Arbeitspapier
Pension and Health Services Utilization: Evidence from Social Pension Expansion in China
The proportion of people aged 60 years or over is growing faster than other age groups. The well-being older adults depend heavily on their state of health. This study evaluates the effects of pensions on older adults' health service utilization, and estimates the size of pension required to influence such utilization. Using a nationally representative survey, the China Health and Retirement Longitudinal Study (CHARLS), we adopted a fuzzy regression discontinuity design and undertook segmented regression analysis. Pension demonstrated heterogeneous effects on health service utilization by income. We show that pension encouraged low-income individuals to use both outpatient (OR = 1.219, 95% 1.018-1.460) and inpatient services (OR = 1.269, 95% 1.020-1.579). In the meantime, it promoted self-treatment, specifically over-the-counter (OR = 1.208, 95% 1.037-1.407; OR = 1.206, 95% 1.024-1.419; respectively) and traditional Chinese medicines (OR = 1.452, 95% 1.094-1.932; OR = 1.456, 95% 1.079-1.955; respectively) among all income groups. However, receiving a pension had no effect on the frequency of outpatient or inpatient service use. Breakpoints for pension to promote health service utilization were mainly located in the range 55-95 CNY (7.1-12.3 EUR or 8.0-13.8 USD). Our study enriches the literature on pension and healthcare-seeking behaviour, and can be helpful in policy design and model formulation.
- Sprache
-
Englisch
- Erschienen in
-
Series: GLO Discussion Paper ; No. 714
- Klassifikation
-
Wirtschaft
Analysis of Health Care Markets
Health: Government Policy; Regulation; Public Health
Economics of the Elderly; Economics of the Handicapped; Non-labor Market Discrimination
Social Security and Public Pensions
- Thema
-
pension
health services utilization
regression discontinuity design
segmented regression
- Ereignis
-
Geistige Schöpfung
- (wer)
-
Chen, Shanquan
Chen, Xi
Law, Stephen
Lucas, Henry
Tang, Shenlan
Long, Qian
Xue, Lei
Wang, Zheng
- Ereignis
-
Veröffentlichung
- (wer)
-
Global Labor Organization (GLO)
- (wo)
-
Essen
- (wann)
-
2020
- Handle
- Letzte Aktualisierung
-
10.03.2025, 11:42 MEZ
Datenpartner
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.
Objekttyp
- Arbeitspapier
Beteiligte
- Chen, Shanquan
- Chen, Xi
- Law, Stephen
- Lucas, Henry
- Tang, Shenlan
- Long, Qian
- Xue, Lei
- Wang, Zheng
- Global Labor Organization (GLO)
Entstanden
- 2020
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