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?

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 provid...
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Autor*in:	Wang, Nianshi [verfasserIn] Xu, Jing [verfasserIn] Ma, Meiyan [verfasserIn] Shan, Linghan [verfasserIn] Jiao, Mingli [verfasserIn] Xia, Qi [verfasserIn] Tian, Wanxin [verfasserIn] Zhang, Xiyu [verfasserIn] Liu, Limin [verfasserIn] Hao, Yanhua [verfasserIn] Gao, Lijun [verfasserIn] Wu, Qunhong [verfasserIn] Li, Ye [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	Health poverty alleviation New rural cooperative medical system Vulnerable population Middle-aged and elderly people China

Übergeordnetes Werk:	Enthalten in: International journal for equity in health - London : BioMed Central, 2002, 19(2020), 1 vom: 14. Sept.
Übergeordnetes Werk:	volume:19 ; year:2020 ; number:1 ; day:14 ; month:09

Links:	Volltext

DOI / URN:	10.1186/s12939-020-01236-x

Katalog-ID:	SPR040962911

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520			\|a 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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allfields	10.1186/s12939-020-01236-x doi (DE-627)SPR040962911 (SPR)s12939-020-01236-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Wang, Nianshi verfasserin aut 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? 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Health poverty alleviation (dpeaa)DE-He213 New rural cooperative medical system (dpeaa)DE-He213 Vulnerable population (dpeaa)DE-He213 Middle-aged and elderly people (dpeaa)DE-He213 China (dpeaa)DE-He213 Xu, Jing verfasserin aut Ma, Meiyan verfasserin aut Shan, Linghan verfasserin aut Jiao, Mingli verfasserin aut Xia, Qi verfasserin aut Tian, Wanxin verfasserin aut Zhang, Xiyu verfasserin aut Liu, Limin verfasserin aut Hao, Yanhua verfasserin aut Gao, Lijun verfasserin aut Wu, Qunhong verfasserin aut Li, Ye verfasserin aut Enthalten in International journal for equity in health London : BioMed Central, 2002 19(2020), 1 vom: 14. Sept. (DE-627)356253716 (DE-600)2092056-8 1475-9276 nnns volume:19 year:2020 number:1 day:14 month:09 https://dx.doi.org/10.1186/s12939-020-01236-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 19 2020 1 14 09
spelling	10.1186/s12939-020-01236-x doi (DE-627)SPR040962911 (SPR)s12939-020-01236-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Wang, Nianshi verfasserin aut 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? 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Health poverty alleviation (dpeaa)DE-He213 New rural cooperative medical system (dpeaa)DE-He213 Vulnerable population (dpeaa)DE-He213 Middle-aged and elderly people (dpeaa)DE-He213 China (dpeaa)DE-He213 Xu, Jing verfasserin aut Ma, Meiyan verfasserin aut Shan, Linghan verfasserin aut Jiao, Mingli verfasserin aut Xia, Qi verfasserin aut Tian, Wanxin verfasserin aut Zhang, Xiyu verfasserin aut Liu, Limin verfasserin aut Hao, Yanhua verfasserin aut Gao, Lijun verfasserin aut Wu, Qunhong verfasserin aut Li, Ye verfasserin aut Enthalten in International journal for equity in health London : BioMed Central, 2002 19(2020), 1 vom: 14. Sept. (DE-627)356253716 (DE-600)2092056-8 1475-9276 nnns volume:19 year:2020 number:1 day:14 month:09 https://dx.doi.org/10.1186/s12939-020-01236-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 19 2020 1 14 09
allfields_unstemmed	10.1186/s12939-020-01236-x doi (DE-627)SPR040962911 (SPR)s12939-020-01236-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Wang, Nianshi verfasserin aut 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? 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Health poverty alleviation (dpeaa)DE-He213 New rural cooperative medical system (dpeaa)DE-He213 Vulnerable population (dpeaa)DE-He213 Middle-aged and elderly people (dpeaa)DE-He213 China (dpeaa)DE-He213 Xu, Jing verfasserin aut Ma, Meiyan verfasserin aut Shan, Linghan verfasserin aut Jiao, Mingli verfasserin aut Xia, Qi verfasserin aut Tian, Wanxin verfasserin aut Zhang, Xiyu verfasserin aut Liu, Limin verfasserin aut Hao, Yanhua verfasserin aut Gao, Lijun verfasserin aut Wu, Qunhong verfasserin aut Li, Ye verfasserin aut Enthalten in International journal for equity in health London : BioMed Central, 2002 19(2020), 1 vom: 14. Sept. (DE-627)356253716 (DE-600)2092056-8 1475-9276 nnns volume:19 year:2020 number:1 day:14 month:09 https://dx.doi.org/10.1186/s12939-020-01236-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 19 2020 1 14 09
allfieldsGer	10.1186/s12939-020-01236-x doi (DE-627)SPR040962911 (SPR)s12939-020-01236-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Wang, Nianshi verfasserin aut 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? 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Health poverty alleviation (dpeaa)DE-He213 New rural cooperative medical system (dpeaa)DE-He213 Vulnerable population (dpeaa)DE-He213 Middle-aged and elderly people (dpeaa)DE-He213 China (dpeaa)DE-He213 Xu, Jing verfasserin aut Ma, Meiyan verfasserin aut Shan, Linghan verfasserin aut Jiao, Mingli verfasserin aut Xia, Qi verfasserin aut Tian, Wanxin verfasserin aut Zhang, Xiyu verfasserin aut Liu, Limin verfasserin aut Hao, Yanhua verfasserin aut Gao, Lijun verfasserin aut Wu, Qunhong verfasserin aut Li, Ye verfasserin aut Enthalten in International journal for equity in health London : BioMed Central, 2002 19(2020), 1 vom: 14. Sept. (DE-627)356253716 (DE-600)2092056-8 1475-9276 nnns volume:19 year:2020 number:1 day:14 month:09 https://dx.doi.org/10.1186/s12939-020-01236-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 19 2020 1 14 09
allfieldsSound	10.1186/s12939-020-01236-x doi (DE-627)SPR040962911 (SPR)s12939-020-01236-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Wang, Nianshi verfasserin aut 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? 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Health poverty alleviation (dpeaa)DE-He213 New rural cooperative medical system (dpeaa)DE-He213 Vulnerable population (dpeaa)DE-He213 Middle-aged and elderly people (dpeaa)DE-He213 China (dpeaa)DE-He213 Xu, Jing verfasserin aut Ma, Meiyan verfasserin aut Shan, Linghan verfasserin aut Jiao, Mingli verfasserin aut Xia, Qi verfasserin aut Tian, Wanxin verfasserin aut Zhang, Xiyu verfasserin aut Liu, Limin verfasserin aut Hao, Yanhua verfasserin aut Gao, Lijun verfasserin aut Wu, Qunhong verfasserin aut Li, Ye verfasserin aut Enthalten in International journal for equity in health London : BioMed Central, 2002 19(2020), 1 vom: 14. Sept. (DE-627)356253716 (DE-600)2092056-8 1475-9276 nnns volume:19 year:2020 number:1 day:14 month:09 https://dx.doi.org/10.1186/s12939-020-01236-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 19 2020 1 14 09
language	English
source	Enthalten in International journal for equity in health 19(2020), 1 vom: 14. Sept. volume:19 year:2020 number:1 day:14 month:09
sourceStr	Enthalten in International journal for equity in health 19(2020), 1 vom: 14. Sept. volume:19 year:2020 number:1 day:14 month:09
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Health poverty alleviation New rural cooperative medical system Vulnerable population Middle-aged and elderly people China
dewey-raw	610
isfreeaccess_bool	true
container_title	International journal for equity in health
authorswithroles_txt_mv	Wang, Nianshi @@aut@@ Xu, Jing @@aut@@ Ma, Meiyan @@aut@@ Shan, Linghan @@aut@@ Jiao, Mingli @@aut@@ Xia, Qi @@aut@@ Tian, Wanxin @@aut@@ Zhang, Xiyu @@aut@@ Liu, Limin @@aut@@ Hao, Yanhua @@aut@@ Gao, Lijun @@aut@@ Wu, Qunhong @@aut@@ Li, Ye @@aut@@
publishDateDaySort_date	2020-09-14T00:00:00Z
hierarchy_top_id	356253716
dewey-sort	3610
id	SPR040962911
language_de	englisch
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author	Wang, Nianshi
spellingShingle	Wang, Nianshi ddc 610 bkl 44.00 misc Health poverty alleviation misc New rural cooperative medical system misc Vulnerable population misc Middle-aged and elderly people misc China 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?
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topic_title	610 ASE 44.00 bkl 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? Health poverty alleviation (dpeaa)DE-He213 New rural cooperative medical system (dpeaa)DE-He213 Vulnerable population (dpeaa)DE-He213 Middle-aged and elderly people (dpeaa)DE-He213 China (dpeaa)DE-He213
topic	ddc 610 bkl 44.00 misc Health poverty alleviation misc New rural cooperative medical system misc Vulnerable population misc Middle-aged and elderly people misc China
topic_unstemmed	ddc 610 bkl 44.00 misc Health poverty alleviation misc New rural cooperative medical system misc Vulnerable population misc Middle-aged and elderly people misc China
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title	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?
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title_full	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?
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author_browse	Wang, Nianshi Xu, Jing Ma, Meiyan Shan, Linghan Jiao, Mingli Xia, Qi Tian, Wanxin Zhang, Xiyu Liu, Limin Hao, Yanhua Gao, Lijun Wu, Qunhong Li, Ye
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title_sort	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?
title_auth	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?
abstract	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.
abstractGer	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.
abstract_unstemmed	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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title_short	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?
url	https://dx.doi.org/10.1186/s12939-020-01236-x
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author2	Xu, Jing Ma, Meiyan Shan, Linghan Jiao, Mingli Xia, Qi Tian, Wanxin Zhang, Xiyu Liu, Limin Hao, Yanhua Gao, Lijun Wu, Qunhong Li, Ye
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