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Pension and Health Services Utilization: Evidence from Social Pension Expansion in China

Author

Listed:
  • Chen, Shanquan
  • Chen, Xi
  • Law, Stephen
  • Lucas, Henry
  • Tang, Shenlan
  • Long, Qian
  • Xue, Lei
  • Wang, Zheng

Abstract

The proportion of people aged 60 years or over is growing faster than other age groups. The well-being older adults depend heavily on their state of health. This study evaluates the effects of pensions on older adults' health service utilization, and estimates the size of pension required to influence such utilization. Using a nationally representative survey, the China Health and Retirement Longitudinal Study (CHARLS), we adopted a fuzzy regression discontinuity design and undertook segmented regression analysis. Pension demonstrated heterogeneous effects on health service utilization by income. We show that pension encouraged low-income individuals to use both outpatient (OR = 1.219, 95% 1.018-1.460) and inpatient services (OR = 1.269, 95% 1.020-1.579). In the meantime, it promoted self-treatment, specifically over-the-counter (OR = 1.208, 95% 1.037-1.407; OR = 1.206, 95% 1.024-1.419; respectively) and traditional Chinese medicines (OR = 1.452, 95% 1.094-1.932; OR = 1.456, 95% 1.079-1.955; respectively) among all income groups. However, receiving a pension had no effect on the frequency of outpatient or inpatient service use. Breakpoints for pension to promote health service utilization were mainly located in the range 55-95 CNY (7.1-12.3 EUR or 8.0-13.8 USD). Our study enriches the literature on pension and healthcare-seeking behaviour, and can be helpful in policy design and model formulation.

Suggested Citation

  • Chen, Shanquan & Chen, Xi & Law, Stephen & Lucas, Henry & Tang, Shenlan & Long, Qian & Xue, Lei & Wang, Zheng, 2020. "Pension and Health Services Utilization: Evidence from Social Pension Expansion in China," GLO Discussion Paper Series 714, Global Labor Organization (GLO).
    • Handle: RePEc:zbw:glodps:714
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    Keywords

    pension; health services utilization; regression discontinuity design; segmented regression;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • H55 - Public Economics - - National Government Expenditures and Related Policies - - - Social Security and Public Pensions

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