✦ LIBER ✦

Demand for private health insurance in Chinese urban areas

✍ Scribed by Xiao-Hua Ying; Teh-Wei Hu; Jane Ren; Wen Chen; Ke Xu; Jin-Hui Huang

Publisher: John Wiley and Sons
Year: 2007
Tongue: English
Weight: 128 KB
Volume: 16
Category: Article
ISSN: 1057-9230
DOI: 10.1002/hec.1206

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Between 1993 and 2003, the proportion of urban residents without health insurance rose from 27 to 50%. The probability of outpatient visits in the previous 2 weeks dropped from 19.9 to 11.8% in urban areas between 1993 and 2003, and from 16.0 to 13.9% in rural areas. To improve risk‐pooling and risk‐sharing, private health insurance should play an important role in China's health insurance system. This paper estimates the demand for private health insurance in urban areas using contingent valuation methods. Individuals were asked about their willingness‐to‐pay (WTP) for major catastrophic disease insurance (MCDI), inpatient expenses insurance (IEI), and outpatient expenses insurance (OEI). The study was based on a household survey conducted in four small cities in China in 2004 and included 2671 respondents. More people would like to buy IEI and MCDI (48.5 and 43.0%, respectively) than OEI (24.5%). In addition, individuals would pay a higher premium for MCDI and IEI than for OEI. The price elasticities of demand for MCDI, IEI, and OEI were −0.27, −0.34, and −0.42, respectively. The determinants of enrollment in the three private health insurance programs were similar with employment status, age, education, and income. Copyright © 2007 John Wiley & Sons, Ltd.

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