Benefit of China’s social health insurance schemes: trend analysis and associated factors since health reform

Stream: Chinese social policy: health policy
Date: Wednesday, 11 September 2019
Time: 10.45 am – 12.25 pm


Background: With the deepening of health insurance reform in China, the consolidation of social health insurance schemes was put on the agenda. The objective of the present study is to illustrate the achievements and the gaps by demonstrating the trends in benefits available from the three social health insurance schemes, as well as the factors influencing the benefits among social health insurance schemes since health reform began in 2009 in China. Methods: Data were drawn from three waves of the China Health and Nutrition Survey (2009, 2011, 2015). Individuals above the age of 18 with China’s social health insurance schemes and seeking health care from a formal medical provider in the previous four weeks before the interview was included. The different benefits of both reimbursement rate and reimbursement amount among social health insurance schemes were assessed. A two-part model was used to estimate the associated factors, the first part related to whether the benefit was obtained, the second related to the amount reimbursed. Results: The gap of overall reimbursement rate among social health insurance schemes has narrowed since health reform began in 2009. And the type of social health insurance schemes had no significant effect on the amount reimbursed with the deepening of health reform. Higher severity, higher institutional level, and inpatient service were associated with significant increases in the amount of reimbursement received across the three survey waves. Conclusions: Although the difference in benefits among health insurance schemes is narrowing since health reform commenced in 2009, gaps still exist.


Wanyue Dong (Presenter), Xi'an Jiaotong University
Wanyue Dong is a PhD student in Xi’an Jiaotong University, and taking research practicum program at the university of New South Wales. Wanyue Dong is supported by Xi’an Jiaotong University and the School of Social Sciences in UNSW.

Anthony Zwi, UNSW
Anthony Zwi is a professor in the School of Social Sciences in UNSW. Professor Anthony Zwi focuses on global health and development policy and has interests in their interface with equity, social justice and human rights. He seeks to build partnership between Australia, the Asia-Pacific, and Africa and to promote capabilities in global health, development policy, and disaster planning, management and response. He supervised Wanyue Dong and helped designing and revising this manuscript carefully.

Jianmin Gao, Xi'an Jiaotong University
Jianmin Gao is a professor in the School of Public Policy and Administration in Xi'an Jiaotong University. Professor Jianmin Gao focuses on health management and health policy. His researches covered medical security system, health economic policy research, health management, etc. He is currently the director of the Institute of Health Management and Policy in Xi'an Jiaotong University. He is the supervisor of Wanyue Dong. He conceived and designed this manuscript.