文献类型：期刊文献

英文题名：Decoupling of Elderly Healthcare Demand and Expenditure in China

作者：Yang, Shangguang[1];Wang, Danyang[2];Li, Wenhui[2];Wang, Chunlan[3];Yang, Xi[4];Lo, Kevin[5]

机构：[1]East China Univ Sci & Technol, Inst Econ Dev, Shanghai 200237, Peoples R China;[2]East China Univ Sci & Technol, Sch Business, Shanghai, Peoples R China;[3]East China Normal Univ, Sch Social Dev, Chinese Modern City Res Ctr, Shanghai 200062, Peoples R China;[4]Hong Kong Baptist Univ, David C Lam Inst East West Studies, Hong Kong 999077, Peoples R China;[5]Hong Kong Baptist Univ, Dept Geog, Hong Kong 999077, Peoples R China

年份：2021

卷号：9

期号：10

外文期刊名：HEALTHCARE

收录：;WOS:【SSCI(收录号:WOS:000712869400001)，SCI-EXPANDED(收录号:WOS:000712869400001)】；

基金：This work was supported by the General Program of National Natural Science Foundation of China [grant number: 71874054]; Innovation Program of Shanghai Municipal Education Commission [grant number: 2017-01-07-00-02-E00008]; Key Project of Shanghai Soft Science Foundation [grant number: 19692109100].

语种：英文

外文关键词：population aging; healthcare demand; healthcare expenditure; China

摘要：This study examined the changing trajectory and factors that influenced the health and medical expenditure of the Chinese elderly population over the past two decades. Based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 1998 to 2018, inferential and multiple linear regression models were constructed. The key finding is that China has experienced a decoupling of healthcare demand (HCD) and healthcare expenditure (HCE) since around 2014, when HCE began to decline despite the fact that HCD continued to rise. This is a promising sign, suggesting that the government's health insurance policy is working. Furthermore, participating in health insurance schemes can significantly reduce the elderly's HCD and HCE, demonstrating that health insurance can effectively affect the elderly's decision to seek medical treatment and improve their health condition. We also found that age, region, basic old-age insurance, and care by the government and institutions were significant factors that influenced the healthcare demand and expenditure of the elderly population.