Targeted poverty alleviation and its practices in rural China: A case study of Fuping county, Hebei Province

Guo, Yuanzhi; Zhou, Yang; Liu, Yansui

doi:10.1016/j.jrurstud.2019.01.007

Cited by 171 publications

(91 citation statements)

References 54 publications

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“…The incidence of IME is significantly higher in the central and western regions than in the east, which is consistent with the distribution of poverty-stricken populations in China. Guo also demonstrated significant regional differences in the rural poverty-stricken groups and gradually gather in the central and western regions over time in China between 1978 and 2014 [47].…”

Section: Discussionmentioning

confidence: 95%

Does the medical insurance system really achieved the effect of poverty alleviation for the middle-aged and elderly people in China? Characteristics of vulnerable groups and failure links

Wang

et al. 2020

BMC Public Health

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Background: We examined the physiological, household, and spatial agglomeration characteristics of the health poverty population in China. We identified weak links that affect the implementation of the medical insurance and further improve its effectiveness for health poverty alleviation. Methods: A national representative sample from the China Health and Retirement Longitudinal Study (CHARLS) was analyzed. The WHO recommended method was adopted to calculate catastrophic health expenditure (CHE) and impoverishment by medical expenses (IME). We created a binary indicator for IME as the outcome variable and applied the treatment-effect model to analyze the determinants of IME. Results: The incidence of IME was 7.2% of the overall population, compared to 20.3% of the sample households trapped in CHE. The incidence of IME enrolled in insurance schemes was 7.4% higher than that of uninsured families (4.8%). Economic level, living area, family size, age of household head, having hospitalized members, and participating in insurance were statistically significant for the occurrence of IME.

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Section: Discussionmentioning

confidence: 95%

Does the medical insurance system really achieved the effect of poverty alleviation for the middle-aged and elderly people in China? Characteristics of vulnerable groups and failure links

Wang

et al. 2020

BMC Public Health

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“…In the second stage, from 1986 to 1993, the proportion of poor people in the total rural population fell from 14.8 to 8.7% [6]. Through economic development, the isolated, poverty-stricken areas, in central and western regions, were lifted out of poverty, [7] and the annual poverty alleviation rate reached 6.10%.…”

Section: Introductionmentioning

confidence: 99%

Targeting vulnerable groups of health poverty alleviation in rural China— what is the role of the New Rural Cooperative Medical Scheme for the middle age and elderly population?

Wang

et al. 2020

Int J Equity Health

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Background In light of the health poverty alleviation policy, we explore whether the New Rural Cooperative Medical System (NRCMS) has effectively reduced the economic burden of medical expenses on rural middle-aged and elderly people and other impoverished vulnerable groups. The study aims to provide evidence that can be used to improve the medical insurance system. Methods Data were obtained from the 2015 China Health and Retirement Longitudinal Study (CHARLS). The method of calculating the catastrophic health expenditure (CHE) and impoverishment by medical expense (IME) was adopted from the World Health Organization (WHO). The treatment effect model was used to identify the determinants of CHE for rural middle-aged and elderly people. Results The incidence of CHE in rural China for middle-aged and elderly people is 21.8%, and the IME is 8.0%. The households that had enrolled in the NRCMS suffered higher CHE (21.9%) and IME (8.0%), than those that had not enrolled (CHE: 20.6% and IME: 7.7%). The NRCMS did not provide sufficient economic protection from CHE for households with three or more chronic diseases, inpatients, or households with members aged over 65 years. Key risk factors for the CHE included education levels, households with inpatients, households with members aged over 65 years, and households with disabilities. Conclusions Although the NRCMS has reduced barriers to the usage of household health services by reducing people’s out-of-pocket payments, it has not effectively reduced the risk of these households falling into poverty. Our research identifies the characteristics of vulnerable groups that the NRCMS does not provide enough support for, and which puts them at a greater risk of falling into poverty due to health impoverishment.

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“…Rural decline and thus rural revitalization are receiving more attention worldwide [1,2]. From the Common Agricultural Policy (CAP) of the EU to the national strategies of Targeted Poverty Alleviation and Rural Revitalization newly adopted in China, the goal is to provide more opportunities and tools for rural development based on institutional innovations [3,4]. With innovations in (rural) land institutions, such as land policies and relevant legal reform, (other) production factors like capital, labor, and technology may evolve and thrive in rural areas [5].…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of China’s Farmland Rights System Based on the ‘Trifurcation of Land Rights’ Reform

Tan

2020

Land

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With the aim of improving farmland use efficiency without damaging the social function of farmland, Chinese policymakers have proposed the ‘trifurcation of land rights’ reform. When it comes to realization of the law, however, neither the Ownership Model nor the Bundle of Sticks Model can adequately explain this reform. The tree concept of property, which provides a new perspective in delineating property rights based on the function served by specific properties, is thus adopted. We find that this tree concept of property helps to better understand and realize the trifurcated rights on farmland in China. Also, a balance between the social and economic functions of farmland can be reached through reconstruction of the property rights involved, a process which comprises three steps: identification of the nature of the newly-established rights; configuration of the rights and duties of relevant entities; and state intervention in the enforcement of relevant rights with the aim of realizing certain social values. Finally, this paper argues that success of this trifurcated structure requires a systematic design of the Chinese Civil Code. In particular, it requests further improvements in legal rules on farmland lease.

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Targeted poverty alleviation and its practices in rural China: A case study of Fuping county, Hebei Province

Cited by 171 publications

References 54 publications

Does the medical insurance system really achieved the effect of poverty alleviation for the middle-aged and elderly people in China? Characteristics of vulnerable groups and failure links

Does the medical insurance system really achieved the effect of poverty alleviation for the middle-aged and elderly people in China? Characteristics of vulnerable groups and failure links

Targeting vulnerable groups of health poverty alleviation in rural China— what is the role of the New Rural Cooperative Medical Scheme for the middle age and elderly population?

Reconstruction of China’s Farmland Rights System Based on the ‘Trifurcation of Land Rights’ Reform

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