government and institutions were significant factors that influenced the healthcare demand and expenditure of the elderly population.
KW - China
KW - Healthcare demand
KW - Healthcare expenditure
KW - Population aging
UR - http://www.scopus.com/inward/record.url?scp=85117009397&partnerID=8YFLogxK
U2 - 10.3390/healthcare9101346
DO - 10.3390/healthcare9101346
M3 - Article
AN - SCOPUS:85117009397
SN - 2227-9032
VL - 9
JO - Healthcare (Switzerland)
JF - Healthcare (Switzerland)
IS - 10
M1 - 1346
ER -
