54
Views
0
CrossRef citations to date
0
Altmetric
ORIGINAL RESEARCH

Social Medical Insurances, Choices of Medical Institutions and the ‘Siphon Effect’ in the Health Service Market: Evidence from 2021 Yangtze River Delta Region of China

, , &
Pages 1287-1299 | Received 11 Feb 2024, Accepted 29 Apr 2024, Published online: 16 May 2024

References

  • Kangovi S, Barg FK, Carter T, Long JA, Shannon R, Grande D. Understanding why patients of low socioeconomic status prefer hospitals over ambulatory care. Health Affairs. 2013;32(7):1196–1203. doi:10.1377/hlthaff.2012.0825
  • Faden RR, Chalkidou K, Appleby J, Waters HR, Leider JP. Expensive cancer drugs: a comparison between the United States and the United Kingdom. Milbank Q. 2009;87(4):789–819. doi:10.1111/j.1468-0009.2009.00579.x
  • Yu W, Li M, Ge Y, et al. Transformation of potential medical demand in China: a system dynamics simulation model. J biomed informat. 2015;57:399–414. doi:10.1016/j.jbi.2015.08.015
  • Yip W, Mahal A. The health care systems of China and India: performance and future challenges. Rev Health Aff. 2008;27(4):921–932. doi:10.1377/hlthaff.27.4.921
  • Wagstaff A, Yip W, Lindelow M, Hsiao WC. China’s health system and its reform: a review of recent studies. Rev Health Econ. 2009;18(SUPPL. 2):S7–S23. doi:10.1002/hec.1518
  • Meng Q. Strengthening public health systems in China. Note. Lancet Public Health. 2022;7(12):e987–e988. doi:10.1016/S2468-2667(22)00206-7
  • Yip WCM, Hsiao WC. What drove the cycles of Chinese health system reforms? Health Care Policy in East Asia. 2019;2019:5–23.
  • China National Health Insurance Administration. Statistical report on the development of national healthcare security in 2022; 2023. Available from http://www.nhsa.gov.cn/art/2023/7/10/art_7_10995.html. Accessed December 12, 2023.
  • Chen Q, Chu X, Wang S, Zhang B. A triple-difference approach to re-evaluating the impact of China’s new cooperative medical scheme on incidences of chronic diseases among older adults in rural communities. Risk Manag Health Policy. 2020;643–659. doi:10.2147/RMHP.S244021
  • Wang C, Cha Z. Has the reform of public hospitals improved the capacity of medical and health services? Analysis of the promotion effect based on financial input. J Guang Univer Finan Econom. 2022;37(04):100–111.
  • Wang C, Cha Z. Has the comprehensive medical reform pilot alleviated the problems of the accessibility and affordability of health care? Public Finan Res. 2021;(12):79–92. doi:10.19477/j.cnki.11-1077/f.2021.12.005
  • Yip WCM, Hsiao W, Meng Q, Chen W, Sun X. Realignment of incentives for health-care providers in China. Review. Lancet. 2010;375(9720):1120–1130. doi:10.1016/S0140-6736(10)60063-3
  • Hung LM, Shi L, Wang H, Nie X, Meng Q. Chinese primary care providers and motivating factors on performance. Family Practice. 2013;30(5):576–586. doi:10.1093/fampra/cmt026
  • Shen M, Li Y. “Siphon Effect” of tertiary hospitals and the effects of changes in cost-sharing on patient behavior—an empirical study in a large city. J Public Administ. 2021;04:61–84+229–230.
  • Chen Y, Wang L, Cui X, et al. COVID-19 as an opportunity to reveal the impact of large hospital expansion on the healthcare delivery system: evidence from Shanghai, China. Ann Translat Med. 2021;9:16.
  • Zhan J, Fu H. Hospital reputation, spatial distance and patient choice—evidence from hospital discharge data. Chin Economic Quart. 2022;22(01):343+364+344–363. doi:10.13821/j.cnki.ceq.2022.01.17
  • Feng J, Lv S, Wang Z. Medical resource sharing and patients’ choice: evaluation of the medical consortium construction policy in China. J Manag World. 2022;38(10):144–157+173+158. doi:10.19744/j.cnki.11-1235/f.2022.0142
  • Pang R, Li S. Structural imbalance of medical resource allocation and ‘Kanbing Gui’ in China: from the perspective of referral system. Mod Econom Sci. 2022;44(03):97–110.
  • Liu Y, Zhong L, Yuan S, Van de Klundert J. Why patients prefer high-level healthcare facilities: a qualitative study using focus groups in rural and urban China. BMJ Global Health. 2018;3(5):e000854. doi:10.1136/bmjgh-2018-000854
  • Qian D, Lucas H, Chen J, Xu L, Zhang Y. Determinants of the use of different types of health care provider in urban China: a tracer illness study of URTI. Health Policy. 2010;98(2–3):227–235. doi:10.1016/j.healthpol.2010.06.014
  • Barber SL, Borowitz M, Bekedam H, Ma J. The hospital of the future in China: china’s reform of public hospitals and trends from industrialized countries. Health Policy Plann. 2014;29(3):367–378. doi:10.1093/heapol/czt023
  • Pan J, Qin X, Hsieh C-R. Is the pro-competition policy an effective solution for China’s public hospital reform? Health Econ Policy Law. 2016;11(4):337–357. doi:10.1017/S1744133116000220
  • Zhao X, Xiao J, Chen H, et al. Patient preferences and attitudes towards first choice medical services in Shenzhen, China: a cross-sectional study. BMJ Open. 2022;12(5):e057280. doi:10.1136/bmjopen-2021-057280
  • Shen M, He W, Li L. Incentives to use primary care and their impact on healthcare utilization: evidence using a public health insurance dataset in China. Soc sci med. 2020;255:112981. doi:10.1016/j.socscimed.2020.112981
  • Hu Y, Zhang Z. Skilled doctors in tertiary hospitals are already overworked in China. Lancet Glob Health. 2015;3(12):e737. doi:10.1016/S2214-109X(15)00192-8
  • Sivey P. The effect of waiting time and distance on hospital choice for English cataract patients. Health Econom. 2012;21(4):444–456. doi:10.1002/hec.1720
  • Zhang L. A study on the effective strategies of urban hierarchical medical system in the post-epidemic era. Nanj J Soc Sci. 2020;(04):7–13. doi:10.15937/j.cnki.issn1001-8263.2020.04.002
  • Shen S, Zhang B. Hierarchical medical system, primary care and construction of primary health care institutions. Academ Bimest. 2016;(02):48–57. doi:10.16091/j.cnki.cn32-1308/c.2016.02.008
  • Li X, Gao G, Hu X, Zhang D, Tian J, Deng Q. The influencing factors of residents’medical treatment flow under differentiated reimbursement policy of medical insurance. Chin J Health Policy. 2020;13(12):23–29.
  • Tay A. Assessing competition in hospital care markets: the importance of accounting for quality differentiation. Rand J Econ. 2003;34:786–814. doi:10.2307/1593788
  • Smith H, Currie C, Chaiwuttisak P, Kyprianou A. Patient choice modelling: how do patients choose their hospitals? Health Care Manag Sci. 2018;21:259–268. doi:10.1007/s10729-017-9399-1
  • Gaynor M, Propper C, Seiler S. Free to Choose: Reform and Demand Response in the British National Health Service. Unpublished manuscript, Stanford University; 2011.
  • Wagstaff A, Lindelow M, Jun G, Ling X, Juncheng Q. Extending health insurance to the rural population: an impact evaluation of China’s new cooperative medical scheme. J Health Econ. 2009;28(1):1–19. doi:10.1016/j.jhealeco.2008.10.007
  • Chandra A, Gruber J, McKnight R. Patient cost-sharing and hospitalization offsets in the elderly. Am Econ Rev. 2010;100(1):193–213. doi:10.1257/aer.100.1.193
  • Manning WG, Newhouse JP, Duan N, Keeler EB, Leibowitz A. Health insurance and the demand for medical care: evidence from a randomized experiment. Am Econom Rev. 1987;1987:251–277.
  • Normand C. Free for all: lessons from the RAND health insurance experiment. BMJ. 1994;308(6945):1724–1725. doi:10.1136/bmj.308.6945.1724a
  • Brown PH, Theoharides C. Health‐seeking behavior and hospital choice in China’s new cooperative medical system. Health Economics. 2009;18(S2):S47–S64. doi:10.1002/hec.1508
  • Ren X, Wang Y. The Effect of China’ s new cooperative medical scheme on the farmers’ medical behavior under the background of urbanization. Finan Econom. 2015;03:121–130.
  • Jiang J. NCMS and health care provider choices in Rural China. South Chin J Econom. 2013;(02):56–66. doi:10.19592/j.cnki.scje.2013.02.006
  • Yu B, Meng Q, Collins C, et al. How does the New Cooperative Medical Scheme influence health service utilization? A study in two provinces in rural China. BMC Health Serv Res. 2010;10:1–9. doi:10.1186/1472-6963-10-116
  • Hadley J, Mitchell JM. Effects of HMO Market Penetration on Physicians’ Work Effort and Satisfaction: with the rise in managed care, a majority of physicians report having reservations about the way they now practice medicine. Health Affairs. 1997;16(6):99–111. doi:10.1377/hlthaff.16.6.99
  • Jiang Y, Zheng K. Unified management of the medical insurance for Urban and Rural Residents, and medical treatment behavior and expenditure in rural areas. J Beijing Univer Aeronaut Astronaut. 2022;35(05):126–138. doi:10.13766/j.bhsk.1008-2204.2022.0450
  • Avdic D, Moscelli G, Pilny A, Sriubaite I. Subjective and objective quality and choice of hospital: evidence from maternal care services in Germany. J Health Econo. 2019;68:102229. doi:10.1016/j.jhealeco.2019.102229
  • Santos R, Gravelle H, Propper C. Does quality affect patients’ choice of doctor? Evidence from England. Econ J. 2017;127(600):445–494. doi:10.1111/ecoj.12282
  • Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Social Behav. 1995;36:1–10. doi:10.2307/2137284
  • Thomson S, Osborn R, Squires D, Reed SJ. International profiles of health care systems 2011: Australia, Canada, Denmark, England, France, Germany, Iceland, Italy, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States; 2011.
  • Wang J, Wang P, Wang X, Zheng Y, Xiao Y. Use and prescription of antibiotics in primary health care settings in China. JAMA Intern Med. 2014;174(12):1914–1920. doi:10.1001/jamainternmed.2014.5214
  • Song M, Song H. Disagreement between a public insurer’s recommendation and beneficiary’s choice of long-term care services in Korea. Article. Health Policy. 2020;124(8):881–887. doi:10.1016/j.healthpol.2020.04.012
  • He X, Li L, Bian Y. Analysis on the health care provider choice of outpatients in underdeveloped areas and its influencing factors: An empirical study in county-level hospitals and township health centers of Western China. Chin J Health Policy. 2018;11(7):61–66. 1674–2982.
  • Finkelstein A, Taubman S, Wright B, et al. The Oregon health insurance experiment: evidence from the first year. Q J Econ. 2012;127(3):1057–1106. doi:10.1093/qje/qjs020
  • Wang Z, Li X, Chen M, Si L. Social health insurance, healthcare utilization, and costs in middle-aged and elderly community-dwelling adults in China. Internat J Equit Health. 2018;1717. doi:10.1186/s12939-018-0733-0
  • Feng J, Wang Z, Song H. Self-selection and medical expenditure in Chinese health insurance system: evidence from informal employees’ participation. J Finan Res. 2018;08:85–101.
  • Liu Y, Kong Q, Yuan S, van de Klundert J. Factors influencing the choice of health system access level in China: a systematic review. Meeting AbstLancet. 2018;392:39.
  • Zeng Y, Wan Y, Yuan Z, Fang Y. Healthcare-seeking behavior among Chinese older adults: patterns and predictive factors. Int J Environ Res Public Health. 2021;18(6):2969. doi:10.3390/ijerph18062969
  • Zhang S, Chen Q, Zhang B. Understanding healthcare utilization in China through the Andersen behavioral model: review of evidence from the China health and nutrition survey. Risk Manag Healthcare Policy. 2019;Volume 12:209–224. doi:10.2147/RMHP.S218661
  • Syed ST, Gerber BS, Sharp LK. Traveling towards disease: transportation barriers to health care access. J Comm Health. 2013;38(5):976–993. doi:10.1007/s10900-013-9681-1