ArticleInternational journal for equity in health2019
The effect of the health poverty alleviation project on financial risk protection for rural residents: evidence from Chishui City, China.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.
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Who cites it
58 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Understanding pathways from primary health care to universal health coverage outcomes: a realist review.Frontiers in public health · 2026Pooled it
- Assessing intervention effects on healthcare-related financial protection in low- and middle-income countries: a rapid evidence review.Health policy and planning · 2026Review
- The trade-off between coverage and benefit: spatiotemporal variation of China's health insurance and its influencing factors.BMC health services research · 2026Article
- Regional disparities, dynamic evolution, and convergence of China's resident health service development levels.BMC health services research · 2026Article
- Assessing the hygienic disposal of patient stools among health workers at the Sunyani teaching hospital, Ghana.Scientific reports · 2026Article
- A user centered evaluation framework for mobile health applications using Fuzzy AHP and TOPSIS: evidence from expert reviews and user experience data.Frontiers in public health · 2026Article
- Resource endowment, medical services utilization and health poverty vulnerability: evidence from middle-aged and older households in rural western China.Frontiers in public health · 2026Article
- Frequency of diseases and use of medicinal plants in adults in a rural Peruvian community.Frontiers in public health · 2026Article
- Measuring health financing vulnerability due to reductions in official development assistance: A conceptual framework with empirical application across 47 African countries.PLOS global public health · 2026Article
- Accuracy of Budget Impact Projections in Bulgarian Health Technology Assessment: A Five-Year Validation Study (2020-2025).Healthcare (Basel, Switzerland) · 2025Article
- Policy-Driven Digital Health Interventions for Health Promotion and Disease Prevention: A Systematic Review of Clinical and Environmental Outcomes.Healthcare (Basel, Switzerland) · 2025Review
- The prevalence and the correlates of mental disorders among the elderly population: results from China Mental Health Survey.BMC public health · 2025Article
- Trends and determinants of healthcare-induced poverty in China 2013-2019.Health policy and planning · 2025Article
- Why do rural residents in China withdraw from the health insurance system? -A qualitative study based on Y County in S Province, China.BMC public health · 2025Article
- Spatiotemporal inequality and financial toxicity of leukemia in post-poverty China: a national analysis of 832 counties (2019-2024).Frontiers in public health · 2025Article
- Bridging the sustainability gap in rural health equity: policy evaluation and transnational lessons from Guizhou's targeted medical assistance program.Frontiers in public health · 2025Article
- Co-evolution of private and public hospitals: spatiotemporal disparities, geospatial interactions, and social determinants over 19 years in Sichuan, China.Frontiers in public health · 2025Article
- Innovative novel regularized memory graph attention capsule network for financial fraud detection.PloS one · 2025Article
- Health inequalities and the influence of economic development, renewable energy, financial growth, and resource use in emerging economies.Frontiers in public health · 2025Article
- An evolutionary Bi-LSTM-DQN framework for enhanced recognition and classification in rural information management.PeerJ. Computer science · 2025Article
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2 authors.
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Abstract
backgroundIllness is the leading cause (44%) of poverty in China. Since 2016, The health poverty alleviation project, an integral component of the Targeted Poverty Alleviation in China, was implemented in 2016 to strengthen financial risk protection against illness for financially backward segments of the population. However, the effects of the health poverty alleviation project on financial risk protection have not been explored in the literature, this paper aims to bridge the gap.
methodsUsing panel data on 63,426 rural households in Chishui City, China, from 2014 to 2017, the difference-in-differences with propensity score matching method was employed.
resultsThe health poverty alleviation project reduces out-of-pocket payments by 15% on average and decreases the probability of catastrophic health expenditure (annual out-of-pocket payments exceeding 10% of annual household income) and impoverishing health spending occurrence (out-of-pocket payments are forcing a household into poverty or into deeper poverty) by 7.7 and 11.7%, respectively. Additionally, the project increases the number of annual hospitalizations per household by 0.035.
conclusionOur study demonstrates that the health poverty alleviation project significantly improves financial risk protection by reducing out-of-pocket payments and decreasing the probability of incurring catastrophic or impoverishing levels of health expenditure. Our study has implications for the poverty reduction policies and reform of the Chinese health financing system.
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