Enrollment or dropout: dynamics of social health insurance participation among Chinese children and their impact on health service utilization and medical expenses.

ABSTRACT: Since children's participation in social health insurance (SHI) in China is voluntary, fluctuations in enrollment or dropout are inevitable. Using data from the two waves of the China Family Panel Study in 2020 and 2022, this study aims to examine these participation dynamics and their impact on children's health service utilization and medical expenses. Specifically, a balanced panel of 1958 children under the age of 15 was constructed, first-difference and difference-in-difference models were employed to assess the factors influencing children's SHI enrollment or dropout, as well as the impact of these changes on health service utilization and medical expenses. Robustness checks were conducted after excluding new enrollees and dropouts separately. Our analysis showed that between 2020 an

SUBMITTER: Xu J 

PROVIDER: S-EPMC12906758 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature