Original scientific paper
https://doi.org/10.1080/1331677X.2020.1789888
Does school-based private health insurance improve students’ health status? Evidence from China
Jing Guan
Abstract
Private health insurance is an important supplement to social
health insurance. However, there is a lack of research on the
impact of school-based private health insurance programs on students’ health in developing countries. This study aims to investigate the causal impact of school-based supplementary private
health insurance programs on the self-rated health status of
Chinese secondary school students, with an average age of 14,
using a longitudinal database, the China Education Panel Survey
(CEPS). The study exploits the cross-school variation and discrete
feature of the response variable by applying a two-level ordered
logit model with a random effect at the school level. An ordered
logit propensity score matching method, clustering the standard
errors by school, is applied for the robustness check. Lagged values of potential endogenous covariates are included in both
methods to control the effect of unobserved individual heterogeneities. The results indicate that participating in uniform schoolbased private health insurance programs does not improve
student self-rated health status, whereas individualized health
insurance significantly improves student self-rated health status.
Keywords
School-based private health insurance; students; health; multilevel equation modelling; propensity score matching
Hrčak ID:
301176
URI
Publication date:
31.12.2021.
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