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The effectiveness of health investment on non-communicable diseases (NCDs) among older people in China: a multilevel study

The effectiveness of health investment on non-communicable diseases (NCDs) among older people in China: a multilevel study
The effectiveness of health investment on non-communicable diseases (NCDs) among older people in China: a multilevel study
Non-communicable diseases (NCDs) are common among older people and have been found to increase the risks of health. An effective health investment could prevent health deterioration and reduce health inequalities among older people. Since 2011, China has achieved nearly universal coverage of health insurance for older people. However, different levels of economic development across China and different health insurance schemes among older people have determined the unequal distribution of health investments for older people which could result in increment of health inequalities. This study uses the micro level (individual) from Chinese Longitudinal Healthy Longevity Survey 2014 (6,455 respondents) linked with macro level (province) data from Chinese Statistics Yearbook to explore the effectiveness of health investment on NCDs among older people in China. At the individual level, we study the effect of different health insurance schemes on number of chronic diseases 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 from the state vary across China, we study whether the effect of state health investment could mediate the health inequalities among older people. The results show that different health insurance schemes have different effect on number of chronic diseases among older people; Province with higher percentage of public health expenditure in revenue is associated with less number of chronic diseases among older people. This implicates that health investment from government has prevent health deterioration among older people in China.
Feng, Zhixin
33c0073f-a67c-4d8a-9fea-5a502420e589
Liu, Xiaoting
a69c3d2b-0527-4587-bc89-432c985f8254
Feng, Zhixin
33c0073f-a67c-4d8a-9fea-5a502420e589
Liu, Xiaoting
a69c3d2b-0527-4587-bc89-432c985f8254

Feng, Zhixin and Liu, Xiaoting (2018) The effectiveness of health investment on non-communicable diseases (NCDs) among older people in China: a multilevel study. In Gerontological Society of America Conference.

Record type: Conference or Workshop Item (Paper)

Abstract

Non-communicable diseases (NCDs) are common among older people and have been found to increase the risks of health. An effective health investment could prevent health deterioration and reduce health inequalities among older people. Since 2011, China has achieved nearly universal coverage of health insurance for older people. However, different levels of economic development across China and different health insurance schemes among older people have determined the unequal distribution of health investments for older people which could result in increment of health inequalities. This study uses the micro level (individual) from Chinese Longitudinal Healthy Longevity Survey 2014 (6,455 respondents) linked with macro level (province) data from Chinese Statistics Yearbook to explore the effectiveness of health investment on NCDs among older people in China. At the individual level, we study the effect of different health insurance schemes on number of chronic diseases 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 from the state vary across China, we study whether the effect of state health investment could mediate the health inequalities among older people. The results show that different health insurance schemes have different effect on number of chronic diseases among older people; Province with higher percentage of public health expenditure in revenue is associated with less number of chronic diseases among older people. This implicates that health investment from government has prevent health deterioration among older people in China.

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More information

Published date: 2018
Venue - Dates: Gerontological Society of America, Boston, United States, 2018-11-14 - 2018-11-18

Identifiers

Local EPrints ID: 426299
URI: http://eprints.soton.ac.uk/id/eprint/426299
PURE UUID: 7506196b-fde8-4b79-88b1-159d56c86385

Catalogue record

Date deposited: 22 Nov 2018 17:30
Last modified: 22 Nov 2018 17:30

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Contributors

Author: Zhixin Feng
Author: Xiaoting Liu

University divisions

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