期刊
HEALTH ECONOMICS
卷 18, 期 -, 页码 S47-S64出版社
JOHN WILEY & SONS LTD
DOI: 10.1002/hec.1508
关键词
hospital choice; insurance; China; New Cooperative Medical System
资金
- Colby College Division [01.2290, 01.2208]
- Chinese Academy of Social Science
Since the dissolution of the Rural Cooperative Medical System at the end of the commune period, illness has emerged as a leading cause of poverty in rural China. To address the poor state of health care, the Chinese government unveiled the New Cooperative Medical System in 2002. Because local governments have been given significant control over prop-ram design, fundamental characteristics of the program vary from one county to the next. These differences may influence the decision to seek health care as well as the choice of hospital conditional oil that initial decision. In this paper, we use a nested logit model to analyze household survey data from 25 Counties to analyze the determinants of such health-seeking behavior. We find that age, the share of household expenditures allocated to food consumption (a measure of relative income), and the presence of other sick people in the household negatively affect the decision to seek health care while disability has a positive influence. Further, conditional oil seeking treatment, the reimbursement scheme in place in each County and the average daily expenditure associated with hospitalization strongly influence hospital choice. Copyright (C) 2009 John Wiley & Soils, Ltd.
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