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Have the Chinese Older Adults Received Adequate Healthcare Services since the 2009 Health Reform? Examining the Socioeconomic Disparity in Receiving Adequate Healthcare
Healthcare
  • Yen-Han Lee, Indiana University
  • Yen-Chang Chang, National Tsing Hua University
  • Yun-Ting Wang, Taipei Veterans General Hospital
  • Mack C Shelley, II, Iowa State University
Document Type
Article
Publication Version
Published Version
Publication Date
7-10-2020
DOI
10.3390/healthcare8030208
Abstract

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.

Comments

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." Healthcare 8, no. 3 (2020): 208. DOI: 10.3390/healthcare8030208. Posted with permission.

Creative Commons License
Creative Commons Attribution 4.0 International
Copyright Owner
The Author(s)
Language
en
File Format
application/pdf
Citation Information
Yen-Han Lee, Yen-Chang Chang, Yun-Ting Wang and Mack C Shelley. "Have the Chinese Older Adults Received Adequate Healthcare Services since the 2009 Health Reform? Examining the Socioeconomic Disparity in Receiving Adequate Healthcare" Healthcare Vol. 8 Iss. 3 (2020) p. 208
Available at: http://works.bepress.com/mack_shelley/79/