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Catastrophic Health Expenditure and Rural Household Impoverishment in China: What Role Does the New Cooperative Health Insurance Scheme Play?

OBJECTIVE: To determine whether the New Cooperative Medical Insurance Scheme (NCMS) is associated with decreased levels of catastrophic health expenditure and reduced impoverishment due to medical expenses in rural households of China. METHODS: An analysis of a national representative sample of 38,9...

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Autores principales: Li, Ye, Wu, Qunhong, Liu, Chaojie, Kang, Zheng, Xie, Xin, Yin, Hui, Jiao, Mingli, Liu, Guoxiang, Hao, Yanhua, Ning, Ning
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3979676/
https://www.ncbi.nlm.nih.gov/pubmed/24714605
http://dx.doi.org/10.1371/journal.pone.0093253
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author Li, Ye
Wu, Qunhong
Liu, Chaojie
Kang, Zheng
Xie, Xin
Yin, Hui
Jiao, Mingli
Liu, Guoxiang
Hao, Yanhua
Ning, Ning
author_facet Li, Ye
Wu, Qunhong
Liu, Chaojie
Kang, Zheng
Xie, Xin
Yin, Hui
Jiao, Mingli
Liu, Guoxiang
Hao, Yanhua
Ning, Ning
author_sort Li, Ye
collection PubMed
description OBJECTIVE: To determine whether the New Cooperative Medical Insurance Scheme (NCMS) is associated with decreased levels of catastrophic health expenditure and reduced impoverishment due to medical expenses in rural households of China. METHODS: An analysis of a national representative sample of 38,945 rural households (129,635 people) from the 2008 National Health Service Survey was performed. Logistic regression models used binary indicator of catastrophic health expenditure as dependent variable, with household consumption, demographic characteristics, health insurance schemes, and chronic illness as independent variables. RESULTS: Higher percentage of households experiencing catastrophic health expenditure and medical impoverishment correlates to increased health care need. While the higher socio-economic status households had similar levels of catastrophic health expenditure as compared with the lowest. Households covered by the NCMS had similar levels of catastrophic health expenditure and medical impoverishment as those without health insurance. CONCLUSION: Despite over 95% of coverage, the NCMS has failed to prevent catastrophic health expenditure and medical impoverishment. An upgrade of benefit packages is needed, and effective cost control mechanisms on the provider side needs to be considered.
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spelling pubmed-39796762014-04-11 Catastrophic Health Expenditure and Rural Household Impoverishment in China: What Role Does the New Cooperative Health Insurance Scheme Play? Li, Ye Wu, Qunhong Liu, Chaojie Kang, Zheng Xie, Xin Yin, Hui Jiao, Mingli Liu, Guoxiang Hao, Yanhua Ning, Ning PLoS One Research Article OBJECTIVE: To determine whether the New Cooperative Medical Insurance Scheme (NCMS) is associated with decreased levels of catastrophic health expenditure and reduced impoverishment due to medical expenses in rural households of China. METHODS: An analysis of a national representative sample of 38,945 rural households (129,635 people) from the 2008 National Health Service Survey was performed. Logistic regression models used binary indicator of catastrophic health expenditure as dependent variable, with household consumption, demographic characteristics, health insurance schemes, and chronic illness as independent variables. RESULTS: Higher percentage of households experiencing catastrophic health expenditure and medical impoverishment correlates to increased health care need. While the higher socio-economic status households had similar levels of catastrophic health expenditure as compared with the lowest. Households covered by the NCMS had similar levels of catastrophic health expenditure and medical impoverishment as those without health insurance. CONCLUSION: Despite over 95% of coverage, the NCMS has failed to prevent catastrophic health expenditure and medical impoverishment. An upgrade of benefit packages is needed, and effective cost control mechanisms on the provider side needs to be considered. Public Library of Science 2014-04-08 /pmc/articles/PMC3979676/ /pubmed/24714605 http://dx.doi.org/10.1371/journal.pone.0093253 Text en © 2014 Li et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Li, Ye
Wu, Qunhong
Liu, Chaojie
Kang, Zheng
Xie, Xin
Yin, Hui
Jiao, Mingli
Liu, Guoxiang
Hao, Yanhua
Ning, Ning
Catastrophic Health Expenditure and Rural Household Impoverishment in China: What Role Does the New Cooperative Health Insurance Scheme Play?
title Catastrophic Health Expenditure and Rural Household Impoverishment in China: What Role Does the New Cooperative Health Insurance Scheme Play?
title_full Catastrophic Health Expenditure and Rural Household Impoverishment in China: What Role Does the New Cooperative Health Insurance Scheme Play?
title_fullStr Catastrophic Health Expenditure and Rural Household Impoverishment in China: What Role Does the New Cooperative Health Insurance Scheme Play?
title_full_unstemmed Catastrophic Health Expenditure and Rural Household Impoverishment in China: What Role Does the New Cooperative Health Insurance Scheme Play?
title_short Catastrophic Health Expenditure and Rural Household Impoverishment in China: What Role Does the New Cooperative Health Insurance Scheme Play?
title_sort catastrophic health expenditure and rural household impoverishment in china: what role does the new cooperative health insurance scheme play?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3979676/
https://www.ncbi.nlm.nih.gov/pubmed/24714605
http://dx.doi.org/10.1371/journal.pone.0093253
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