Research Article

Analysis of Economic Effect and Mechanism of Basic Medical Insurance for Urban Employees in China

Table 7

Adverse selection and moral hazard effect.

VariableHaving a regular jobNo fixed work
(1)(2)(3)(4)
Selection equationExpenditure equationSelection equationExpenditure equation

Explained variable: logarithm of total medical expensesInteraction effect0.0117−1.185−0.04081.536
(Treat × time)[0.0248][1.5332][0.0338][0.8333]
Treatment effect0.00655−1.2180.0048−0.557
(Treat)[0.0178][0.8718][0.0244][0.5428]
Time effect−0.01970.826−0.003910.124
(Time)[0.0175][0.9482][0.0221][0.4453]
Explained variable: logarithm of self-paid medical expensesInteraction effect0.0117−1.146−0.04080.932
(Treat × time)[0.0248][1.4467][0.0338][0.7869]
Treatment effect0.00655−1.3280.0048−0.538
(Treat)[0.0178][0.7902][0.0244][0.5396]
Time effect−0.01970.769−0.003910.115
(Time)[0.0175][0.9180][0.0221][0.4404]
ProvincesControlControlControlControl
Sample size89878933135

Statistical significance at the 10% level. The selection equations of models (1) and (3) are estimated by probit model, which gives marginal effect. The standard errors are in brackets, and the standard errors of models (2) and (4) are obtained by bootstrap method. The control variables of the expenditure equation include age, square of age, gender, nationality, marital status, education level, occupation, permanent address, income, previous medical history, smoking, and drinking. The control variables of the selection equation also add whether there are other relatives.