ArticleInternational journal for equity in health2020
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?
Article in International journal for equity in health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 29 citations in OpenAlex.
- The impact of family health resources on the economic risk of diseases in rural China: based on a path analysis.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
- 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
- Self-reported knowledge and difficulties towards palliative care among healthcare professionals in rural China: a cross-sectional study.BMC palliative care · 2025Article
- Effects of health poverty alleviation project from the perspective of vulnerability to poverty: evidence from five Chinese prefectures.Global health action · 2023Article
- Cancer screening in China: a steep road from evidence to implementation.The Lancet. Public health · 2023Review
- Changing inequity in health service utilization and financial burden among patients with hypertension in China: evidence from China Health and Retirement Longitudinal Study (CHARLS), 2011-2018.International journal for equity in health · 2023Article
- Poverty alleviation and health services for the poor in China: evidence from national health service surveys in 2013 and 2018.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
- Perspectives and evaluation on the effect of financial burden relief of medical insurance for people with catastrophic diseases and its influencing factors.Frontiers in public health · 2023Article
- Health Poverty Alleviation Project in Rural China: Impact on Poverty Vulnerability, Health Status, Healthcare Utilization, Health Expenditures.Risk management and healthcare policy · 2023Article
- Relative acquisition evaluation of health poverty alleviation project: a quantitative study of data from different regions of China.BMC public health · 2022Article
- Measurement and Decomposition of the Health Poverty of Rural Residents in China.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
- Multimorbidity and catastrophic health expenditure: Evidence from the China Health and Retirement Longitudinal Study.Frontiers in public health · 2022Article
- Catastrophic health insurance, an institutional tool against the financial risks of illness for susceptible people.The Lancet regional health. Western Pacific · 2021Article
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Authors and funding
13 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 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.
methodsData 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.
resultsThe 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.
conclusionsAlthough 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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