Benefit equity of social health insurance in China and its provinces (2014-2020): implications for universal health coverage.

ABSTRACT:

Introduction

China has increased fiscal input into social health insurance (SHI) schemes to achieve universal health coverage. Our study aimed to examine the equity of SHI benefits in the country and five representative provinces over the period of 2014-2020.

Methods

We analysed nationally and subnationally representative data from four waves (2014, 2016, 2018 and 2020) of the China Family Panel Studies. Benefit relative to consumption was assessed using concentration indices and concentration curves. We compared benefit distribution against health need across consumption quintiles. We further decomposed the change in the concentration index from 2014 to 2020.

Results

The national concentration index for SHI benefit was pro-rich but became substantially less so over t

SUBMITTER: Zhang Y 

PROVIDER: S-EPMC11535667 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature