Definition of The Standard of Catastrophic Health Expenditure in China：Based on The Effect of Medical Expenditure on Household Basic Living Expenses

Corresponding author: LIU Xing, warmlx2019@163.com

DOI: 10.12201/bmr.202212.00006

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  Abstract: Objective: Based on the effect of medical expenditure on household basic living expenses, define the suitable standard of Catastrophic Health Expenditure in China. Methods: Using the unbalanced panel data from China Family Panel Studies(CFPS) 2012、2014、2016 and 2018, two-way fixed effect model and propensity score matching (PSM) method were used for analysis. Results: the intensity of medical expenditure is not a simple linear relationship with household basic living expenses,but Inverted U-shaped relationship.Heterogeneity analysis shows that the inverted U-shaped relationship between medical expenditure intensity and household basic living expenses is mainly manifested in rural households and middle-income households, while urban households, low-income households and high-income households are not obvious. The suitable standard of “catastrophic health expenditure” in China should be different from the standard proposed by WHO. Suggestions: The medical assistance policy for key objects should be continued to be implemented and the coverage should be expanded continuously.Taking catastrophic health expenditure as indicator to identify medical expenditure poverty and define its standard according to the national conditions of China.

  Key words: Catastrophic health expenditure；Medical expenditure；Basic living expenses；Inverted U-shaped; Medical assistance; ; ; 

  Submit time: 12 December 2022

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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