ArticleInternational journal for equity in health2023
Poverty alleviation and health services for the poor in China: evidence from national health service surveys in 2013 and 2018.
Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Who benefits more from an improved social health insurance? Evidence from supplementary high-cost illness insurance in China.BMC health services research · 2026Article
- Health-related quality of life in poverty-alleviated individuals living with chronic conditions: a cross-sectional survey from an impoverished county in China.Scientific reports · 2026Article
- Out-of-pocket expenditure for cataract surgery in rural China: a cross-sectional survey combined with hospital administrative data.International journal for equity in health · 2025Article
- Multidimensional poverty and health: an analysis of multidimensional poverty and its influencing factors among rural residents in Western China from a health ecology perspective.BMJ global health · 2025Article
- Geographic disparities in hospital readmissions: a retrospective cohort study among patients with chronic disease in rural China.International journal for equity in 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
- Examining multidimensional health poverty and determining factors among rural women of childbearing age in ningxia, china.BMC public health · 2024Article
- Analysis of medical impoverishment and its influencing factors among China's rural near-poor, 2016-2020.Frontiers in public health · 2024Article
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5 authors.
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Abstract
backgroundChina has made intensive efforts to eliminate extreme poverty by 2020. This paper aims to evaluate the changes in health service needs, utilization, and medical expenses for poor people during the poverty alleviation period.
methodsThe study used data from national health services surveys in 2013 and 2018. The poor people were identified and certified by the local government. Health service needs, utilization, medical expenses, and reimbursement rates were analyzed and compared between 2013 and 2018, between the poor and the non-poor groups.
resultsPeople living in poverty were usually elderly, illiterate, and unemployed. The poor people had a significantly higher two-week morbidity rate and a higher prevalence of chorionic non-communicable diseases than the non-poor group. For both the poor and non-poor, health service needs increased between 2013 and 2018. Accordingly, the poor people had more use of outpatient and inpatient services. The annual inpatient admission rates were 20.8% and 13.1% for the poor and non-poor, respectively, in 2018. The average medical expenses per inpatient admission were much lower for the poor than for the non-poor. Out-of-pocket (OOP) payment share decreased from 41.9% to 2013 to 31.9% in 2018 for the poor, while for the non-poor, the OOP rate was much higher (45.4%) and had no significant changes between the two surveys. The reduction in the OOP share occurred mostly in rural areas.
conclusionsPoverty alleviation in China may have positive effect in improving poor people's access to health services, and reducing their financial burden due to illness and health service utilization.
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