Who benefits from government healthcare subsidies? An assessment of the equity of healthcare benefits distribution in China

PloS One
Mingsheng ChenLei Si

Abstract

Improving the equitable distribution of government healthcare subsidies (GHS), particularly among low-income citizens, is a major goal of China's healthcare sector reform in China. This study investigates the distribution of GHS in China between socioeconomic populations at two different points in time, examines the comparative distribution of healthcare benefits before and after healthcare reforms in Northwest China, compares the parity of distribution between urban and rural areas, and explores factors that influence equitable GHS distribution. Benefit incidence analysis of GHS progressivity was performed, and concentration and Kakwani indices for outpatient, inpatient, and total healthcare were calculated. Two rounds of household surveys that used multistage stratified samples were conducted in 2003 (13,564 respondents) and 2008 (12,973 respondents). Data on socioeconomics, healthcare payments, and healthcare utilization were collected using household interviews. High-income individuals generally reap larger benefits from GHS, as reflected by positive concentration indices, which indicates a regressive system. Concentration indices for inpatient care were 0.2199 (95% confidence interval [CI], 0.0829 to 0.3568) and 0.4445 (95...Continue Reading

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Citations

Jan 27, 2017·Annual Review of Public Health·Gordon G LiuXuezhi Hong
Sep 12, 2020·The International Journal of Health Planning and Management·Dongjin Chen, Youxing Lang
Nov 24, 2018·International Journal for Equity in Health·Xue YangZhonghua Wang
Feb 20, 2019·International Journal of Environmental Research and Public Health·Xueqian SongJiangjun Wan
Dec 2, 2019·Value in Health Regional Issues·Manizhe Rostampour, Shirin Nosratnejad

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