From coverage to care: how basic medical insurance shapes patients’ experiences of primary care in China
Chufeng Xu, Wenhu Xu, Jiamin You, Gong Chen, Shuhan Miao · 2026
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Description
Chufeng Xu and co-authors ask in 2026 whether having basic medical insurance changes how middle-aged and older Chinese adults rate their primary care. China's tiered system steers patients toward local care, and insurance is meant to make that path attractive. The team merged two waves of a national family panel into 6,114 people and used methods that track changes within the same person over time.
Insurance was linked to better ratings of facility conditions, the buildings and equipment patients see. It showed no firm link to ratings of service level, the quality of care itself. The facility effect varied by health, age, gender, region, and household registration type. Coverage, the authors suggest, improves the visible setting of care more reliably than its felt quality, a split policymakers should notice.
Catalog record
| CREATOR | Chufeng Xu, Wenhu Xu, Jiamin You, Gong Chen, Shuhan Miao |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 52 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |