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Urbanization And Health Care In Rural China

Author

Listed:
  • Gordon G. Liu
  • Xiaodong Wu
  • Chaoyang Peng
  • Alex Z. Fu

Abstract

Strong economic growth has led to remarkable urbanization in China. Using the China Health and Nutrition Survey, this study provides the first empirical evidence documenting the impact of urbanization on rural health care and insurance. The primary finding is that urbanization leads to a significant and equitable increase in insurance coverage, which in turn plays a critical role in access to care. In addition, adverse selection exists in the demand for insurance. Income is also a significant determinant of insurance coverage. This study concludes that urbanization can help make substantial changes in rural health care and insurance status.

Suggested Citation

  • Gordon G. Liu & Xiaodong Wu & Chaoyang Peng & Alex Z. Fu, 2003. "Urbanization And Health Care In Rural China," Contemporary Economic Policy, Western Economic Association International, vol. 21(1), pages 11-24, January.
    • Handle: RePEc:bla:coecpo:v:21:y:2003:i:1:p:11-24
    DOI: 10.1093/cep/21.1.11
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    1. Newbold, K. Bruce & Eyles, John & Birch, Stephen, 1995. "Equity in health care: Methodological contributions to the analysis of hospital utilization within Canada," Social Science & Medicine, Elsevier, vol. 40(9), pages 1181-1192, May.
    2. Edward L. Glaeser, 1998. "Are Cities Dying?," Journal of Economic Perspectives, American Economic Association, vol. 12(2), pages 139-160, Spring.
    3. Manning, Willard G, et al, 1987. "Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment," American Economic Review, American Economic Association, vol. 77(3), pages 251-277, June.
    4. Akin, John S. & Guilkey, David K. & Hazel?Denton, E., 1995. "Quality of services and demand for health care in Nigeria: A multinomial probit estimation," Social Science & Medicine, Elsevier, vol. 40(11), pages 1527-1537, June.
    5. Krugman, Paul, 1991. "Increasing Returns and Economic Geography," Journal of Political Economy, University of Chicago Press, vol. 99(3), pages 483-499, June.
    6. Fujita,Masahisa, 1991. "Urban Economic Theory," Cambridge Books, Cambridge University Press, number 9780521396455, September.
    7. Liu, Yuanli & Hsiao, William C. & Eggleston, Karen, 1999. "Equity in health and health care: the Chinese experience," Social Science & Medicine, Elsevier, vol. 49(10), pages 1349-1356, November.
    8. Glaeser, Edward L & Mare, David C, 2001. "Cities and Skills," Journal of Labor Economics, University of Chicago Press, vol. 19(2), pages 316-342, April.
    9. Duan, Naihua, et al, 1983. "A Comparison of Alternative Models for the Demand for Medical Care," Journal of Business & Economic Statistics, American Statistical Association, vol. 1(2), pages 115-126, April.
    10. John S. Akin & David K. Guilkey & Paul L. Hutchinson & Michael T. McIntosh, 1998. "Price elasticities of demand for curative health care with control for sample selectivity on endogenous illness: an analysis for Sri Lanka," Health Economics, John Wiley & Sons, Ltd., vol. 7(6), pages 509-531, September.
    11. Henderson, G. E. & Akin, J. S. & Hutchinson, P. M. & Jin, S. G. & Wang, J. M. & Dietrich, J. & Mao, L. M., 1998. "Trends in health services utilization in eight provinces in China, 1989-1993," Social Science & Medicine, Elsevier, vol. 47(12), pages 1957-1971, December.
    12. Henderson, Gail & Akin, John & Zhiming, Li & Shuigao, Jin & Haijiang, Ma & Keyou, Ge, 1994. "Equity and the utilization of health services: Report of an eight-province survey in China," Social Science & Medicine, Elsevier, vol. 39(5), pages 687-699, September.
    13. Knight, John & Li, Shi, 1996. "Educational Attainment and the Rural--Urban Divide in China," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 58(1), pages 83-117, February.
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    Cited by:

    1. Van de Poel, Ellen & O'Donnell, Owen & Van Doorslaer, Eddy, 2009. "Urbanization and the spread of diseases of affluence in China," Economics & Human Biology, Elsevier, vol. 7(2), pages 200-216, July.
    2. Fei Zhang & Xinjie Shi & Yun Zhou, 2020. "The Impact of Health Insurance on Healthcare Utilization by Migrant Workers in China," IJERPH, MDPI, vol. 17(6), pages 1-14, March.
    3. Wagstaff, Adam & Lindelow, Magnus, 2008. "Can insurance increase financial risk?: The curious case of health insurance in China," Journal of Health Economics, Elsevier, vol. 27(4), pages 990-1005, July.
    4. E. Van de Poel & O. O'Donnell & E. Van Doorslaer, 2012. "Is there a health penalty of China's rapid urbanization?," Health Economics, John Wiley & Sons, Ltd., vol. 21(4), pages 367-385, April.
    5. Carine Milcent & Feng Jin, 2010. "Decrease in the healthcare demand in rural China: A side effect of the industrialization process?," PSE Working Papers halshs-00564848, HAL.
    6. Liu, Hong & Gao, Song & Rizzo, John A., 2011. "The expansion of public health insurance and the demand for private health insurance in rural China," China Economic Review, Elsevier, vol. 22(1), pages 28-41, March.
    7. Wang, Qian & Wang, Jun & Gao, Feng, 2021. "Who is more important, parents or children? Economic and environmental factors and health insurance purchase," The North American Journal of Economics and Finance, Elsevier, vol. 58(C).
    8. Chaolin Gu & Christian Kesteloot & Ian G Cook, 2015. "Theorising Chinese urbanisation: A multi-layered perspective," Urban Studies, Urban Studies Journal Limited, vol. 52(14), pages 2564-2580, November.
    9. Du, Juan, 2009. "Economic reforms and health insurance in China," Social Science & Medicine, Elsevier, vol. 69(3), pages 387-395, August.
    10. Ling Tian & Haisong Dong, 2022. "Family Life Cycle, Asset Portfolio, and Commercial Health Insurance Demand in China," IJERPH, MDPI, vol. 19(24), pages 1-18, December.
    11. Carine Milcent, 2011. "Baisse du recours aux soins dans les zones rurales en Chine," PSE Working Papers halshs-00653450, HAL.
    12. Yu Shen & Wenkai Sun, 2023. "From Villages to Urban Neighborhoods: Urbanization and Health," China & World Economy, Institute of World Economics and Politics, Chinese Academy of Social Sciences, vol. 31(2), pages 137-158, March.
    13. Rong Hu & Chunli Shen & Heng-fu Zou, 2011. "Health Care System Reform in China: Issues, Challenges and Options," CEMA Working Papers 517, China Economics and Management Academy, Central University of Finance and Economics.
    14. Carine Milcent, 2013. "Industrialisation et Inégalités : Le recours aux soins en zones rurales chinoises," PSE Working Papers halshs-00826889, HAL.
    15. John Gibson & Xiangzheng Deng & Geua Boe-Gibson & Scott Rozelle & Jikun Huang, 2008. "Which Households Are Most Distant from Health Centers in Rural China? Evidence from a GIS Network Analysis," Working Papers in Economics 08/19, University of Waikato.
    16. Wang, H. Holly & Rosenman, Robert, 2007. "Perceived need and actual demand for health insurance among rural Chinese residents," China Economic Review, Elsevier, vol. 18(4), pages 373-388.
    17. repec:hal:pseose:halshs-00653450 is not listed on IDEAS
    18. repec:cuf:journl:y:2013:v:14:i:1:hu:shen:zou is not listed on IDEAS

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