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dc.contributor.authorJung, Juergen
dc.contributor.authorStreeter, Jialu Liu
dc.date.accessioned2016-02-01T17:24:28Z
dc.date.available2016-02-01T17:24:28Z
dc.date.issued2015-09-30
dc.identifier.citationJung, J. and Liu Streeter, J. (2015), Does health insurance decrease health expenditure risk in developing countries? The case of China. Southern Economic Journal, 82: 361–384. doi: 10.1002/soej.12101en_US
dc.identifier.issn0038-4038
dc.identifier.issn2325-8012
dc.identifier.urihttp://hdl.handle.net/10456/40671
dc.description.abstractThis article studies the impact of health insurance on individual out-of-pocket health expenditures in China. Using China Health and Nutrition Survey data between 1991 and 2006, we apply two-part and sample selection models to address issues caused by censored data and selection on unobservables. We find that, although the probability of accessing health care increases with the availability of health insurance, the level of out-of-pocket health expenditure decreases. Our results from a selection model with instrumental variables suggest that having health insurance reduces the expected out-of-pocket health expenditure of an individual by 29.42% unconditionally. Meanwhile, conditional on being subjected to positive health expenditure, health insurance helps reduce out-of-pocket spending by 44.38%. This beneficial effect of health insurance weakens over time, which may be attributable to increases in the coinsurance rates of health insurances in China.en_US
dc.language.isoen_USen_US
dc.publisherWileyen_US
dc.relation.ispartofSouthern Economic Journalen_US
dc.relation.isversionofhttp://dx.doi.org/10.1002/soej.12101en_US
dc.rightsThis is the peer reviewed version of the following article: Jung, J. and Liu Streeter, J. (2015), Does health insurance decrease health expenditure risk in developing countries? The case of China. Southern Economic Journal, 82: 361–384. doi: 10.1002/soej.12101, which has been published in final form at http://dx.doi.org/10.1002/soej.12101. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.en_US
dc.subjectHealth insuranceen_US
dc.subjectmedical spendingen_US
dc.subjecttwo-part modelen_US
dc.subjectbivariate sample selection modelen_US
dc.subjectChina Health and Nutrition Survey (CHNS)en_US
dc.titleDoes health insurance decrease health expenditure risk in developing countries? The case of Chinaen_US
dc.description.versionPostprinten_US
dc.contributor.departmentEconomicsen_US
dc.description.embargoThis version of the article is available for viewing to the public after September 30, 2017.en_US
dc.citation.volume82en_US
dc.citation.issue2en_US
dc.citation.spage361en_US
dc.citation.epage384en_US
dc.identifier.doi10.1002/soej.12101
dc.contributor.avlauthorStreeter, Jialu Liu


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