IDEAS home Printed from https://ideas.repec.org/a/bla/coecpo/v21y2003i1p11-24.html
   My bibliography  Save this article

Urbanization And Health Care In Rural China

Author

Listed:
  • Gordon G. Liu
  • Xiaodong Wu
  • Chaoyang Peng
  • Alex Z. Fu

Abstract

Strong economic growth has led to remarkable urbanization in China. Using the China Health and Nutrition Survey, this study provides the first empirical evidence documenting the impact of urbanization on rural health care and insurance. The primary finding is that urbanization leads to a significant and equitable increase in insurance coverage, which in turn plays a critical role in access to care. In addition, adverse selection exists in the demand for insurance. Income is also a significant determinant of insurance coverage. This study concludes that urbanization can help make substantial changes in rural health care and insurance status.

Suggested Citation

  • Gordon G. Liu & Xiaodong Wu & Chaoyang Peng & Alex Z. Fu, 2003. "Urbanization And Health Care In Rural China," Contemporary Economic Policy, Western Economic Association International, vol. 21(1), pages 11-24, January.
  • Handle: RePEc:bla:coecpo:v:21:y:2003:i:1:p:11-24
    DOI: 10.1093/cep/21.1.11
    as

    Download full text from publisher

    File URL: https://doi.org/10.1093/cep/21.1.11
    Download Restriction: no

    File URL: https://libkey.io/10.1093/cep/21.1.11?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Newbold, K. Bruce & Eyles, John & Birch, Stephen, 1995. "Equity in health care: Methodological contributions to the analysis of hospital utilization within Canada," Social Science & Medicine, Elsevier, vol. 40(9), pages 1181-1192, May.
    2. Edward L. Glaeser, 1998. "Are Cities Dying?," Journal of Economic Perspectives, American Economic Association, vol. 12(2), pages 139-160, Spring.
    3. Manning, Willard G, et al, 1987. "Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment," American Economic Review, American Economic Association, vol. 77(3), pages 251-277, June.
    4. Akin, John S. & Guilkey, David K. & Hazel?Denton, E., 1995. "Quality of services and demand for health care in Nigeria: A multinomial probit estimation," Social Science & Medicine, Elsevier, vol. 40(11), pages 1527-1537, June.
    5. Krugman, Paul, 1991. "Increasing Returns and Economic Geography," Journal of Political Economy, University of Chicago Press, vol. 99(3), pages 483-499, June.
    6. Fujita,Masahisa, 1991. "Urban Economic Theory," Cambridge Books, Cambridge University Press, number 9780521396455.
    7. Liu, Yuanli & Hsiao, William C. & Eggleston, Karen, 1999. "Equity in health and health care: the Chinese experience," Social Science & Medicine, Elsevier, vol. 49(10), pages 1349-1356, November.
    8. Glaeser, Edward L & Mare, David C, 2001. "Cities and Skills," Journal of Labor Economics, University of Chicago Press, vol. 19(2), pages 316-342, April.
    9. Duan, Naihua, et al, 1983. "A Comparison of Alternative Models for the Demand for Medical Care," Journal of Business & Economic Statistics, American Statistical Association, vol. 1(2), pages 115-126, April.
    10. John S. Akin & David K. Guilkey & Paul L. Hutchinson & Michael T. McIntosh, 1998. "Price elasticities of demand for curative health care with control for sample selectivity on endogenous illness: an analysis for Sri Lanka," Health Economics, John Wiley & Sons, Ltd., vol. 7(6), pages 509-531, September.
    11. Henderson, G. E. & Akin, J. S. & Hutchinson, P. M. & Jin, S. G. & Wang, J. M. & Dietrich, J. & Mao, L. M., 1998. "Trends in health services utilization in eight provinces in China, 1989-1993," Social Science & Medicine, Elsevier, vol. 47(12), pages 1957-1971, December.
    12. Henderson, Gail & Akin, John & Zhiming, Li & Shuigao, Jin & Haijiang, Ma & Keyou, Ge, 1994. "Equity and the utilization of health services: Report of an eight-province survey in China," Social Science & Medicine, Elsevier, vol. 39(5), pages 687-699, September.
    13. Knight, John & Li, Shi, 1996. "Educational Attainment and the Rural--Urban Divide in China," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 58(1), pages 83-117, February.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Rong Hu & Chunli Shen & Heng-fu Zou, 2011. "Health Care System Reform in China: Issues, Challenges and Options," CEMA Working Papers 517, China Economics and Management Academy, Central University of Finance and Economics.
    2. Carine Milcent, 2013. "Industrialisation et Inégalités : Le recours aux soins en zones rurales chinoises," PSE Working Papers halshs-00826889, HAL.
    3. E. Van de Poel & O. O'Donnell & E. Van Doorslaer, 2012. "Is there a health penalty of China's rapid urbanization?," Health Economics, John Wiley & Sons, Ltd., vol. 21(4), pages 367-385, April.
    4. Du, Juan, 2009. "Economic reforms and health insurance in China," Social Science & Medicine, Elsevier, vol. 69(3), pages 387-395, August.
    5. Ling Tian & Haisong Dong, 2022. "Family Life Cycle, Asset Portfolio, and Commercial Health Insurance Demand in China," IJERPH, MDPI, vol. 19(24), pages 1-18, December.
    6. Van de Poel, Ellen & O'Donnell, Owen & Van Doorslaer, Eddy, 2009. "Urbanization and the spread of diseases of affluence in China," Economics & Human Biology, Elsevier, vol. 7(2), pages 200-216, July.
    7. Wang, Qian & Wang, Jun & Gao, Feng, 2021. "Who is more important, parents or children? Economic and environmental factors and health insurance purchase," The North American Journal of Economics and Finance, Elsevier, vol. 58(C).
    8. Fei Zhang & Xinjie Shi & Yun Zhou, 2020. "The Impact of Health Insurance on Healthcare Utilization by Migrant Workers in China," IJERPH, MDPI, vol. 17(6), pages 1-14, March.
    9. Carine Milcent, 2011. "Baisse du recours aux soins dans les zones rurales en Chine," Working Papers halshs-00653450, HAL.
    10. Wagstaff, Adam & Lindelow, Magnus, 2008. "Can insurance increase financial risk?: The curious case of health insurance in China," Journal of Health Economics, Elsevier, vol. 27(4), pages 990-1005, July.
    11. Yu Shen & Wenkai Sun, 2023. "From Villages to Urban Neighborhoods: Urbanization and Health," China & World Economy, Institute of World Economics and Politics, Chinese Academy of Social Sciences, vol. 31(2), pages 137-158, March.
    12. John Gibson & Xiangzheng Deng & Geua Boe-Gibson & Scott Rozelle & Jikun Huang, 2008. "Which Households Are Most Distant from Health Centers in Rural China? Evidence from a GIS Network Analysis," Working Papers in Economics 08/19, University of Waikato.
    13. Carine Milcent & Feng Jin, 2010. "Decrease in the healthcare demand in rural China: A side effect of the industrialization process?," Working Papers halshs-00564848, HAL.
    14. Chaolin Gu & Christian Kesteloot & Ian G Cook, 2015. "Theorising Chinese urbanisation: A multi-layered perspective," Urban Studies, Urban Studies Journal Limited, vol. 52(14), pages 2564-2580, November.
    15. repec:cuf:journl:y:2013:v:14:i:1:hu:shen:zou is not listed on IDEAS
    16. Liu, Hong & Gao, Song & Rizzo, John A., 2011. "The expansion of public health insurance and the demand for private health insurance in rural China," China Economic Review, Elsevier, vol. 22(1), pages 28-41, March.
    17. Wang, H. Holly & Rosenman, Robert, 2007. "Perceived need and actual demand for health insurance among rural Chinese residents," China Economic Review, Elsevier, vol. 18(4), pages 373-388.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mocan, H. Naci & Tekin, Erdal & Zax, Jeffrey S., 2004. "The Demand for Medical Care in Urban China," World Development, Elsevier, vol. 32(2), pages 289-304, February.
    2. Carl Gaigné & Jacques-François Thisse, 2013. "New Economic Geography and the City," Working Papers SMART 13-02, INRAE UMR SMART.
    3. Gilles Duranton, 1997. "La nouvelle économie géographique : agglomération et dispersion," Économie et Prévision, Programme National Persée, vol. 131(5), pages 1-24.
    4. Elisabet Viladecans Marsal, 2002. "The growth of cities: Does agglomeration matter?," Working Papers 2002/3, Institut d'Economia de Barcelona (IEB).
    5. Edward L. Glaeser & Bryce Millett Steinberg, 2017. "Transforming cities: does urbanization promote democratic change?," Regional Studies, Taylor & Francis Journals, vol. 51(1), pages 58-68, January.
    6. Elsie Echeverri‐Carroll & Sofia G. Ayala, 2009. "Wage differentials and the spatial concentration of high‐technology industries," Papers in Regional Science, Wiley Blackwell, vol. 88(3), pages 623-641, August.
    7. Nicholas Crafts & Anthony Venables, 2003. "Globalization in History.A Geographical Perspective," NBER Chapters, in: Globalization in Historical Perspective, pages 323-370, National Bureau of Economic Research, Inc.
    8. Matthias Wrede, 2013. "Heterogeneous skills and homogeneous land: segmentation and agglomeration," Journal of Economic Geography, Oxford University Press, vol. 13(5), pages 767-798, September.
    9. Pablo Brañas-Garza & Javier Rodero Cosano & John R. Presley, 2002. "The North-South divide and house price islands: the case of CÓrdoba (Spain)," European Journal of Housing Policy, Taylor and Francis Journals, vol. 2(1), pages 45-63.
    10. Magnus Lindelow, 2004. "The Utilization of Curative Health Care in Mozambique: Does Income Matter?," Development and Comp Systems 0409057, University Library of Munich, Germany.
    11. Stef Proost & Jacques-François Thisse, 2019. "What Can Be Learned from Spatial Economics?," Journal of Economic Literature, American Economic Association, vol. 57(3), pages 575-643, September.
    12. Behrens, Kristian & Robert-Nicoud, Frédéric, 2008. "Survival of the fittest in cities: agglomeration, selection, and polarisation," LSE Research Online Documents on Economics 28506, London School of Economics and Political Science, LSE Library.
    13. Zierahn, Ulrich, 2012. "Monocentric cities, endogenous agglomeration, and unemployment disparities," HWWI Research Papers 130, Hamburg Institute of International Economics (HWWI).
    14. Soumitra Ghosh, 2015. "Socio-economic Patterns in Inpatient Care Utilisation in India: Is the Income Effect Withering?," Margin: The Journal of Applied Economic Research, National Council of Applied Economic Research, vol. 9(1), pages 39-60, February.
    15. Guan Gong & Hongmei Wang & Lingli Xu, 2015. "The Impact of Individual Health Account Scheme on Lifetime Income Redistribution: Evidence from China," Review of Development Economics, Wiley Blackwell, vol. 19(4), pages 925-940, November.
    16. Kristian Behrens & Frédéric Robert-Nicoud, 2009. "Survival of the Fittest in Cities: Agglomeration, Polarization, and Income Inequality," Cahiers de recherche 0919, CIRPEE.
    17. Martin Boddy, 1999. "Geographical Economics and Urban Competitiveness: A Critique," Urban Studies, Urban Studies Journal Limited, vol. 36(5-6), pages 811-842, May.
    18. Magnus Lindelow, 2003. "The Utilization of Curative Health Care in Mozambique: Does Income Matter?," Economics Series Working Papers WPS/2004-11, University of Oxford, Department of Economics.
    19. Antonio Ciccone, 1997. "Technology diffusion and the spatial distribution of wages in the US," Economics Working Papers 500, Department of Economics and Business, Universitat Pompeu Fabra, revised Dec 1999.
    20. Chen, Zhuo & Eastwood, David B. & Yen, Steven T., 2005. "Childhood Malnutrition In China: Change Of Inequality In A Decade," 2005 Annual meeting, July 24-27, Providence, RI 19205, American Agricultural Economics Association (New Name 2008: Agricultural and Applied Economics Association).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:coecpo:v:21:y:2003:i:1:p:11-24. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://edirc.repec.org/data/weaaaea.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.