This project will investigate the effects of health service/investment on non-communicable diseases (NCDs) prevention initiatives and health inequalities among elderly people in China. China has the largest aging population in the world. NCDs are common among older people and have been found to increase the risks of health and mortality.
China has achieved nearly universal coverage of health insurance for elderly people since 2011; however, insufficient provision of health insurance and its unequal distribution according to different health insurance schemes among elderly people in China are likely to have considerable impact on the health outcomes of its fast-growing aging population. In addition, the quality and availability of health services and health investments vary greatly among provinces as a result of the provinces’ different levels of economic development. Investigating the efforts of health service/investment from the government have NCDs prevention initiatives and reduced the inequalities in health could help to understand the effectiveness of health investment in the last few years.
This project will use the micro-level (individual) from the Chinese Longitudinal Healthy Longevity Survey from 2008 to 2014 (16,840 respondents) and macro-level (province) data from the Chinese Statistics Yearbook. During these 6 years, the Chinese government has achieved universal coverage of health insurance as well as growth in the investment of health services. Multilevel models will be used to investigate the effects of health service/investment (macro-level) on health inequalities among elderly people (individual level) in China spatially and temporally.
We expect to submit two academic publications. These papers will have the results and the discussions of current health policy. The discussions will feed into policy implications for future health care reform under the National Strategy “Healthy China 2030”, launched by the Chinese State Council in October 2016.
- Feng, Z., Jones, K., & Phillips D.R. (2019). Social exclusion, self-rated health and depression among older people in China: evidence from a national survey of older persons. Archives of Gerontology and Geriatrics. 82, 238-244.
- Lei, P.,Feng, Z.,Ding, J., Duan, R., Yu, H., & Liu, Q. (2019). Evaluation of the status of medical resource allocation and service utilization in China. Health Economics Research,36(5), 50-55. (In Mandarin)
- Feng, Phillips and Jones have published a paper named “A geographical multivariable multilevel analysis of social exclusion among older people in China: Evidence from the China Longitudinal Aging Social Survey ageing study”.
- Lei, Feng, Ding, Jing & et al have a paper titled “Evaluation of the current allocation of healthcare resources and service utilization in China” which is accepted to publish in Health Economics Research (in Chinese).
- 4-6 July 2018, Feng presented “Can state health investment prevent chronic diseases among older people in China?” at the British Society of Gerontology annual conference in Manchester, UK
- 29 -30 October 2018, the workshop “Health Service, Investment and Health Equality in China” was held at Zhejiang University, China.
- 14-18 November 2018. Feng presented a poster “The Effectiveness of Health Investment on Non-Communicable Diseases Among Older People in China: A Multilevel Study” at the Gerontological Society of America annual conference in Boston, US.
Professor GUO Naijia, Chinese University of Hong Kong
Dr Doreen Au, Chinese University of Hong Kong
Dr Wenjuab Zhang, Renmin University
Dr Kai Lui, Renmin University
Professor David Phillips, Lingnan University
Wenjiong He, Zhejiang University
Hong Mi, Zhejiang University
Jin Feng, Fudan University
Minglai Zhu, Nankai University
Hai Gu, Nanjing University
Shaoguo Zhai, Northwest University
Vivian Lou, University of Hong Kong
Yuehua Zhang, Zhejiang University
Zhixin Feng, University of Southampton
Huijun Liu, Xi’an Jiaotong University
Chen Bai, Renmin University
Yinan Yang, South China University of Technology
Feng Huang, Shanghai University of Finance and Economics
Chaoqun Wang, Central China Normal University
Yi Zeng Zhongnan, University of Economics and Law
Peng Lei, The First People’s Hospital of Jingmen, Hubei
Yixin Yang, Zhejiang University
Xinjie Zhang, Jiangsu University
Minjie Tian, WUN Office Coordinator, Zhejiang University
Xiaoyi Hu, Zhejiang University
Paicheng Liu, Sun Yat-sen University
Zhen Wang, Fudan University
Xing Ren, Northwest University
Lu Li, Huazhong University of Science and Technology
Yaling Du, Huazhong University of Science and Technology
Siyu Tao, Huazhong University of Science and Technology
Jiangyun Chen, Huazhong University of Science and Technology
Mingming Xie, Zhengzhou University
Yue Liu, Zhejiang University
Guolong Wang, Zhejiang University
Lingxue Sun, Zhejiang University
Xinhao Lin, Zhejiang University
Associate Professor Xiaoting Liu, Zhejiang University