Can state health investment prevent chronic diseases among older people in China?

Feng, Zhixin and Liu, Xiaoting (2018) Can state health investment prevent chronic diseases among older people in China? In British Society of Gerontology Conference. British Society of Gerontology..

Abstract

China has the largest ageing population in the world. Since 2011, China has achieved nearly universal coverage of health insurance for older people; however, insufficient provision of health insurance and its unequal distribution according to different health insurance schemes among elderly people in China are likely to have considerable impact on the health outcomes of its fast-growing ageing population. This study investigates the effects of health investment from government on non-communicable diseases (NCDs) prevention initiatives and health inequalities among elderly people in China. This study will use the micro level dataset (individual) from Chinese Longitudinal Healthy Longevity Survey in 2014 (7,192 respondents) and macro level (province) dataset from Chinese Statistics Yearbook. At the individual level, we study the effect of different health insurance schemes on health outcomes among older people to understand how different rates of reimbursement of medical services from health different insurance schemes could contribute health inequalities in later life; at the province level, health investment (i.e. health service, health facilities) from the state vary across China, we study whether the effect of state health investment could mediate the health inequalities among older people according to different health insurance schemes. The results of the study will help us better understand how to promote health equal of older people in later life in China: by universal coverage of health insurance, or by improve state health investment.

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