Sustainable Development of China’s Maternity Insurance System in the Context of Population Policy Changes: Using a Grounded Theory Approach

Xiaotian Zhang, Xiaoyun Liu, Yang Wang, Lulin Zhou and Xiaoran Cheng
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Xiaotian Zhang: China Centre for Health Development Studies, Peking University, Beijing 100191, China
Xiaoyun Liu: China Centre for Health Development Studies, Peking University, Beijing 100191, China
Yang Wang: China Centre for Health Development Studies, Peking University, Beijing 100191, China
Lulin Zhou: Center for Health Insurance and Public Policy Research, School of Management, Jiangsu University, Zhenjiang 212013, China
Xiaoran Cheng: China Centre for Health Development Studies, Peking University, Beijing 100191, China

Sustainability, 2022, vol. 14, issue 4, 1-19

Abstract: Background: Declining birth rates have become a challenge for many countries around the world. This study aimed to analyze the influencing factors of the sustainable development of the maternity insurance system and find ways to promote higher birth rates. Methods: We used four multi-stakeholder workshops and in-depth interviews to bring together three groups of people: maternity insurance system developers, implementers, and researchers. Then, we analyzed the factors influencing the sustainability of the maternity insurance system using grounded theory. Results: In this study, the most powerful and effective intervention measures for China in the short term include the policy of merging national health insurance with maternity insurance and a dynamic payment rate policy. In the long term, expanding the coverage of the maternity insurance system and improving the management level of the maternity insurance fund are effective intervention measures. Conclusion: This study subdivides the factors influencing the sustainable development of the maternity insurance system, which has certain theoretical significance and can be used as the theoretical basis for quantitative and empirical research model construction in the future.

Keywords: sustainability; maternity insurance system; birth rates; population policy; grounded theory (search for similar items in EconPapers)
JEL-codes: O13 Q Q0 Q2 Q3 Q5 Q56 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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