Have the Chinese Older Adults Received Adequate Healthcare Services since the 2009 Health Reform? Examining the Socioeconomic Disparity in Receiving Adequate Healthcare

dc.contributor.author Lee, Yen-Han
dc.contributor.author Chang, Yen-Chang
dc.contributor.author Wang, Yun-Ting
dc.contributor.author Shelley, Mack
dc.contributor.author Shelley, Mack
dc.contributor.department Political Science
dc.contributor.department Statistics
dc.date 2021-02-08T19:57:39.000
dc.date.accessioned 2021-02-26T04:24:10Z
dc.date.available 2021-02-26T04:24:10Z
dc.date.copyright Wed Jan 01 00:00:00 UTC 2020
dc.date.issued 2020-07-10
dc.description.abstract <p>China launched a comprehensive health reform in 2009, as part of the central government’s plan to improve its healthcare system. This study investigates the associations of socioeconomic status with receiving adequate healthcare services among Chinese older adults following the 2009 health reform. Using the 6th and the 7th waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), a repeated cross-sectional study design was adopted (n = 9305). Firth’s logistic regression models were used for statistical analysis. In the fully adjusted model, being non-married was negatively associated with adequate healthcare services (adjusted odds ratio (AOR) = 0.68, 95% confidence interval (CI): 0.54, 0.86). Higher levels of income were positively associated with adequate healthcare services (all ps < 0.05). Participants who relied on non-urban social insurance plans all had lower odds of receiving adequate healthcare services (all ps < 0.01), compared with older adults who used the urban employment basic medical insurance (UEBMI). However, disparities regarding education and urban-rural differences were not observed in the full model. As China is pushing for further reforms, vulnerable population groups, such as non-married or more impoverished older adults, should be assisted in receiving adequate healthcare services.</p>
dc.description.comments <p>This article is published as Lee, Yen-Han, Yen-Chang Chang, Yun-Ting Wang, and Mack Shelley. "Have the Chinese Older Adults Received Adequate Healthcare Services since the 2009 Health Reform? Examining the Socioeconomic Disparity in Receiving Adequate Healthcare." <em>Healthcare </em>8, no. 3 (2020): 208. DOI: <a href="https://doi.org/10.3390/healthcare8030208" target="_blank">10.3390/healthcare8030208</a>. Posted with permission.</p>
dc.format.mimetype application/pdf
dc.identifier archive/lib.dr.iastate.edu/pols_pubs/86/
dc.identifier.articleid 1085
dc.identifier.contextkey 21526013
dc.identifier.s3bucket isulib-bepress-aws-west
dc.identifier.submissionpath pols_pubs/86
dc.identifier.uri https://dr.lib.iastate.edu/handle/20.500.12876/96791
dc.language.iso en
dc.source.bitstream archive/lib.dr.iastate.edu/pols_pubs/86/2020_ShelleyMack_HaveChinese.pdf|||Sat Jan 15 02:14:19 UTC 2022
dc.source.uri 10.3390/healthcare8030208
dc.subject.disciplines Education Policy
dc.subject.disciplines Health Economics
dc.subject.keywords China
dc.subject.keywords adequate healthcare services
dc.subject.keywords older adults
dc.subject.keywords socioeconomic status
dc.subject.keywords social disparity
dc.title Have the Chinese Older Adults Received Adequate Healthcare Services since the 2009 Health Reform? Examining the Socioeconomic Disparity in Receiving Adequate Healthcare
dc.type article
dc.type.genre article
dspace.entity.type Publication
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relation.isOrgUnitOfPublication 264904d9-9e66-4169-8e11-034e537ddbca
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