| Catastrophic medical payment and financial protection in rural China: evidence from the New Cooperative Medical Scheme in Shandong Province. | |
| | |
MedLine Citation:
|
PMID: 18283715 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To measure the impact of China's New Cooperative Medical Scheme (NCMS) on catastrophic medical payments of rural households in Linyi County, Shandong Province. METHOD: In 2005, from a stratified cluster sample of 3101 rural households, we identified 375 households that might be at risk of catastrophic payments by searching through NCMS claims and interviewing key informants. We interviewed these 375 households and confirmed that 231 had had catastrophic payments (> or = 40% of the households' capacity to pay; CTP) during 2004. A validity test of our screening method found another eight cases among immediate neighbours of these 375 households; by extrapolation, we obtained an adjusted total of 289 catastrophic households in the sample of 3101. We measured the impact of the NCMS on hardship alleviation by counterfactual analysis, comparing catastrophic payments before and after NCMS reimbursements. RESULT: The effect was twofold. Before NCMS intervention 8.98% of Linyi population had had catastrophic out-of-pocket payments compared with 8.25% after reimbursements. Catastrophic severity for households remaining in catastrophe after reimbursement dropped by 18.7% to an average of 6.34 times the household's CTP. CONCLUSION: Out-of-pocket medical payments remain a burden for rural households. Financial protection from the NCMS, with an average reimbursement of 17.8%, was modest and should be restructured to provide better benefits that are targeted to those in most need. |
| | |
Authors:
|
Xiaoyun Sun; Sukhan Jackson; Gordon Carmichael; Adrian C Sleigh |
Related Documents
:
|
7320275 - The national association of insurance commissioners (naic) medical malpractice closed c... 17494485 - The medical malpractice crisis: what is the cause? is there a cure? 20599095 - Malpractice claims in nasal and sinus surgery: a review of 15 cases. 10256735 - Medical malpractice arbitration. 20445385 - Concerns of disaster medical assistance team (dmat) members about troubles at the nucle... 1482975 - The integration of a continuous-speech-recognition system with the qmr diagnostic program. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Health economics Volume: 18 ISSN: 1057-9230 ISO Abbreviation: Health Econ Publication Date: 2009 Jan |
Date Detail:
|
Created Date: 2008-12-16 Completed Date: 2009-03-03 Revised Date: 2010-03-24 |
Medline Journal Info:
|
Nlm Unique ID: 9306780 Medline TA: Health Econ Country: England |
Other Details:
|
Languages: eng Pagination: 103-19 Citation Subset: IM |
Copyright Information:
|
Copyright (c) 2008 John Wiley & Sons, Ltd. |
Affiliation:
|
Health Department of Shandong Province, Jinan, China. sxysdcn@yahoo.com.cn |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Catastrophic Illness
/
economics* China Family Characteristics Female Financing, Organized / economics* Health Expenditures Humans Insurance, Health / economics* Interviews as Topic Male Models, Econometric Pilot Projects Program Evaluation Rural Health / statistics & numerical data |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Adsorption and degradation of four acidic herbicides in soils from southern Spain.
Next Document: Hypoxia-inducible factor is expressed in giant cell tumour of bone and mediates paracrine effects of...