Public Health Insurance System Reform and Its Impact on Health Service Utilization in Rural China: Evidence from CHNS 2000 and 2011

Ma, Xinxin; Cen, Yangyang

doi:10.4236/chnstd.2017.62009

Cited by 6 publications

(4 citation statements)

References 34 publications

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“…The four models of NCMS reimbursement as elucidated by Lei and Lin [45] provides evidence that whiles the inpatient reimbursement policy is relatively similar in all counties, the outpatient reimbursement policy varies. Although outpatient reimbursement is given to NCMS beneficiaries in some counties, other counties either reimburse outpatient costs for only severe ailments or do not render outpatient reimbursement at all [46]. Reimbursement of outpatient medical expenses is thus comparatively limited [7,14,47,48].…”

Section: Health and Ncms Variablesmentioning

confidence: 99%

Dynamics of Life Satisfaction Among Rural Elderly in China: The Role of Health Insurance Policies and Intergenerational Relationships

2019

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The pursuit of achieving Goal 3 of the 2030 United Nations agenda for Sustainable Development, "ensuring healthy lives, achieving universal health coverage and promoting wellbeing for all", has been a cardinal concern of governments and policy makers. The rural-urban divide in China has resulted in equality of health care distribution. To address this anomaly, the government of China has put in place the New Cooperative Medical Scheme (NCMS). This intervention aims at ensuring the equitable distribution and affordability of health care in rural areas. Despite this measure, certain drawbacks in its implementation affect overall life satisfaction. Rural-urban migration resulting in age distribution gaps has also been generally identified by a plethora of literature to hamper intergenerational interaction, which is essential to overall life satisfaction especially for the elderly. However, little is known about the extent to which the NCMS, coupled with its drawbacks and intergenerational interaction, affect the overall life satisfaction of the rural elderly in China.Using an ordered response model, this study presents a thorough analysis on the life satisfaction of rural elderly making comparison across age groups and residence status sub-samples using a panel data from the two waves, 2011 and 2013, from China's Health and Retirement Longitudinal Survey. The empirical results indicate that though the NCMS is indeed beneficial to promoting health and overall life satisfaction of rural elderly, there are some attendant limitations. We also find that intergenerational interaction in the form of frequent communication and financial assistance from children who fall within the non-cohabiting category promotes life satisfaction of the rural elderly. The degree of importance however varies across the aforementioned groups.

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Section: Health and Ncms Variablesmentioning

confidence: 99%

Dynamics of Life Satisfaction Among Rural Elderly in China: The Role of Health Insurance Policies and Intergenerational Relationships

2019

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“…The survey was conducted by the Carolina Population Center at the University of North Carolina at Chapel Hill and the National Institute for Nutrition and Health at the Chinese Center for Disease Control and Prevention. The first round of the CHNS was collected in 1989 and six subsequent surveys were conducted in 1991in , 1993in , 1997in , 2000in , 2004in , and 2006in . Since 1997 households in original communities were also added to replace households no longer participating in the study.…”

Section: Datamentioning

confidence: 99%

The impact of urbanization and economic development on health insurance performance: Evidence from China

Yao,

Kurmaj

2024

J. Infras. Policy. Dev.

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Many previous studies find no significant effect of health insurance on health outcome in rural areas of China. Many researchers believe this could be because of the characteristics of health care provision in those areas. In this paper, we aim to examine if urbanization will change the situation. Our research question focuses on if urbanization will change the participation and performance of health insurance on health outcome in a positive direction. Using a longitudinal sample drawn from the China Health and Nutrition Survey (CHNS), we employed multiple estimation strategies for multiple waves to handle the potential selection bias. We find that urbanization factors such as population density, transportations and housing are associated with probability of insurance participation. That is, urbanization related factors tend to increase people’s willingness of insurance participation. We also conclude that urbanization improves the performance of insurance on self-reported health outcome. Results show that the health insurance has a significant positive impact on health production in urbanized areas. Health insurance in general increases the probability of health care utilization for all areas. However, it does not lead to a significant improvement in the health outcomes in under urbanized areas because of the health provision quality or characteristics of health insurance coverage in those areas.

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“…NCMS patient satisfaction refers to the difference between patient expectations and actual patient experience. Recently, patient satisfaction with NCMS has become an important index for measuring the quality of health insurance services in rural Chinese, and it plays an important role in the improvement of rural primary healthcare insurance service [ 10 ]. In order to discover and solve problems within the system, it is important to learn about actual patient experiences [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Innovating New Rural Cooperative Medical Scheme (NCMS) for Better Patient Satisfaction in Rural China

Yang

et al. 2018

IJERPH

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With the broadening application of the New Rural Cooperative Medical Scheme (NCMS), its role in patient satisfaction in rural China has shifted to be the focus of academic research. Based on a technology acceptance model, this study will investigate the factors and mechanisms influencing patient satisfaction on NCMSS in rural places in China. In this study, based on a technology acceptance model, we developed a model that is associated with the influencing factors, patients’ continued participation and patient satisfaction, and conducted an empirical analysis based on data collected from rural areas of China’s Anhui Province. A NCMS′s reputed reliability, value, and convenience played a key role in positively influencing patient satisfaction. However, long-term patient participation was not significantly influenced by other social factors. In order to increase patient satisfaction, NCMS policy and implementation procedure needs further government modification and innovation with the goal of improving the reimbursement ratio, reducing the financial burden, and improving patient convenience.

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Public Health Insurance System Reform and Its Impact on Health Service Utilization in Rural China: Evidence from CHNS 2000 and 2011

Cited by 6 publications

References 34 publications

Dynamics of Life Satisfaction Among Rural Elderly in China: The Role of Health Insurance Policies and Intergenerational Relationships

Dynamics of Life Satisfaction Among Rural Elderly in China: The Role of Health Insurance Policies and Intergenerational Relationships

The impact of urbanization and economic development on health insurance performance: Evidence from China

Innovating New Rural Cooperative Medical Scheme (NCMS) for Better Patient Satisfaction in Rural China

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