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The impact of medical financial assistance on healthcare expenses and the medical financial burden

Evidence from rural China

Datos Bibliográficos

ID22088784
AutoresYucheng Chen (0000-0002-3596-8666, University of Jinan), Gongjing Gao (University of Jinan), Fei Yuan (0000-0001-6979-0029, Shandong First Medical University), Yuxiao Zhao (0000-0003-3858-4200, Shandong First Medical University, autor de correspondencia)
Año2023
Volumen10
Páginas1021435-1021435
Fecha de publicación2023-01-19
Open AccessSí
TipoARTICLE
RevistaFrontiers in Public Health (JOURNAL)
Identificadores de la revistaISSN: 2296-2565 • E-ISSN: 2296-2565
EditorialFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.1021435
PMID36743165
OpenAlexW4317387635
IdiomaEN
Citas recibidas2
Referencias citadas23

Background: The medical financial burden has become a key limitation to accessing healthcare in rural areas of China as healthcare expenses continue to rise. To ensure that low-income people have access to basic healthcare services, China has implemented medical financial assistance (MFA) policy, which provides social health insurance and medical cash assistance for low-income people. Methods: Using data from the 2014 China Family Panel Studies (CFPS), the propensity score matching (PSM) method was applied to estimate the impact of MFA on healthcare expenses and the medical financial burden. Results: Empirical results showed that the total annual healthcare expenditure of MFA beneficiaries is significantly higher than that of non-beneficiaries after matching. Although low-income individuals are now covered by MFA, neither the out-of-pocket expenditure to per capita household non-food expenditure ratio nor the likelihood of catastrophic healthcare expenditure (CHE) decrease significantly. Conclusion: Medical financial assistance (MFA) has reduced the inequality in healthcare utilization to a certain extent by improving access to healthcare for low-income people. However, people with low income still face a heavy medical financial burden even when they are covered by MFA. Policymakers should pay attention to raising the standards of MFA in rural areas and providing higher subsidies for the reasonable healthcare expenditures of low-income people

Business · China · Demographic economics · Economic growth · Economics · Environmental health · Health care · Health insurance · Medical Expenditure Panel Survey · Per capita · Subsidy · Healthcare Policy and Management · Healthcare Systems and Reforms · Intergenerational Family Dynamics and Caregiving · Medicine · Finance

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Citas por año1
Intervalo de citas2024 - 2025 (2)
Altamente citadoNo
Abrir DOIOpen Access
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