China's Health Insurance Reform and Disparities in Healthcare Utilization and Costs

A Longitudinal Analysis

by Henu Zhao

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China's economic success during the past 30 years was not mirrored in its health care system. As a result, the rural-urban disparities in health insurance coverage and the related health care areas became prominent. Since the late 1990s, China has been expanding insurance coverage, in order to provide accessible and affordable health care to all residents. This study analyzes whether the insurance expansion reduces rural-urban disparities in terms of health care utilization and financial protection.

Table of Contents

  • Chapter One

    Introduction

  • Chapter Two

    Background

  • Chapter Three

    Literature Review and Study Objectives

  • Chapter Four

    Study Design

  • Chapter Five

    Results: Disparities in Healthcare Utilization

  • Chapter Six

    Results: Disparities in healthcare costs

  • Chapter Seven

    Conclusion, Discussion, and Policy Implications

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This document was submitted as a dissertation in October 2014 in partial fulfillment of the requirements of the doctoral degree in public policy analysis at the Pardee RAND Graduate School. The faculty committee that supervised and approved the dissertation consisted of Hao Yu (Chair), Emmett Keeler, and Gema Zamarro.

This report is part of the RAND Corporation dissertation series. Pardee RAND dissertations are produced by graduate fellows of the Pardee RAND Graduate School, the world's leading producer of Ph.D.'s in policy analysis. The dissertations are supervised, reviewed, and approved by a Pardee RAND faculty committee overseeing each dissertation.

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