ArticleBMC health services research2016
Effect of the new rural cooperative medical system on farmers' medical service needs and utilization in Ningbo, China.
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 15 papers.
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Who cites it
15 citing papers in PubMed, 24 citations in OpenAlex.
- Factors influencing health service utilization among 19,869 China's migrant population: an empirical study based on the Andersen behavioral model.Frontiers in public health · 2025Article
- Has the Integrated Medical Insurance System promoted return-to-hometown entrepreneurship among migrant workers? Evidence from China.Frontiers in public health · 2024Article
- The Impact of Public Health Education on Migrant Workers' Medical Service Utilization.International journal of environmental research and public health · 2022Article
- The Comparison of Various Types of Health Insurance in the Healthcare Utilization, Costs and Catastrophic Health Expenditures among Middle-Aged and Older Chinese Adults.International journal of environmental research and public health · 2022Article
- Can China's New Rural Cooperative Medical System Improve Farmers' Subjective Well-Being?Frontiers in public health · 2022Article
- Impact of intergenerational support and medical expenditures on depression: Evidence from rural older adults in China.Frontiers in public health · 2022Article
- Nutritional Risk, Health Outcomes, and Hospital Costs Among Chinese Immobile Older Inpatients: A National Study.Frontiers in nutrition · 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
- Towards universal health coverage: achievements and challenges of 10 years of healthcare reform in China.BMJ global health · 2020Review
- China's New Cooperative Medical Scheme's Impact on the Medical Expenses of Elderly Rural Migrants.International journal of environmental research and public 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
- The salary of physicians in Chinese public tertiary hospitals: a national cross-sectional and follow-up study.BMC health services research · 2018Article
- Impact of the New Cooperative Medical Scheme on the Rural Residents' Hospitalization Medical Expenses: A Five-Year Survey Study for the Jiangxi Province in China.International journal of environmental research and public health · 2018Article
- Analysis of health service utilization of migrants in Beijing using Anderson health service utilization model.BMC health services research · 2018Article
- Study on the Health Status and Health Service Utilization of the Elderly of a Remote and Poor Village in a Mountainous Area in Jinzhai, Anhui.International journal of environmental research and public health · 2017Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany countries are developing health mechanisms to pursue the goal of universal coverage. In China, a rural health insurance system entitled New Cooperative Medical System (NCMS) has being developed since 2003. This paper aims to explore the changes in the health service needs and utilization among rural residents in Ningbo, China after the implementation of the new rural cooperative medical system (NCMS), and provide evidence to further improve the strategies of NCMS in China.
methodsStratified multistage cluster sampling was used to randomly select 10 villages from 5 townships in Yuyao and Fenghua counties of Ningbo Municipality. Eighty families were selected from each village, and face-to-face interviews were conducted by trained investigators to collect data using questionnaires.
resultsThe two-week visiting rate and prevalence of chronic diseases among the farmers included in the study was 25.40 and 22.50 %, respectively, which were higher than the levels in 2003 and 2008. The rate of not visiting the healthcare facility amongst those with illness, and the rate of non- hospitalization amongst those who required it were 32.36 and 0.60 %, respectively, which was lower than the levels in 2003 and 2008. Most of the outpatient visits were to the village clinics, while the hospitalizations were mainly to county hospitals.
conclusionNCMS greatly affected the utilization of healthcare services from outpatient clinics and improved the hospitalization rate in county hospitals. Financial difficulties are not the major causes of non-hospitalization and non-visiting any longer. These findings suggest that the NCMS policies alleviated the medical burdens of farmers in a certain degree.
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