ArticleFrontiers in public health2022
The Reimbursement Rate of New Rural Cooperative Medical Scheme and Self-Rated Health Among Rural Middle-Aged and Elderly.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 10 citations in OpenAlex.
- Residents' preference trade-offs for critical illness insurance scheme design: a discrete choice experiment in Shandong Province, China.Health policy and planning · 2026Article
- Burden of lower extremity peripheral arterial disease in the Western Pacific region, 1990-2021: a comparative analysis.Annals of medicine and surgery (2012) · 2026Article
- Knowledge attitude and practice of older adults rheumatoid arthritis patients regarding disease management in a cross-sectional study.Frontiers in public health · 2026Article
- The equity of health service utilization in less developed areas of China: evidence from Gansu Province.BMC public health · 2025Article
- The Interplay of Financial Support and Familial Duty: Adult Children's Contributions to Healthcare for Older Parents in Rural China.Risk management and healthcare policy · 2025Article
- The effect of urban-rural resident basic medical insurance on physical health of the rural older adult in China.Frontiers in public health · 2024Article
- Changes of equality of medical service utilization in China between 1993 and 2018: findings from six waves of nationwide household interview survey.International journal for equity in health · 2023Article
- Participating in health insurance and health improvements for the relatively poor population: A propensity score analysis.Frontiers in public health · 2022Article
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2 authors at 2 institutions in 1 country.
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Abstract
Objectives: The ultimate goal of the New Rural Cooperative Medical Scheme (NRCMS) is to improve physical and psychological health and aim to provide equitable, affordable, cost-effective healthcare services for all rural people. One of our major concerns from the perspective of policy outcome is whether middle-aged and elderly can benefit from the insurance to improve self-rated health. The main objectives of this study are to answer the questions that the reimbursement rate of the NRCMS is a possible explanation of why and how rural middle-aged and elderly shift from non-medical service inputs to medical service to produce health based on a family production theory. Methods: Data were obtained from the China Health and Retirement Longitudinal Study (CHARLS) conducted in 2018, which involved 1,030 rural adults aged 45 years and older, and ordinal logistic regression estimator and two-step regression were used to examine these assumptions. Our approach controlled for the health status of those people at the same administrative level of the hospital. Results: Our study shows some interesting results. First, the reimbursement rate of NRCMS predicted a higher level of SRH among rural middle-aged and elderly, but that all of the indirect effect of it on SRH could be explained in total by satisfaction of local medical services utilization (ab = 0.0492). Second, the results further showed that the odds ratio of satisfaction from affordable, convenient, high-quality medical services is 2.402 times ( Conclusions: Our results concluded that generous insurance reimbursement can reduce the price of healthcare and costs of utilization that both had a dramatic effect on SRH among middle-aged and elderly when their demand for medical treatment is incurred. The government should focus on the healthcare cost, utilization, and health benefit calculations of health insurance policy options at the stage of rapid aging in rural China.
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