Health-Seeking Behavior and Hospital Choice in China's New Cooperative Medical System

Brown, Phil; Brauw, Alan de; Theoharides, Caroline

doi:10.2139/ssrn.1176194

Cited by 27 publications

(34 citation statements)

References 38 publications

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“…Reimbursement regimes for health expenditures also vary considerably, even across neighboring counties: the minimum level of spending eligible for reimbursement ranges from 200 to 400 RMB while the maximum benefit ranges from 3,000 to 40,000 RMB. In some counties, reimbursement rates also vary according to the administrative level of the hospital that provides treatment (Brown and Theoharides, 2009).…”

Section: The Ncms Program and Health Care In Chinamentioning

confidence: 99%

Willingness to Pay in China's New Cooperative Medical System

Brown

Huff

2011

Contemporary Economic Policy

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Household survey data from China is used to analyze the determinants of households' willingness to pay to participate in the New Cooperative Medical System (NCMS). Wealthier households, households with at least one member who has been treated as an inpatient, and households in counties where NCMS is already established are willing to pay more for the program. Households who carry other forms of insurance, however, have a lower willingness to pay for the NCMS. We also find that the participation fee could be increased substantially to increase the size of the risk pool while scarcely affecting participation rates. (JEL I1, O1, D1)

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Section: The Ncms Program and Health Care In Chinamentioning

confidence: 99%

Willingness to Pay in China's New Cooperative Medical System

Brown

Huff

2011

Contemporary Economic Policy

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“…2 Most people seek all their medical care, from the common cold to most severe and complicated conditions, at Level 3A hospitals. 10,11 As a result, clinics at these large tertiary care facilities are crowded, and physicians see many people and therefore can only spend very little time with each. Admissions to inpatient services are difficult to obtain, and wards are highly specialized (e.g., rheumatology, nephrology).…”

Section: The Chinese Healthcare System and Reform Related To Senior Hmentioning

confidence: 99%

“…Most community hospitals lack talented physicians, making people even less likely to use them, reducing their quality, and damaging their public image, a vicious cycle that is hard to break. 2,10,11 To address this, the Chinese government has recently issued policies and established funding mechanisms to develop primary care networks. A medical subspecialty of general practice, or general medicine, has recently been established, and the government provides fund to support training programs at Level 3A hospitals.…”

Section: Development Of Primary Care Network and Privately Owned Oldmentioning

confidence: 99%

The Aging Tsunami and Senior Healthcare Development in China

Lyu

Leng

2018

J American Geriatrics Society

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China faces an aging tsunami. By the end of 2016, the number of older adults aged 60 and older reached 230 million. This number is projected to reach 418 million by 2035 and peak at 487 million by 2053. The number of individuals aged 80 and older, the oldest adults, reached 26 million and continues to grow by 1 million a year. The socioeconomic context, characterized by an inverted pyramid family structure and the number of "empty nesters," has greatly compromised traditional Chinese family support for older adults. This article aims to provide an overview of geriatrics development in China. It begins with a brief account of the dramatic demographic shift, major socioeconomic factors, China's healthcare system, and reform related to senior health with a historical perspective. It then describes recent advances in government policy and support and development of a geriatrics physician workforce, care models, primary care networks, and privately owned senior care facilities and support services. Although it is impossible to cover all aspects of the topic, it is hoped that this article provides readers an overall picture of Chinese geriatrics and senior healthcare development in a complex and evolving healthcare system. Geriatrics communities in the United States and around the world will undoubtedly learn and benefit from the unparalleled and continued efforts to address this unprecedented opportunity and challenge in China.

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“…Indeed, matching funds by the central governments were conceded to counties reaching at least 80% coverage rate. As a result, in order to increase their participation rate, local governments promoted enrolment by visiting households and strongly encouraged migrants to participate even though they could not benefit from the NCMS reimbursements in cities (Brown and Theoharides, 2009). Second, we have to check whether or not we have endogeneity issues for each income group.…”

Section: Estimations Issuesmentioning

confidence: 99%

Insurance of Household Risks and the Rebalancing of the Chinese Economy: Health Insurance, Health Expenses and Household Savings

Laffargue

Padieu

2016

Pacific Economic Review

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This paper studies the effects of a public insurance system, the New Cooperative Medical Scheme (NCMS) on household savings in rural China. We develop a theoretical model in which we explain the impact of health insurance on savings through the impact of health insurance on out-of-pocket (OOP) health expense given the household level of wealth and seriousness of illness. We test the model empirically using data from the China Health and Nutrition Survey. We run endogenous and exogenous quantile regressions to evaluate the effects of NCMS participation on the distributions of household savings and OOP health expense. The impact of NCMS varies with the seriousness of illness. The NCMS induces an increase in OOP health expense for mild illness and, inversely, a decrease in health payments for more serious illnesses. The NCMS also leads to a higher incidence of catastrophic healthcare spending. The impact of the NCMS, given a certain state of illness, also varies with the household level of wealth. Poor households face health expense for both mild and serious illnesses. As the NCMS has opposite effects on the OOP expense for these two kinds of illness, we observe no effect on poor households' precautionary savings. Because the decrease in OOP health expense for mild illness is larger for less poor households, the NCMS induces a decrease in their savings. For the most affluent households, the higher decrease in OOP spending on most moderate illness is dominated by a sharp increase in catastrophic expense, causing an increase in savings. To significantly reduce household savings and enhance household consumption, the NCMS has to offer better coverage against both serious and catastrophic health risks.

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Health-Seeking Behavior and Hospital Choice in China's New Cooperative Medical System

Cited by 27 publications

References 38 publications

Willingness to Pay in China's New Cooperative Medical System

Willingness to Pay in China's New Cooperative Medical System

The Aging Tsunami and Senior Healthcare Development in China

Insurance of Household Risks and the Rebalancing of the Chinese Economy: Health Insurance, Health Expenses and Household Savings

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