National centralized drug procurement and health care expenditure of households-micro-evidence from CFPS.

IF 3 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Frontiers in Public Health Pub Date : 2024-08-19 eCollection Date: 2024-01-01 DOI:10.3389/fpubh.2024.1405197

Xin Li, Ran Tao, Yuning Jin, Na Li

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引用次数: 0

Abstract

Objective: This paper utilizes data from the China Family Panel Studies (CFPS) to evaluate the impact of the "4 + 7" National Centralized Drug Procurement (NCDP) on Per Capita Household Health Care Expenditure (PCHHCE).

Methods: The study applies the Differences-in-Differences (DID) methodology to analyze the effects of NCDP. Various robustness tests were conducted, including the Permutation test, Propensity Score Matching, alterations in regression methodologies, and consideration of individual fixed effects.

Results: Research indicates that the implementation of NCDP led to a reduction of 10.6% in PCHHCE. The results remained consistent across all robustness tests. Additionally, the research identifies diversity in NCDP effects among various household characteristics, with a more significant impact on households residing in rural regions of China, enrolled in Basic Medical Insurance for urban and rural residents and urban workers, and having an income bracket of 25-75%.

Conclusion: These findings carry policy implications for the future expansion and advancement of NCDP in China. The study highlights the effectiveness of NCDP in reducing healthcare expenditures and suggests potential areas for policy improvement and further research.

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国家药品集中采购与家庭医疗支出--来自 CFPS 的微观证据。

目的：本文利用中国家庭面板研究（CFPS）的数据，评估 "4+7 "国家药品集中采购（NCDP）对家庭人均医疗保健支出（PCHHCE）的影响：研究采用差分法（DID）分析国家药品集中采购的影响。研究还进行了各种稳健性检验，包括置换检验、倾向得分匹配、回归方法的改变以及对个人固定效应的考虑：研究表明，国家儿童发展项目的实施使贫困家庭幼儿保育和教育费用降低了 10.6%。在所有稳健性测试中，结果保持一致。此外，研究还发现了新农合对不同家庭特征影响的多样性，对居住在中国农村地区、参加了城乡居民基本医疗保险和城镇职工基本医疗保险、收入水平在 25%-75% 之间的家庭的影响更为显著：这些研究结果对今后在中国扩大和推进国家社区发展项目具有政策意义。本研究强调了国家社区发展计划在降低医疗支出方面的有效性，并提出了政策改进和进一步研究的潜在领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

7.70%

发文量

4469

审稿时长

14 weeks

期刊介绍： Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.