Iranian Journal of Public Health 2017. 46(9):1193-1203.

Effects of Medical Insurance on the Health Status and Life Sa-tisfaction of the Elderly
Liubao GU, Huihui FENG, Jian JIN

Abstract


Abstract

Background: Population aging has become increasingly serious in China. The demand for medical insurance of the elderly is increasing, and their health status and life satisfaction are becoming significant issues. This study investigates the effects of medical insurance on the health status and life satisfaction of the elderly.

Methods: The national baseline survey data of the China Health and Retirement Longitudinal Survey in 2013 were adopted. The Ordered Probit Model was established. The effects of the medical insurance for urban employees, medical insurance for urban residents, and new rural cooperative medical insurance on the health status and life satisfaction of the elderly were investigated.

Results: Medical insurance could facilitate the improvement of the health status and life satisfaction of the elderly. Accordingly, the health status and life satisfaction of the elderly who have medical insurance for urban residents improved significantly. The regression coefficients were 0.348 and 0.307. The corresponding regression coefficients of the medical insurance for urban employees were 0.189 and 0.236. The regression coefficients of the new rural cooperative medical insurance were 0.170 and 0.188.

Conclusion: Medical insurance can significantly improve the health status and life satisfaction of the elderly. This development is of immense significance for the formulation of equal medical security.

 


Keywords


Health status, Life satisfaction, Medical insurance, Ordered probit model

Full Text:

PDF

References


Kotzer RD, Lawrence HP, Clovis JB, Matthews DC (2012). Oral health-related quality of life in an aging Canadian population. Health Qual Life Outcomes, 10: 50.

Bolhaar J, Lindeboom M, Van Der Klaauw B (2012). A dynamic analysis of the demand for health insurance and health care. Eur Econ Rev, 56(4): 669-90.

Jian J, Jianxiang W, Xiaoyi M, Yuding W, Renyong L (2015). Equality of medical health resource allocation in China based on the Gini coefficient method. Iran J Public Health, 44(4): 445-57.

Dong K (2009). Medical insurance system evolution in China. China Econ Rev, 20(4): 591-97.

Chen Y, Jin GZ (2012). Does health insurance coverage lead to better health and educational outcomes? Evidence from rural China. J Health Econ, 31(1): 1-14.

Comfort AB, Peterson L A, Hatt LE (2013). Effect of health insurance on the use and provision of maternal health services and maternal and neonatal health outcomes: a systematic review. J Health Popul Nutr, 31(4 Suppl 2): 81-105.

Li X, Zhang W (2013). The impacts of health insurance on health care utilization among the older people in China. Soc Sci Med, 85: 59-65.

Hung K, Cheng HW, Chen SS, Huang YC (2013). Factors that affect credit rating: an application of Ordered Probit Models. Rom J Econ Forecast, 16(4): 94-108.

Chaurand A, Feixas G, Neimeyer R, Salla M, Trujillo A (2015). History of losses and depressive symptoms. Rev Argent Clin Psic, 24(2): 179-188

Ciobotea D, Vlaicu B, Ciubara A, Duica CL , Cotocel C, Antohi V, Pirlog MC (2016). Visual impairment in the elderly and its influence on the quality of life. Rev Cercet Interv So, 54, 66-74.

Xinjun W, Chao Z (2014). The Impact of Health Insurance on Medical Expenditure and Health of the Elderly. J Financ Econ, 40(12): 65-75 (In Chinese).

Xinting Z, Huaifu X (2016). The Impact of Medical Insurance on Chinese Elderly Health. Chinese Health Econ, 35(1):38-40.

Finkelstein A, McKnight R (2008). What did Medicare do? The initial impact of Medicare on mortality and out of pocket medical spending. J Public Econ, 92(7): 1644-668.

Pan J, Lei X, Liu GG (2016). Health insurance and health status: exploring the causal effect from a policy intervention. Health Econ, 25(11): 1389-402.

Qin X, Pan J, Liu GG (2014). Does participating in health insurance benefit the migrant workers in China? An empirical investigation. China Econ Rev, 30: 263-78.

Moreno-Serra R, Smith PC (2012). Does progress towards universal health coverage improve population health? Lancet, 380(9845): 917-23.

Courtemanche CJ, Zapata D (2014). Does universal coverage improve health? The Massachusetts experience. J Policy Anal Manag, 33(1): 36-69.

Yuyu C, Ginger ZJ (2012). Does health insurance coverage lead to better health and educational outcomes? Evidence from rural China. J Health Econ, 31(1): 1-14.

Keng SH, Sheu SJ (2013). The effect of national health insurance on mortality and the SES–health gradient: evidence from the elderly in Taiwan. Health Econ, 22(1): 52-72.

Chen L, Yip W, Chang MC, Lin HS, Lee SD, Chiu YL, Lin YH (2007). The effects of Taiwan's National Health Insurance on access and health status of the elderly. Health Econ, 16(3): 223-42.

Shouwei Q, Shaofu Z (2010). The Influence of Income, Health and Medicare Insurance on the Happiness of the Elderly in China. J Public Manage, 7(1): 100-07+127-28.

Xiaomin Q (2016). The influence mechanism of social supports on life satisfaction of the elderly—introduce physical health and mental health as mediation. Popul J, 216(2): 49-60.

Hongshu H, Yuanping L (2012). Income In-equality, Health and Subjective Well-being among the Elderly: Empirical Evidence on the Aging of China. China Soft Sci, 263(11): 41-56 (in Chinese).

Liao PA, Chang HH, Sun LC (2012). National Health Insurance program and life satisfaction of the elderly. Aging Ment Health, 16(8): 983-92.

Keng SH, Wu SY (2014). Living happily ever after? The effect of Taiwan’s National Health Insurance on the happiness of the elderly. J Happiness Stud, 15(4): 783-808.

Chiao C, Ksobiech K, Wei CY (2014). National health insurance and life satisfaction in late life: longitudinal findings from a natural experiment in Taiwan. J Public Health (Oxf), 36(2):308-16.

Jung JY, Lim MH (2015). Awareness and satisfaction toward health insurance coverage of scaling. J Korean Soc Dent Hyg, 15(6): 1107-116.

Kesebir P, Diener E (2008). In pursuit of happiness: Empirical answers to philosophical questions. Perspect Psychol Sci, 3(2): 117-25.

Shin DC, Johnson DM (1978). Avowed happiness as an overall assessment of the quality of life. Soc Indic Res, 5(1-4): 475-92.

Ocampo JM (2010). Self-rated health: Importance of use in elderly adults. Colomb Medica, 41(3): 275-289.

Denise D, Denzil GF, Meliyanni J, Agne S (2015). Does self-assessed health measure health? Appl Econ, 47(2): 180-94.

Vera-Villarroel P, Urzua A, Pavez P, Celis-Atenas K, Silva J (2012). Evaluation of subjective well-being: Analysis of the satisfaction with life scale in Chilean population. Univ Psychol, 11(3): 719-27.

Sovet L, Atitsogbe KA, Pari P, Park MSA, Villieux A (2016). Psychometric evaluation of the satisfaction with life scale in Togo: a three-step approach. Eur Rev Appl Psychol, 66(5): 243-50.

Roca M, Mitu O, Roca I C, Mitu F (2015). Chronic diseases – medical and social aspects. Rev Cercet Interv So, 49, 257-275.

Litchfield J, Reilly B, Veneziani M (2012). An analysis of life satisfaction in Albania: an heteroscedastic Ordered Probit Model approach. J Econ Behav Organ, 81(3): 731-41.

Bernardi A, Greenwood A (2014). Old and new Rural Co-operative Medical Scheme in China: the usefulness of a historical comparative perspective. Asia Pac Bus Rev, 20(3): 356-78.

Long Q, Zhang T, Xu L, Tang S, Hemminki E (2010). Utilisation of maternal health care in western rural China under a new rural health insurance system (New Co-operative Medical System). Trop Med Int Health, 15(10): 1210-7.

Au N, Johnston DW (2014). Self-assessed health: What does it mean and what does it hide? Soc Sci Med, 121: 21-8.

Greene WH, Harris MN, Hollingsworth B (2015). Inflated responses in measures of self-assessed health. Am J Health Econ, 1(4): 461-93.


Refbacks

  • There are currently no refbacks.


Creative Commons Attribution-NonCommercial 3.0

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.