ArticleBMC public health2020
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.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Health insurance purchase intentions in the past decade: a systematic review and future research directions.BMC health services research · 2025Pooled it
- A computational grounded theory based analysis of research on China's old-age social welfare system.Frontiers in public health · 2025Pooled it
- Do health insurances reduce catastrophic health expenditure in China? A systematic evidence synthesis.PloS one · 2020Pooled it
- The impact of family health resources on the economic risk of diseases in rural China: based on a path analysis.BMC public health · 2026Article
- Measuring financial risk protection in long-term care insurance among older adults: quasi-experimental evidence from China.BMC geriatrics · 2026Article
- Multidimensional health poverty among diabetic adults in China: evidence from the China Kadoorie Biobank.Archives of public health = Archives belges de sante publique · 2026Article
- Can urban‒rural health insurance integration narrow the urban‒rural income gap? Evidence from China.BMC public health · 2026Article
- Household financial management behavior and catastrophic health expenditure risk in rural China: the moderating role of health insurance coverage.Frontiers in public health · 2026Article
- The effect of air pollution on catastrophic health expenditure among middle-aged and older adults in China.PloS one · 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
- Impact of free health check-ups on elderly healthcare utilization and health: a pooled cross-sectional study.BMC geriatrics · 2025Article
- Demographic and socioeconomic factors affecting relative poverty level of older adults in Türkiye.BMC geriatrics · 2025Article
- Empowering the Aging Workforce: The Impact of Medical Insurance on Labor Decisions in Rural China.Iranian journal of public health · 2025Article
- Unequal nursing: the impact of China's public health insurance on nursing services for older adults.BMC nursing · 2025Article
- Trends and determinants of healthcare-induced poverty in China 2013-2019.Health policy and planning · 2025Article
- Spatio-temporal patterns and determinants of persistent catastrophic health expenditure in China: evidence from the China Family Panel Studies.Frontiers in public health · 2025Article
- The impact of economic burden of disease on poverty among young migrant workers: evidence from China.Frontiers in public health · 2025Article
- Knowledge, attitude, and practice (KAP) towards pulmonary nodules among Chinese adults: a mediation analysis.Scientific reports · 2024Article
- Catastrophic health expenditure and its association with socioeconomic status in China: evidence from the 2011-2018 China Health and Retirement Longitudinal Study.International journal for equity in health · 2023Article
- The effect gap of hypertension health management services in poverty and non-poverty counties on the hypertension control: evidence from China Chronic Diseases Risk Factors Surveillance.Journal of health, population, and nutrition · 2023Article
Corrections and comments
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Authors and funding
19 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundWe 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.
methodsA 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.
resultsThe 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.
conclusionsThe original poverty-promoting policies has not reached the maximum point of convergence with China's current demand for health. The overlapped health vulnerabilities exacerbated the risk of poverty among the elderly and households with high health needs and utilization. In addition, the medical insurance schemes have proven to be insufficient for protection against economic burden of poor households. So, special health needs, age, and household capacity to pay should be comprehensively considered while strengthening the connection between the disease insurance scheme with supplementary insurance.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.