Understanding saving, consumption, and healthcare systems in China

Zhang, Yanan (2018). Understanding saving, consumption, and healthcare systems in China. University of Birmingham. Ph.D.

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This thesis aims to explain the financial behavior of households and individuals in China, with a focus on the effects of the old-age dependency, household composition and healthcare systems. First, we investigate the association between old-age dependency ratio and household savings with 1995-2015 provincial-level panel data in China. The results show a negative association between the old-age dependency and the savings ratio, which is weaker in areas with higher level of government medical expenditure, financial development and insurance density. Second, we examine household composition and consumption with the 2011 and 2013 waves of China Health and Retirement Longitudinal Study (CHARLS). We provide evidence that the reallocation of resources freed up when an offspring moves out depends on the lever’s age. Finally, using the 2011, 2013 and 2015 waves of CHARLS, we evaluate and compare the Urban Employee Basic Medical Insurance (UEBMI) and resident health insurance (RHI) schemes. Estimations show that UEBMI is associated with a higher level of household consumption, the utilization of healthcare services, and medical expenditure (compared to RHI). Additionally, RHI fails to help poor people in purchasing sufficient healthcare, whilst UEBMI encourages rich people to overuse healthcare services.

Type of Work: Thesis (Doctorates > Ph.D.)
Award Type: Doctorates > Ph.D.
College/Faculty: Colleges (2008 onwards) > College of Social Sciences
School or Department: Birmingham Business School, Department of Economics
Funders: None/not applicable
Subjects: H Social Sciences > HC Economic History and Conditions
URI: http://etheses.bham.ac.uk/id/eprint/8497


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