Impact of Catastrophic Health Expenditures on Chinese Household Consumption

China has built a social medical insurance system that covers the entire population so as to reduce the impact of diseases on individuals and families. Although the decline in the incidence of catastrophic health expenditures (CHEs) in China is encouraging, this issue remains important. On the basis...

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Autores principales:	Ning Wei, Wenhao Huang, Lü-lin Zhou
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	CHE propensity score matching China household consumption Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/88919fc95f3f46fd9237a4e81d0e9cd8
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spelling	oai:doaj.org-article:88919fc95f3f46fd9237a4e81d0e9cd82021-11-10T06:05:51ZImpact of Catastrophic Health Expenditures on Chinese Household Consumption2296-256510.3389/fpubh.2021.646494https://doaj.org/article/88919fc95f3f46fd9237a4e81d0e9cd82021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.646494/fullhttps://doaj.org/toc/2296-2565China has built a social medical insurance system that covers the entire population so as to reduce the impact of diseases on individuals and families. Although the decline in the incidence of catastrophic health expenditures (CHEs) in China is encouraging, this issue remains important. On the basis of considering selectivity bias and heterogeneity, we applied propensity score matching (PSM) to analyze the 2018 data from the China Family Panel Studies. We assigned CHE households and non-CHE households to the treatment group and the control group, respectively, and used non-random data to simulate a randomized trial to investigate the impact of CHE on household consumption in China. The results of this study indicate that, when the threshold is set at 40%, the consumption of households experiencing CHEs (CHE household) is significantly lower than that of households not experiencing CHEs (non-CHE households) and that CHEs have a significant negative impact on other household consumption and a significant impact on the household property and debt. This effect still exists when the threshold is set lower, with household essential consumption most affected. The occurrence of CHEs leads to a reduction in household consumption and a significantly worsening financial situation for the CHE households, impacting the basic quality of life of the families. Therefore, it is necessary to further reform the medical and health system to reduce the high medical expenses.Ning WeiWenhao HuangLü-lin ZhouFrontiers Media S.A.articleCHEpropensity score matchingChinahouseholdconsumptionPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	CHE propensity score matching China household consumption Public aspects of medicine RA1-1270
spellingShingle	CHE propensity score matching China household consumption Public aspects of medicine RA1-1270 Ning Wei Wenhao Huang Lü-lin Zhou Impact of Catastrophic Health Expenditures on Chinese Household Consumption
description	China has built a social medical insurance system that covers the entire population so as to reduce the impact of diseases on individuals and families. Although the decline in the incidence of catastrophic health expenditures (CHEs) in China is encouraging, this issue remains important. On the basis of considering selectivity bias and heterogeneity, we applied propensity score matching (PSM) to analyze the 2018 data from the China Family Panel Studies. We assigned CHE households and non-CHE households to the treatment group and the control group, respectively, and used non-random data to simulate a randomized trial to investigate the impact of CHE on household consumption in China. The results of this study indicate that, when the threshold is set at 40%, the consumption of households experiencing CHEs (CHE household) is significantly lower than that of households not experiencing CHEs (non-CHE households) and that CHEs have a significant negative impact on other household consumption and a significant impact on the household property and debt. This effect still exists when the threshold is set lower, with household essential consumption most affected. The occurrence of CHEs leads to a reduction in household consumption and a significantly worsening financial situation for the CHE households, impacting the basic quality of life of the families. Therefore, it is necessary to further reform the medical and health system to reduce the high medical expenses.
format	article
author	Ning Wei Wenhao Huang Lü-lin Zhou
author_facet	Ning Wei Wenhao Huang Lü-lin Zhou
author_sort	Ning Wei
title	Impact of Catastrophic Health Expenditures on Chinese Household Consumption
title_short	Impact of Catastrophic Health Expenditures on Chinese Household Consumption
title_full	Impact of Catastrophic Health Expenditures on Chinese Household Consumption
title_fullStr	Impact of Catastrophic Health Expenditures on Chinese Household Consumption
title_full_unstemmed	Impact of Catastrophic Health Expenditures on Chinese Household Consumption
title_sort	impact of catastrophic health expenditures on chinese household consumption
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/88919fc95f3f46fd9237a4e81d0e9cd8
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_version_	1718440485236768768

Impact of Catastrophic Health Expenditures on Chinese Household Consumption

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