The Effects of Performance of Public Sector Health System on Quality of Life in China: Evidence from the CGSS2015

Int J Environ Res Public Health. 2020 Apr 22;17(8):2896. doi: 10.3390/ijerph17082896.

Abstract

The determinants of quality of life can be social, economic, cultural, and governmental, to name a few. Prior research has shown that demographic factors and social support can have a significant impact on an individual's quality of life. This research attempts to examine the effects of public sector health system performance on individuals' quality of life in China, measured by (1) self-reported health, (2) depressed mood, and (3) happiness. The targeted population was individuals aged 18 and above. The primary data was collected from the CGSS2015 (Chinese General Social Survey 2015), and the National Statistical Yearbook was also used. Using various statistical models, this study finds that the correlation coefficients of government performance in providing healthcare for patients on quality of life are 0.144, 0.167, and 0.328, respectively. The more satisfied with medical care and public health delivered by the government, the higher the level of quality of life. In addition, the relationship between government expenditure on public health service and quality of life is positively significant. These findings are robust after weighting methods are used. The performance of the Public Sector Health System has a significantly positive association with quality of life in China.

Keywords: Public Sector Health System; QOL; mixed effects order logit model; ordered logit model.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • China
  • Delivery of Health Care* / standards
  • Female
  • Government
  • Health Expenditures*
  • Humans
  • Male
  • Middle Aged
  • Public Sector*
  • Quality of Life*