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The effects of poverty reduction policy on health services utilization among the rural poor: a quasi-experimental study in central and western rural China

BACKGROUND: China poverty reduction policy (PRP) addresses two important elements: the targeted poverty reduction (TPA) project since 2015 in line with social assistance policy as national policy; and reducing inequality in health services utilization by making provision of medical financial assista...

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Detalles Bibliográficos
Autores principales: Zou, Qi, He, Xiaoqun, Li, Zhong, Xu, Wanchun, Zhang, Liang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6884802/
https://www.ncbi.nlm.nih.gov/pubmed/31783857
http://dx.doi.org/10.1186/s12939-019-1099-7
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author Zou, Qi
He, Xiaoqun
Li, Zhong
Xu, Wanchun
Zhang, Liang
author_facet Zou, Qi
He, Xiaoqun
Li, Zhong
Xu, Wanchun
Zhang, Liang
author_sort Zou, Qi
collection PubMed
description BACKGROUND: China poverty reduction policy (PRP) addresses two important elements: the targeted poverty reduction (TPA) project since 2015 in line with social assistance policy as national policy; and reducing inequality in health services utilization by making provision of medical financial assistance (MFA). Therefore, this study aims to assess the effects of the PRP in health services utilization (both inpatient and outpatient services) among the central and western rural poor of China. METHODS: The study conducted household survey and applied propensity score matching (PSM) method to assess the effects of the PRP on health services utilization among the rural poor of Central and Western China. A sensitivity test was also performed on the PSM results to test their robustness. RESULTS: Key findings showed 17.6% of respondents were the beneficial of PRP. The average treatment effects on the treated (ATT) of the PRP on the inpatient visits within one year was found significantly positive (P = 0.026). CONCLUSION: There has been relationship between PRP with medical financial assistance and reduction of inequality in health services utilization by the poorer, in particular to accessing the inpatient services from the county or township hospitals of China. Policy makers should pay attention for making provision of improving responsiveness of supply, when subsidizing on the demand side.
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spelling pubmed-68848022019-12-03 The effects of poverty reduction policy on health services utilization among the rural poor: a quasi-experimental study in central and western rural China Zou, Qi He, Xiaoqun Li, Zhong Xu, Wanchun Zhang, Liang Int J Equity Health Research BACKGROUND: China poverty reduction policy (PRP) addresses two important elements: the targeted poverty reduction (TPA) project since 2015 in line with social assistance policy as national policy; and reducing inequality in health services utilization by making provision of medical financial assistance (MFA). Therefore, this study aims to assess the effects of the PRP in health services utilization (both inpatient and outpatient services) among the central and western rural poor of China. METHODS: The study conducted household survey and applied propensity score matching (PSM) method to assess the effects of the PRP on health services utilization among the rural poor of Central and Western China. A sensitivity test was also performed on the PSM results to test their robustness. RESULTS: Key findings showed 17.6% of respondents were the beneficial of PRP. The average treatment effects on the treated (ATT) of the PRP on the inpatient visits within one year was found significantly positive (P = 0.026). CONCLUSION: There has been relationship between PRP with medical financial assistance and reduction of inequality in health services utilization by the poorer, in particular to accessing the inpatient services from the county or township hospitals of China. Policy makers should pay attention for making provision of improving responsiveness of supply, when subsidizing on the demand side. BioMed Central 2019-11-29 /pmc/articles/PMC6884802/ /pubmed/31783857 http://dx.doi.org/10.1186/s12939-019-1099-7 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Zou, Qi
He, Xiaoqun
Li, Zhong
Xu, Wanchun
Zhang, Liang
The effects of poverty reduction policy on health services utilization among the rural poor: a quasi-experimental study in central and western rural China
title The effects of poverty reduction policy on health services utilization among the rural poor: a quasi-experimental study in central and western rural China
title_full The effects of poverty reduction policy on health services utilization among the rural poor: a quasi-experimental study in central and western rural China
title_fullStr The effects of poverty reduction policy on health services utilization among the rural poor: a quasi-experimental study in central and western rural China
title_full_unstemmed The effects of poverty reduction policy on health services utilization among the rural poor: a quasi-experimental study in central and western rural China
title_short The effects of poverty reduction policy on health services utilization among the rural poor: a quasi-experimental study in central and western rural China
title_sort effects of poverty reduction policy on health services utilization among the rural poor: a quasi-experimental study in central and western rural china
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6884802/
https://www.ncbi.nlm.nih.gov/pubmed/31783857
http://dx.doi.org/10.1186/s12939-019-1099-7
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