ArticleBMC health services research2016
Who benefited from the New Rural Cooperative Medical System in China? A case study on Anhui Province.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 31 citations in OpenAlex.
- How did the urban and rural resident basic medical insurance integration affect medical costs?-Evidence from China.PloS one · 2025Article
- Benefit equity of social health insurance in China and its provinces (2014-2020): implications for universal health coverage.BMJ global health · 2024Article
- Has the Integrated Medical Insurance System promoted return-to-hometown entrepreneurship among migrant workers? Evidence from China.Frontiers in public health · 2024Article
- Degree of protection provided by poverty alleviation policies for the middle-aged and older in China: evaluation of effectiveness of medical insurance system tools and vulnerable target recognition.Health research policy and systems · 2022Article
- Characteristics and implications of insurance-reimbursed inpatient care for gastric and oesophageal cancers in Anhui, China.International health · 2021Article
- Does the medical insurance system play a real role in reducing catastrophic economic burden in elderly patients with cardiovascular disease in China? Implication for accurately targeting vulnerable characteristics.Globalization and health · 2021Article
- Measuring and decomposing the effort regarding the equity of inpatient benefits based on the adjustment of the new cooperative medical scheme in western rural China.International health · 2020Article
- Do Health Insurance Schemes Heterogeneously Affect Income and Income Distribution? Evidence from Chinese Agricultural Migrants Survey.International journal of environmental research and public health · 2020Article
- Study on the Utilization of Inpatient Services for Middle-Aged and Elderly Rural Females in Less Developed Regions of China.International journal of environmental research and public health · 2020Article
- The effects of poverty reduction policy on health services utilization among the rural poor: a quasi-experimental study in central and western rural China.International journal for equity in health · 2019Article
- Hospitalization Services Utilization Between Permanent and Migrant Females in Underdeveloped Rural Regions and Contributing Factors-A Five-Time Data Collection and Analysis.International journal of environmental research and public health · 2019Article
- An Examination of the Determination of Medical Capacity under a National Health Insurance Program.International journal of environmental research and public health · 2019Article
- The effect of China's new cooperative medical scheme on health expenditures among the rural elderly.International journal for equity in health · 2019Article
- Did expansion of health insurance coverage reduce horizontal inequity in healthcare finance? A decomposition analysis for China.BMJ open · 2019Article
- The inequality of inpatient care net benefit under integration of urban-rural medical insurance systems in China.International journal for equity in health · 2018Article
- Article
- Should the poor have no medicines to cure? A study on the association between social class and social security among the rural migrant workers in urban China.International journal for equity in health · 2017Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe goal of the New Rural Cooperative Medical System (NCMS) is to decrease the financial burden and improve the health of rural areas. The purpose of the present study is to determine how government subsidies vary between poorer and wealthier groups, especially in low-income regions in rural China.
methodsThe distribution, amount, and equity of government subsidies delivered via NCMS to rural residents at different economic levels were assessed using benefit-incidence analysis, concentration index, Kakwani index, Gini index, Lorenz curve, and concentration curve. Household and health institution surveys were conducted in 2010, covering 9701 residents. Household socio-economic status, healthcare costs, out-of-pocket payments, and utilization information were collected in household interviews, and reimbursement policy was provided by institutional survey.
resultsThe government subsidy concentration index was -0.055 for outpatients and 0.505 for inpatients; and the outpatient and inpatient subsidy Kakwani indexes were -0.376 and 0.184, respectively. The poorest 20 % of populations received 3.4 % of the total subsidy output; while the wealthiest 20 % received 54.3 %. The results showed that the distribution of outpatient subsidies was equitable, but the hospital subsidies disproportionally benefited wealthier people.
conclusionsWealthier people benefited more than poorer people from the NCMS in terms of inpatient and total subsidies. For outpatients, the subsidies were unrelated to ability to pay. This contradicts the common belief that the NCMS does not exacerbate benefit inequity. Long-term policy is required to tackle this problem, specifically of redesign the NCMS reimbursement system.
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