Cargando…

The Effect of the “Triple-Layer Medical Security” Policy on the Vulnerability as Expected Poverty of Rural Households: Evidence from Yunnan Province, China

China launched the “critical battle against poverty” nationwide in 2012. As its main battlefield, Yunnan province promulgated the “triple medical security” (TMS) policy in 2017. This study, based on the pooled cross-section database of 2015–2020 of registered poor households in Yunnan province, empl...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhou, Jingjing, Zhang, Yaoyu, Sha, Yong, Zhou, Jianfang, Ren, Hang, Shen, Xin, Xu, Hui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564903/
https://www.ncbi.nlm.nih.gov/pubmed/36232236
http://dx.doi.org/10.3390/ijerph191912936
_version_ 1784808762368851968
author Zhou, Jingjing
Zhang, Yaoyu
Sha, Yong
Zhou, Jianfang
Ren, Hang
Shen, Xin
Xu, Hui
author_facet Zhou, Jingjing
Zhang, Yaoyu
Sha, Yong
Zhou, Jianfang
Ren, Hang
Shen, Xin
Xu, Hui
author_sort Zhou, Jingjing
collection PubMed
description China launched the “critical battle against poverty” nationwide in 2012. As its main battlefield, Yunnan province promulgated the “triple medical security” (TMS) policy in 2017. This study, based on the pooled cross-section database of 2015–2020 of registered poor households in Yunnan province, employed the logit model to examine the effect of TMS on the vulnerability as expected poverty (VEP) of these households. It found that increasing the reimbursement rates for overall medical expenses and inpatient expenses and decreasing the proportion of out-of-pocket medical payment to income reduced the VEP; increases in the number of sick people in the family increased its VEP, and although the increase in the reimbursement rate for overall medical expenses or for inpatient expenses partially offset the VEP caused by the increase in the number of chronically ill people in the family, the VEP caused by the increase in the number of critically ill people would increase in the short term with the increase in the reimbursement rate for overall medical expenses or for inpatient expenses. The findings help improve policies concerning the medical security and health of the rural poor population, providing theoretical reference and practical guidance for future research.
format Online
Article
Text
id pubmed-9564903
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-95649032022-10-15 The Effect of the “Triple-Layer Medical Security” Policy on the Vulnerability as Expected Poverty of Rural Households: Evidence from Yunnan Province, China Zhou, Jingjing Zhang, Yaoyu Sha, Yong Zhou, Jianfang Ren, Hang Shen, Xin Xu, Hui Int J Environ Res Public Health Article China launched the “critical battle against poverty” nationwide in 2012. As its main battlefield, Yunnan province promulgated the “triple medical security” (TMS) policy in 2017. This study, based on the pooled cross-section database of 2015–2020 of registered poor households in Yunnan province, employed the logit model to examine the effect of TMS on the vulnerability as expected poverty (VEP) of these households. It found that increasing the reimbursement rates for overall medical expenses and inpatient expenses and decreasing the proportion of out-of-pocket medical payment to income reduced the VEP; increases in the number of sick people in the family increased its VEP, and although the increase in the reimbursement rate for overall medical expenses or for inpatient expenses partially offset the VEP caused by the increase in the number of chronically ill people in the family, the VEP caused by the increase in the number of critically ill people would increase in the short term with the increase in the reimbursement rate for overall medical expenses or for inpatient expenses. The findings help improve policies concerning the medical security and health of the rural poor population, providing theoretical reference and practical guidance for future research. MDPI 2022-10-10 /pmc/articles/PMC9564903/ /pubmed/36232236 http://dx.doi.org/10.3390/ijerph191912936 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zhou, Jingjing
Zhang, Yaoyu
Sha, Yong
Zhou, Jianfang
Ren, Hang
Shen, Xin
Xu, Hui
The Effect of the “Triple-Layer Medical Security” Policy on the Vulnerability as Expected Poverty of Rural Households: Evidence from Yunnan Province, China
title The Effect of the “Triple-Layer Medical Security” Policy on the Vulnerability as Expected Poverty of Rural Households: Evidence from Yunnan Province, China
title_full The Effect of the “Triple-Layer Medical Security” Policy on the Vulnerability as Expected Poverty of Rural Households: Evidence from Yunnan Province, China
title_fullStr The Effect of the “Triple-Layer Medical Security” Policy on the Vulnerability as Expected Poverty of Rural Households: Evidence from Yunnan Province, China
title_full_unstemmed The Effect of the “Triple-Layer Medical Security” Policy on the Vulnerability as Expected Poverty of Rural Households: Evidence from Yunnan Province, China
title_short The Effect of the “Triple-Layer Medical Security” Policy on the Vulnerability as Expected Poverty of Rural Households: Evidence from Yunnan Province, China
title_sort effect of the “triple-layer medical security” policy on the vulnerability as expected poverty of rural households: evidence from yunnan province, china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564903/
https://www.ncbi.nlm.nih.gov/pubmed/36232236
http://dx.doi.org/10.3390/ijerph191912936
work_keys_str_mv AT zhoujingjing theeffectofthetriplelayermedicalsecuritypolicyonthevulnerabilityasexpectedpovertyofruralhouseholdsevidencefromyunnanprovincechina
AT zhangyaoyu theeffectofthetriplelayermedicalsecuritypolicyonthevulnerabilityasexpectedpovertyofruralhouseholdsevidencefromyunnanprovincechina
AT shayong theeffectofthetriplelayermedicalsecuritypolicyonthevulnerabilityasexpectedpovertyofruralhouseholdsevidencefromyunnanprovincechina
AT zhoujianfang theeffectofthetriplelayermedicalsecuritypolicyonthevulnerabilityasexpectedpovertyofruralhouseholdsevidencefromyunnanprovincechina
AT renhang theeffectofthetriplelayermedicalsecuritypolicyonthevulnerabilityasexpectedpovertyofruralhouseholdsevidencefromyunnanprovincechina
AT shenxin theeffectofthetriplelayermedicalsecuritypolicyonthevulnerabilityasexpectedpovertyofruralhouseholdsevidencefromyunnanprovincechina
AT xuhui theeffectofthetriplelayermedicalsecuritypolicyonthevulnerabilityasexpectedpovertyofruralhouseholdsevidencefromyunnanprovincechina
AT zhoujingjing effectofthetriplelayermedicalsecuritypolicyonthevulnerabilityasexpectedpovertyofruralhouseholdsevidencefromyunnanprovincechina
AT zhangyaoyu effectofthetriplelayermedicalsecuritypolicyonthevulnerabilityasexpectedpovertyofruralhouseholdsevidencefromyunnanprovincechina
AT shayong effectofthetriplelayermedicalsecuritypolicyonthevulnerabilityasexpectedpovertyofruralhouseholdsevidencefromyunnanprovincechina
AT zhoujianfang effectofthetriplelayermedicalsecuritypolicyonthevulnerabilityasexpectedpovertyofruralhouseholdsevidencefromyunnanprovincechina
AT renhang effectofthetriplelayermedicalsecuritypolicyonthevulnerabilityasexpectedpovertyofruralhouseholdsevidencefromyunnanprovincechina
AT shenxin effectofthetriplelayermedicalsecuritypolicyonthevulnerabilityasexpectedpovertyofruralhouseholdsevidencefromyunnanprovincechina
AT xuhui effectofthetriplelayermedicalsecuritypolicyonthevulnerabilityasexpectedpovertyofruralhouseholdsevidencefromyunnanprovincechina