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Regional Disparity in Health and Health Care in China

Author

Listed:
  • Hong Wang

    (Yale University)

  • Licheng Zhang

    (Beijing University)

  • Heng-fu Zou

    (The World Bank)

Abstract

One major critique of the Chinese economic reform focuses on disparities in development. This study examines the recent trends in the disparities in health and health care resources across the provinces. This study also examines the relationship between health status, health care resources, and socioeconomic status. A panel data from "All China Data" and China Health Statistic Yearbooks is used in this study. These data include health status, health care resources, and socioeconomic status variables at the provincial level from 1980 to 2003. Index of disparity was used as the indicator for measuring regional disparity in health and health care resources. A fixed effect model was used to estimate the relationships between health status and health care resources and their potential determinants. The results of this study show that the disparities in maternal mortality, number of beds, and number of doctors increased and then declined in most recent years. However, the values of their indexes of disparity in 2002 are still higher than their values in 1985. Therefore the disparities in health status and health care resources across the provinces increased after the economic reform. The results of this study also suggest that socioeconomic status has significant association with health status and health care resources. The association between socioeconomic indicators and health status and health care resources varies in different economic zones.

Suggested Citation

  • Hong Wang & Licheng Zhang & Heng-fu Zou, 2012. "Regional Disparity in Health and Health Care in China," CEMA Working Papers 541, China Economics and Management Academy, Central University of Finance and Economics.
  • Handle: RePEc:cuf:wpaper:541
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    References listed on IDEAS

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    1. Westert, Gert P. & Groenewegen, Peter P., 1999. "Regional disparities in health care supply in eleven European countries: does politics matter?," Health Policy, Elsevier, vol. 47(2), pages 169-182, May.
    2. 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.
    3. Busch, Lawrence & Dale, Christopher, 1978. "The changing distribution of physicians," Socio-Economic Planning Sciences, Elsevier, vol. 12(4), pages 167-176.
    4. Krishnan, Vijaya, 1992. "A macro model of change in specialty and spatial distribution of physicians in Canada, 1971-1981," Socio-Economic Planning Sciences, Elsevier, vol. 26(2), pages 111-127, April.
    5. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1.
    6. Wagstaff, Adam, 1986. "The demand for health : Some new empirical evidence," Journal of Health Economics, Elsevier, vol. 5(3), pages 195-233, September.
    7. Wagstaff, Adam & Paci, Pierella & van Doorslaer, Eddy, 1991. "On the measurement of inequalities in health," Social Science & Medicine, Elsevier, vol. 33(5), pages 545-557, January.
    8. Rosett, Richard N & Huang, Lien-fu, 1973. "The Effect of Health Insurance on the Demand for Medical Care," Journal of Political Economy, University of Chicago Press, vol. 81(2), pages 281-305, Part I, M.
    9. Joseph P. Newhouse & Charles E. Phelps, 1976. "New Estimates of Price and Income Elasticities of Medical Care Services," NBER Chapters, in: The Role of Health Insurance in the Health Services Sector, pages 261-320, National Bureau of Economic Research, Inc.
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    Cited by:

    1. Ma, Chao & Gu, Hai & Han, Jianyu, 2013. "我国健康服务利用的机会不平等研究:基于chns2009 数据的实证分析 [A Study on the Inequality of Opportunity in Health Care Utilization:Evidence from CHNS 2009]," MPRA Paper 53765, University Library of Munich, Germany.
    2. Bakkeli, Nan Zou, 2016. "Income inequality and health in China: A panel data analysis," Social Science & Medicine, Elsevier, vol. 157(C), pages 39-47.

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