Factors associated with health service utilization under the New Rural Cooperative Medical System (NRCMS) in Hainan, China
Preliminary evidence from a household survey
Bibliographic Data
| ID | 12910967 |
|---|---|
| Authors | Xiaoling Huang (0000-0002-1500-6822, Hainan Medical University, corresponding author), Jaewhan Kim (0000-0002-8147-1159, University of Utah), Norman J Waitzman (University of Utah) |
| Year | 2014 |
| Volume | 8 |
| Issue | 2 |
| Pages | 178-190 |
| Publication date | 2014-11-27 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Asian Public Policy (JOURNAL) |
| Journal identifiers | ISSN: 1751-6242 • E-ISSN: 1751-6234 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/17516234.2014.958889 |
| OpenAlex | W2090108472 |
| Language | EN |
| References cited | 15 |
In 2003, the Chinese rural health care system underwent substantial reform with the introduction of the New Rural Cooperative Medical System (NRCMS). In order to identify factors associated with health services utilization among rural residents enrolled in NRCMS in Hainan Province, China, we conducted a cross-sectional household survey in rural villages from six randomly selected Han and ethnic minority cities or counties in Hainan in 2009 to identify factors associated with health service utilization among rural residents enrolled in the NRCMS in Hainan Province, China. Logistic regressions were used to identify factors associated with utilization of outpatient visits and inpatient visits. Among the total 871 subjects of observations, about 45% had at least one outpatient visit in the 12 months prior to the survey and 13% had at least one inpatient visit during that period. Outpatient visits were directly associated with location of residence (Han-concentrated region vs. ethnic minority-concentrated region), education level, presence of chronic disease, health insurance plan and satisfaction with quality of care in NRCMS network providers. Similarly, inpatient visitation was significantly associated with education level, presence of chronic disease and satisfaction with quality of care in NRCMS network providers. The use of both outpatient and inpatient services was significantly associated with location of residence, education level, presence of chronic disease, health insurance plan and satisfaction with quality of care in NRCMS network providers. Evidence suggests that NRCMS was significantly associated with access to care in rural areas, especially in ethnic minority regions in Hainan, but there still exist challenges in assessing the degree of unnecessary utilization of inpatient services
China · Economic growth · Environmental health · Ethnic group · Family medicine · Geography · Health care · Inpatient care · Residence · Rural area · Socioeconomics · Demography · Global Maternal and Child Health · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine
China's health care reform
The New Cooperative Medical Scheme in rural China
China's ongoing public hospital reform
Institutions, perceptions and social policy-making of Chinese local governments
Fiscal reform, decentralization and poverty alleviation in the context of China's 12th Five-Year Plan
Can rapid economic growth benefit more? Review of the medical care reform in Shenmu County in China
Rural and Urban Disparity in Health Services Utilization in China
Cooperative medical schemes in contemporary rural China
Non-evidence-based policy
| Citation velocity | historical |
|---|---|
| Highly cited | No |