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Author: Dan Liu
Publisher: Development Economics and Policy
ISBN: 9783631648551
Category : Cooperative insurance
Languages : en
Pages : 0
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Book Description
The New Cooperative Medical Scheme (NCMS) was implemented in 2003 in response to the poor state of health care in rural China. This study offers a contribution to improve the NCMS design, particularly as to regional policy development, reimbursement arrangements, the efficiency of public investment, and improvements of rural infrastructure.
Author: Dan Liu
Publisher: Development Economics and Policy
ISBN: 9783631648551
Category : Cooperative insurance
Languages : en
Pages : 0
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Book Description
The New Cooperative Medical Scheme (NCMS) was implemented in 2003 in response to the poor state of health care in rural China. This study offers a contribution to improve the NCMS design, particularly as to regional policy development, reimbursement arrangements, the efficiency of public investment, and improvements of rural infrastructure.
Author:
Publisher: World Bank Publications
ISBN:
Category : Child development
Languages : en
Pages : 40
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Book Description
Abstract: In 2003, after over 20 years of minimal health insurance coverage in rural areas, China launched a heavily subsidized voluntary health insurance program for rural residents. The authors use program and household survey data, as well as health facility census data, to analyze factors affecting enrollment into the program and to estimate its impact on households and health facilities. They obtain estimates by combining differences-in-differences with matching methods. The authors find some evidence of lower enrollment rates among poor households, holding other factors constant, and higher enrollment rates among households with chronically sick members. The household and facility data point to the scheme significantly increasing both outpatient and inpatient utilization (by 20-30 percent), but they find no impact on utilization in the poorest decile. For the sample as a whole, the authors find no statistically significant effects on average out-of-pocket spending, but they do find some-albeit weak-evidence of increased catastrophic health spending. For the poorest decile, by contrast, they find that the scheme increased average out-of-pocket spending but reduced the incidence of catastrophic health spending. They find evidence that the program has increased ownership of expensive equipment among central township health centers but had no impact on cost per case.
Author: Yanzhong Wang
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
Based on a survey conducted by our research team at the Chinese Academy of Social Sciences, the present paper reports on the development of China's new rural cooperative medical system set up in late 2002. The new rural cooperative medical system is different from the old system in that it is organized, guided and supported by the government but that rural residents voluntarily participate in its administration. It is financed by individuals, collectives and the government. The new cooperative medical system focuses on serious disease planning and mutual aid and fraternity between rural residents in health care. The results of our survey indicate that the new rural medical system has been successful up to now but that it also has some problems. China needs to pay more attention to overcoming the difficulties and challenges it faces in terms of future medical needs so that a mechanism for its sustainable development can be established.
Author: Adam Wagstaff
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
In 2003, China launched a heavily subsidized voluntary health insurance program for rural residents. We combine differences-in-differences with matching methods to obtain impact estimates, using data collected from program administrators, health facilities and households. The scheme has increased outpatient and inpatient utilization, and has reduced the cost of deliveries. But it has not reduced out-of-pocket expenses per outpatient visit or inpatient spell. Out-of-pocket payments overall have not been reduced. We find heterogeneity across income groups and implementing counties. The program has increased ownership of expensive equipment among central township health centers but has had no impact on cost per case.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309254094
Category : Social Science
Languages : en
Pages : 486
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Book Description
The population of Asia is growing both larger and older. Demographically the most important continent on the world, Asia's population, currently estimated to be 4.2 billion, is expected to increase to about 5.9 billion by 2050. Rapid declines in fertility, together with rising life expectancy, are altering the age structure of the population so that in 2050, for the first time in history, there will be roughly as many people in Asia over the age of 65 as under the age of 15. It is against this backdrop that the Division of Behavioral and Social Research at the U.S. National Institute on Aging (NIA) asked the National Research Council (NRC), through the Committee on Population, to undertake a project on advancing behavioral and social research on aging in Asia. Aging in Asia: Findings from New and Emerging Data Initiatives is a peer-reviewed collection of papers from China, India, Indonesia, Japan, and Thailand that were presented at two conferences organized in conjunction with the Chinese Academy of Sciences, Indian National Science Academy, Indonesian Academy of Sciences, and Science Council of Japan; the first conference was hosted by the Chinese Academy of Social Sciences in Beijing, and the second conference was hosted by the Indian National Science Academy in New Delhi. The papers in the volume highlight the contributions from new and emerging data initiatives in the region and cover subject areas such as economic growth, labor markets, and consumption; family roles and responsibilities; and labor markets and consumption.
Author: Corey Lipow
Publisher: LAP Lambert Academic Publishing
ISBN: 9783838377322
Category :
Languages : en
Pages : 64
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Book Description
Since the first pilot NCMS s in 2003, the New Cooperative Medical Scheme has offered catastrophic illness and other medical coverage to rural residents in China. Yet few studies have examined whether the scheme actually improves health status, utilization of health care services, and the burden of health care expenditures. This study employs non-pooled and pooled Ordinary-Least-Squares regression and linear probability models to further examine this issue. I also include an interaction term between the NCMS and distance from a medical facility to determine whether the effect of the NCMS differs by distance. I find that participating in the NCMS reduces sickness and injury at most distances from a medical facility, and that as distance increases after about 8.6 minutes, so does the negative effect of NCMS participation on sickness or injury. The NCMS appears to increase preventive care utilization but not more formal medical care, and there is mixed indication that the NCMS reduces costs. This study should inform policymakers of the shortcomings of the NCMS as well as anyone else who is interested in the varied effect of insurance based on distance from a medical facility.
Author: Armin Christian Müller
Publisher:
ISBN:
Category :
Languages : en
Pages : 268
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Book Description
Author: Xinxin Ma
Publisher: Springer
ISBN: 9789811677922
Category : Business & Economics
Languages : en
Pages : 0
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Book Description
This book investigates public medical insurance reform in China and studies its effects from both institutional and empirical study perspectives. It provides the reader with academic evidence for understanding the transformation of public medical insurance and its effect on the utilization of healthcare services, expenditure for medical care, individuals’ financial portfolio allocation, and well-being. The main content of the book comprises two parts. First, institutional transformations of public medical insurance are considered: medical insurance reform in rural and urban China, and problems of medical insurance reform in the country. Second, it looks at the impact of public medical insurance reforms in China: evidence-based on empirical studies, including determinants of participation in medical insurance, the New Rural Cooperative Medical Scheme and its effects on the utilization of healthcare services, medical insurance and its effects on out-of-pocket expenditure, risky financial market participation, and well-being in China. This study provides academic evidence about these issues based on economic theories and econometric methods using many kinds of nationwide Chinese representative survey data. The book is highly recommended to readers who are interested in up-to-date and in-depth empirical studies on the mechanisms of participation in medical insurance and the impact of public medical insurance reforms on individuals and household behaviors in China. This volume will be of interest to those who are interested in the Chinese economy, social security policymakers, and scholars with an econometric analysis background.
Author: Armin Müller
Publisher: Routledge
ISBN: 1317230043
Category : Social Science
Languages : en
Pages : 304
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Book Description
Especially since the 2003 SARS crisis, China’s healthcare system has become a growing source of concern, both for citizens and the Chinese government. China’s once praised public health services have deteriorated into a system driven by economic constraints, in which poor people often fail to get access, and middle-income households risk to be dragged into poverty by the rising costs of care. The New Rural Co-operative Medical System (NRCMS) was introduced to counter these tendencies and constitutes the main system of public health insurance in China today. This book outlines the nature of the system, traces the processes of its enactment and implementation, and discusses its strengths and weaknesses. It argues that the contested nature of the fields of health policy and social security has long been overlooked, and reinterprets the NRCMS as a compromise between opposing political interests. Furthermore, it argues that structural institutional misfits facilitate fiscal imbalances and a culture of non-compliance in local health policy, which distort the outcomes of the implementation and limit the effectiveness of insurance. These dynamics also raise fundamental questions regarding the effectiveness of other areas of the comprehensive New Health Reform, which China has initiated to overhaul its healthcare system.
Author: Lawton Robert Burns
Publisher: Cambridge University Press
ISBN: 1316738396
Category : Business & Economics
Languages : en
Pages : 744
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Book Description
This volume provides a comprehensive review of China's healthcare system and policy reforms in the context of the global economy. Following a value-chain framework, the 16 chapters cover the payers, the providers, and the producers (manufacturers) in China's system. It also provides a detailed analysis of the historical development of China's healthcare system, the current state of its broad reforms, and the uneasy balance between China's market-driven approach and governmental regulation. Most importantly, it devotes considerable attention to the major problems confronting China, including chronic illness, public health, and long-term care and economic security for the elderly. Burns and Liu have assembled the latest research from leading health economists and political scientists, as well as senior public health officials and corporate executives, making this book an essential read for industry professionals, policymakers, researchers, and students studying comparative health systems across the world.
