Evidence map›Paper›PMID 36376906›Full record

ArticleHealth research policy and systems2022

Degree of protection provided by poverty alleviation policies for the middle-aged and older in China: evaluation of effectiveness of medical insurance system tools and vulnerable target recognition.

Wanxin Tian, Bing Wu, Yahong Yang, Yongqiang Lai, Wenqing Miao, Xiyu Zhang, Chenxi Zhang, Qi Xia, Linghan Shan, Huiying Yang and 10 more

Open access · goldAbstract read
In one paragraph

Article in Health research policy and systems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 5 institutions in 1 country.

Wanxin Tian *Research Center of Public Policy and Management, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150086, Heilongjiang, China.
Bing Wu *Research Center of Public Policy and Management, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150086, Heilongjiang, China.
Yahong Yang *Nursing Department, Heilongjiang Provincial Hospital, Harbin, Heilongjiang, China.
Yongqiang LaiResearch Center of Public Policy and Management, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150086, Heilongjiang, China.
Wenqing MiaoResearch Center of Public Policy and Management, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150086, Heilongjiang, China.
Xiyu ZhangResearch Center of Public Policy and Management, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150086, Heilongjiang, China.
Chenxi ZhangResearch Center of Public Policy and Management, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150086, Heilongjiang, China.
Qi XiaResearch Center of Public Policy and Management, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150086, Heilongjiang, China.
Linghan ShanResearch Center of Public Policy and Management, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150086, Heilongjiang, China.
Huiying YangThe Second Affiliated Hospital of Harbin Medical University, Harbin Medical University, Harbin, Heilongjiang, China.
Huiqi YangResearch Center of Public Policy and Management, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150086, Heilongjiang, China.
Zhipeng HuangResearch Center of Public Policy and Management, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150086, Heilongjiang, China.
Yuze LiDepartment of Medicine, Jiamusi University, Jiamusi, 154007, Heilongjiang, China.
Yiyun ZhangSchool of Ethnology and Sociology, Yunnan University, Kunming, Yunnan, China.
Fan DingDepartment of Epidemiology and Health Statistics, School of Public Health and Management, Ningxia Medical University, Yinchuan, Ningxia, China.
Yulu TianResearch Center of Public Policy and Management, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150086, Heilongjiang, China.
Hongyu LiResearch Center of Public Policy and Management, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150086, Heilongjiang, China.
Xinwei LiuResearch Center of Public Policy and Management, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150086, Heilongjiang, China.
Ye LiResearch Center of Public Policy and Management, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150086, Heilongjiang, China. liye8459@163.com.ORCID http://orcid.org/0000-0001-8492-1808
Qunhong WuResearch Center of Public Policy and Management, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150086, Heilongjiang, China. wuqunhong@163.com.
Harbin Medical University · CNJiamusi University · CNHeilongjiang Provincial Hospital · CNNingxia Medical University · CNYunnan University · CN

Funding

Heilongjiang Provincial Postdoctoral Science Foundation LBH-Z14166National Natural Science Foundation of China 71403073National Natural Science Foundation of China 71804036National Natural Science Foundation of China 71874045National Natural Science Foundation of China 72174047National Office for Philosophy and Social Sciences 19AZD013Postdoctoral Research Foundation of China 2016M590296
6 · The paper itself

Abstract

backgroundChina's medical insurance schemes and poverty alleviation policy at this stage have achieved population-wide coverage and the system's universal function. At the late stage of the elimination of absolute poverty task, how to further exert the poverty alleviation function of the medical insurance schemes has become an important agenda for targeted poverty alleviation. To analyse the risk of catastrophic health expenditure (CHE) occurrence in middle-aged and older adults with vulnerability characteristics from the perspectives of social, regional, disease, health service utilization and medical insurance schemes.

methodsWe used data from the 2018 China Health and Retirement Longitudinal Study (CHARLS) database and came up with 9190 samples. The method for calculating the CHE was adopted from WHO. Logistic regression was used to determine the different characteristics of middle-aged and older adults with a high probability of incurring CHE.

resultsThe overall regional poverty rate and incidence of CHE were similar in the east, central and west, but with significant differences among provinces. The population insured by the urban and rural integrated medical insurance (URRMI) had the highest incidence of CHE (21.17%) and health expenditure burden (22.77%) among the insured population. Integration of Medicare as a medical insurance scheme with broader benefit coverage did not have a significant effect on the incidence of CHE in middle-aged and older people with vulnerability characteristics.

conclusionsBased on the perspective of Medicare improvement, we conducted an in-depth exploration of the synergistic effect of medical insurance and the poverty alleviation system in reducing poverty, and we hope that through comprehensive strategic adjustments and multidimensional system cooperation, we can lift the vulnerable middle-aged and older adults out of poverty.

Indexed as

Insurance, HealthMedicareAgedChinaHealth ExpendituresHumansLongitudinal StudiesMiddle AgedPolicyPovertyUnited StatesCatastrophic health expenditure (CHE)Medical insuranceMiddle-aged and older peopleMulti-vulnerabilityPoverty reduction

Identifiers

PMID36376906
PMCPMC9664814
OpenAlexW4308991651

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.