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Erscheinungsjahr: 
2025
Schriftenreihe/Nr.: 
UCD Centre for Economic Research Working Paper Series No. WP25/07
Verlag: 
University College Dublin, UCD School of Economics, Dublin
Zusammenfassung: 
We estimate effects of a health check-up on non-communicable disease (NCD) diagnosis and management among Chinese adults aged 50 and older. Using five waves of the China Health and Retirement Longitudinal Study (CHARLS) spanning a period of 9 years and a fixed-effect instrumental variable (IV) framework, we exploit a policy that provided free health check-ups for those 65 and above as an IV for health check-ups to address the endogeneity between health check-ups and health characteristics. We estimate that a check-up increases the probability of diabetes diagnosis by 8.3 percentage points (p=0.042), particularly among females in rural areas (13.3 percentage points, p=0.063). However, there was no significant effect on hypertension diagnosis. Despite improving diabetes detection, check-ups do not significantly increase diabetes treatment, disease control, or provider recommendations. Similarly, while they increase health behavior recommendations for hypertension management -possibly because the policy helped integrate previously diagnosed individuals into formal care- this does not translate into improved hypertension control. These findings highlight the importance of health checkups in improving diagnosis for certain conditions but reveal critical gaps in follow-up care and disease management.
Schlagwörter: 
Health checkup
Hypertension
Diabetes
Diagnosis
China
Older adults
JEL: 
C23
C26
I12
I18
J14
Dokumentart: 
Working Paper

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