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Determinants of out-of-pocket health expenditure in China

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  • Xuedan You
  • Yasuki Kobayashi

Abstract

Perceived severity of illness and self-reported health status are the most important factors when determining out-of-pocket health expenditure. The effect of aging is substantial. China should develop appropriate medical relief policies for the elderly to help them gain access to necessary healthcare services. Certain types of insurance programmes tend to increase out-of-pocket health expenditures, which highlights the need to continuously monitor and rigorously evaluate the impact of ongoing health insurance reform in China. Copyright Adis Data Information BV. 2011

Suggested Citation

  • Xuedan You & Yasuki Kobayashi, 2011. "Determinants of out-of-pocket health expenditure in China," Applied Health Economics and Health Policy, Springer, vol. 9(1), pages 39-49, January.
    • Handle: RePEc:spr:aphecp:v:9:y:2011:i:1:p:39-49
    DOI: 10.2165/11530730-000000000-00000
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    5. Li, Xue & Smyth, Russell & Yao, Yao, 2023. "Extreme temperatures and out-of-pocket medical expenditure: Evidence from China," China Economic Review, Elsevier, vol. 77(C).
    6. Alice sanwald & Engelbert Theurl, 2014. "What drives out-of pocket health expenditures of private households? - Empirical evidence from the Austrian household budget survey," Working Papers 2014-04, Faculty of Economics and Statistics, Universität Innsbruck.
    7. Maryam Bigdeli & Bart Jacobs & Chean Rithy Men & Kristine Nilsen & Wim Van Damme & Bruno Dujardin, 2016. "Access to Treatment for Diabetes and Hypertension in Rural Cambodia: Performance of Existing Social Health Protection Schemes," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-18, January.
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    9. Gerson Javier Pérez-Valbuena & Alejandro Silva-Ureña, 2017. "Una mirada a los gastos de bolsillo en salud para Colombia," Chapters, in: Jaime Bonet & Karelys Guzmán-Finol & Lucas Wilfried Hahn-De-Castro (ed.), La salud en Colombia: una perspectiva regional, chapter 11, pages 365-404, Banco de la Republica de Colombia.
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    11. Nadeem A. Burney & Mohammad Alenezi & Nadia Al-Musallam & Ahmed Al-Khayat, 2016. "The demand for medical care services: evidence from Kuwait based on households’ out-of-pocket expenses," Applied Economics, Taylor & Francis Journals, vol. 48(28), pages 2636-2650, June.
    12. Jie Song & Hong Ji & Benchang Shia & Shuangge Ma, 2013. "Distribution of Illness and Medical Expenditure: A Survey in Two Villages in Rural Beijing," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-8, April.
    13. Asnakew Molla Mekonen & Measho Gebreslassie Gebregziabher & Alemayehu Shimeka Teferra, 2018. "The effect of community based health insurance on catastrophic health expenditure in Northeast Ethiopia: A cross sectional study," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-13, October.
    14. Lidan Wang & Anjue Wang & Detong Zhou & Gerry FitzGerald & Dongqing Ye & Qicheng Jiang, 2016. "An Empirical Analysis of Rural-Urban Differences in Out-Of-Pocket Health Expenditures in a Low-Income Society of China," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-12, May.
    15. Ziyad S. Almalki & Abdullah K. Alahmari & Nasser Alqahtani & Abdulaziz Ibrahim Alzarea & Ahmed M. Alshehri & Abdulrahman M. Alruwaybiah & Bader A. Alanazi & Abdulhadi M. Alqahtani & Nehad J. Ahmed, 2022. "Households’ Direct Economic Burden Associated with Chronic Non-Communicable Diseases in Saudi Arabia," IJERPH, MDPI, vol. 19(15), pages 1-14, August.
    16. Yağmur TOKATLIOĞLU & İbrahim TOKATLIOĞLU, 2018. "Türkiye’de Katastrofik Sağlık Harcamaları ve Bu Harcamaları Belirleyen Faktörler: 2002-2014 Dönemi," Sosyoekonomi Journal, Sosyoekonomi Society, issue 26(35).
    17. Indrani Gupta & Samik Chowdhury & Shankar Prinja & Mayur Trivedi, 2016. "Out-of-Pocket Spending on Out-Patient Care in India: Assessment and Options Based on Results from a District Level Survey," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-12, November.
    18. Guangwen Gong & Yingchun Chen & Hongxia Gao & Dai Su & Jingjing Chang, 2019. "Has the Efficiency of China’s Healthcare System Improved after Healthcare Reform? A Network Data Envelopment Analysis and Tobit Regression Approach," IJERPH, MDPI, vol. 16(23), pages 1-12, December.
    19. Meike Irene Nakovics & Stephan Brenner & Paul Jacob Robyn & Ludovic Deo Gracias Tapsoba & Manuela De Allegri, 2019. "Determinants of individual healthcare expenditure: A cross‐sectional analysis in rural Burkina Faso," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1478-1494, October.
    20. Glenn P. Jenkins & Hope Amala Anyabolu & Pejman Bahramian, 2019. "Family Decision Making on Healthcare Spending: New Evidence for Nigeria," Development Discussion Papers 2019-12, JDI Executive Programs.

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