Abstract
BackgroundThe aim of this study was to investigate the relationship between the quality of public health insurance and individuals’ consumption structure upgrades in China.MethodsThis study was conducted using data from a population of 6430 Chinese individuals aged 18 to 70 y from the 2017 Chinese Social Survey. We used multiple linear regression models and the two-stage least-squares model to explore the impact and heterogeneity of the quality of public health insurance on individuals’ consumption structure upgrades. Furthermore, we performed structural equation modelling to clarify the mediation effects of the impact.ResultsThe quality of public health insurance was significantly correlated with individuals’ consumption structure upgrades (β = 0.368, SD = 0.084), and the impact of the quality of public health insurance on individuals’ hedonic consumption in urban regions was significantly higher than that in rural regions (β = 0.499, SD = 0.218). Furthermore, the quality of public health insurance could promote upgrades to individuals’ consumption structure by reducing the burden of medical expenses and stabilizing or increasing individuals’ expectations regarding the future economic level.ConclusionThe results indicated that developing countries should implement additional measures to enhance the quality of public health insurance, which would not only help protect the health of individuals but also stimulate individuals’ consumption to achieve rapid economic growth.
Highlights
The aim of this study was to investigate the relationship between the quality of public health insurance and individuals’ consumption structure upgrades in China
The results show that the quality of public health insurance significantly affects individuals’ hedonic consumption (β = 0.368, SD = 0.084), which means that the quality of public health insurance can promote upgrades to individuals’ consumption structure
The results show that the quality of public health insurance (β = 0.342, SD = 0.088) can promote individuals’ consumption structure upgrades, which confirms the robustness of the estimation of this study
Summary
The aim of this study was to investigate the relationship between the quality of public health insurance and individuals’ consumption structure upgrades in China. China can achieve highquality economic development only by transforming the investment-driven economic development mode into a consumption-driven economic development mode, thereby promoting individuals’ consumption, driving economic growth with consumption, and stimulating effective supply with consumption [7,8,9,10]. With the gradual transformation of China’s economic development mode, continuous optimization and transformation of the country’s economic structure, and adjustment of its economic growth momentum, the contribution of consumption to the gross domestic product (GDP) has gradually increased. Promoting the upgrading of the individuals’ consumption structure is the key to achieving high-quality economic development in China
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