The impact of medical insurance on family financial support: evidence from CHARLS in China

Health Economics Review

Research

Yuan Cao¹  Xiaoxu Yang²  Hua Chen² 

[1] School of Finance, Chongqing Technology and Business University, Nan’an District, 400067, Chongqing, China;School of Insurance, Central University of Finance and Economics, Changping District, 102206, Beijing, China;

关键词: Medical insurance;    Family financial support;    Out-of-pocket ratio of medical expenses;    Health expense;   

DOI  :  10.1186/s13561-023-00452-9

 received in 2022-10-31, accepted in 2023-07-11,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundIn China, public medical insurance has expanded rapidly in the past 20 years. Many studies have discussed the benefits of medical insurance in improving residents’ health and financial stability, and increasing the utilization of medical services. Less attention is paid to the effect of medical insurance on family support between parents and children. This study focuses on the effect of medical insurance on promoting family financial support in China.MethodFifty-five thousand sixty-two individual samples were obtained from four waves of the China Health and Retirement Longitudinal Study (CHARLS): 2011, 2013, 2015 and 2018. Linear-regression model and propensity score matching are used to determine the relationship between medical insurance and family financial support. Then, mediation model is introduced to identify the mediation mechanisms. Also, moderation model is used to estimate the moderation effect of parental education and health.ResultsMedical insurance has significantly increased family financial support between the insured parents and their children. Moreover, this positive effect is heterogeneous since only families living in rural areas were affected, and the direction of family financial support changed with the aging of the parents. The welfare of medical insurance on financial status have also been proven in this paper. The results indicate that medical insurance reduces the out-of-pocket ratio of medical expenses and increases health investment, which can perform as as two mediation mechanisms to affect family financial support. Besides, the education and health status of the insured parents play a role in moderating the effect of medical insurance.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 1

Fig. 3

Fig. 1

12862_2023_2148_Article_IEq5.gif

Fig. 11

Fig. 4

Fig. 1

Fig. 1

Fig. 1

Fig. 1

12862_2023_2133_Article_IEq61.gif

Fig. 2

Fig. 5

Fig. 3

Fig. 1

Fig. 2

Fig. 2

12862_2023_2133_Article_IEq56.gif

41522_2023_426_Article_IEq8.gif

Fig. 5

Fig. 6

Fig. 4

Fig. 5

Fig. 3

Fig. 2

Fig. 3

Fig. 3

Fig. 2

Fig. 2

Fig. 1

Fig. 6

Fig. 2

Fig. 4

Fig. 7

Fig. 2

Fig. 2

Fig. 1

Fig. 1

Fig. 1

Fig. 6

Fig. 3

Fig. 1

Fig. 6

Fig. 1

Fig. 1

Fig. 4

Fig. 1

Fig. 3

Fig. 2

Fig. 3

Fig. 1

Fig. 1