Are People Enrolled in NCMS and CURBMI Susceptible in Catastrophic Health Expenditure? Evidence From China
Bibliographic Data
| ID | 13775805 |
|---|---|
| Authors | Xinpeng Xu (0000-0002-8238-8701, Nanjing University), Xin-Peng Xu (0000-0002-5829-9960, Nanjing University), Hai Gu (0000-0002-0400-7694, Nanjing University, corresponding author), Hua You (0000-0002-0004-0470, Nanjing University), Lan Bai (0000-0002-8859-1540, Nanjing University), Chao Li (0000-0002-7543-3973, Nanjing University), Decheng Li (Nanjing University), Nan Cui (0000-0003-0432-5841, Nanjing University), Wenxuan Wu (0009-0009-4938-7713, Nanjing University), Yubo Kou (0000-0001-7061-2350, Zhejiang University), Yun Kou (Zhejiang University, Hangzhou, China) |
| Year | 2020 |
| Volume | 57 |
| Pages | 46958020919282-46958020919282 |
| Publication date | 2020-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | INQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL) |
| Journal identifiers | ISSN: 0046-9580 • E-ISSN: 1945-7243 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/0046958020919282 |
| PMID | 32418494 |
| OpenAlex | W3024847904 |
| Language | EN |
| Citations received | 1 |
| References cited | 32 |
This study investigated associations between different types of medical insurance and the incidence of catastrophic health expenditure among middle-aged and the aged in China. The data came from the China Health and Retirement Longitudinal Survey implemented in 2013, with 9782 individuals analyzed. Probit regression models and multiple linear regressions were employed to explore the relationship mentioned above and potential mechanisms behind it. It was found that compared with participants in Urban Resident Basic Medical Insurance, individuals participating in New Cooperative Medical Scheme and Coordinating Urban and Rural Basic Medical Insurance was less likely to undergo catastrophic health expenditure ( P P = .008), especially for low-income and middle-income group. Participants in New Cooperative Medical Scheme and Coordinating Urban and Rural Basic Medical Insurance were more likely to utilize inpatient medical service ( P P = .020) and choose low-level medical institutions for treatment ( P = .003, P = .006). And individuals participating in New Cooperative Medical Scheme had lower out-of-pocket expenditure ( P = .034). The study showed the significant difference in the incidence of catastrophic health expenditure among participants in different medical insurances. Efforts should be made to improve the service quality of grassroots medical institutions except for the increase of reimbursement ratio, so that rural residents can enjoy high-quality medical services
Actuarial science · Business · China · Economic growth · Economics · Environmental health · Geography · Grassroots · Health care · Medical insurance · Political science · Probit model · Reimbursement · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine
Household catastrophic health expenditure
Can insurance increase financial risk?
Catastrophic payments for health care in Asia
Consolidating the social health insurance schemes in China
Equity and health sector reforms
Catastrophe and impoverishment in paying for health care
Reform of how health care is paid for in China
Trends in access to health services and financial protection in China between 2003 and 2011
Out‐of‐pocket health expenditure and debt in poor households
Catastrophic health expenditure and impoverishment in Mongolia
Income related inequality and influencing factors
Addressing vulnerability in an emerging economy
Equity aspects of the National Health Insurance Scheme in Ghana
The impacts of health insurance on health care utilization among the older people in China
Non-evidence-based policy
| Citations per year | 0.33 |
|---|---|
| Citation span | 2023 - 2023 (1) |
| Highly cited | No |