The attitude of farmers to the New Rural Cooperative Medical Scheme in Northwest China one year after its introduction: a cross-sectional study

Participating in health insurance and health improvements for the relatively poor population: A propensity score analysis

This study examined the causal relationship between participation in the New Rural Cooperative Medical Scheme (NRCMS) and health status among relatively poor population in rural China. Data were obtained from the China Family Panel Studies (CFPS) conducted in 2018, which contained 4,507 samples. This study used propensity score matching (PSM) to examine the net effect of participation in the NRCMS on the health of the relatively poor population, and this effect was tested for equilibrium using nearest neighbor matching, radius matching, and kernel matching. This study showed that participation in the NRCMS has a significant and positive effect on the health status of the relatively poor population and the positive health effect may come from three channels, including the increased frequency of physical activity, the fact that an individual is more likely to seek medical care at a lower level of visit, and a plan to reduce health care expenditures.

Effects of China's New Rural Cooperative Medical Scheme on reducing medical impoverishment in rural Yanbian: An alternative approach

Backgroud

This study aimed to measure the poverty head count ratio and poverty gap of rural Yanbian in order to examine whether China’s New Rural Cooperative Medical Scheme has alleviated its medical impoverishment and to compare the results of this alternative approach with those of a World Bank approach.

Methods

This cross-sectional study was based on a stratified random sample survey of 1,987 households and 6,135 individuals conducted in 2008 across eight counties in Yanbian Korean Autonomous Prefecture, Jilin province, China. A new approach was developed to define and identify medical impoverishment. The poverty head count ratio, relative poverty gap, and average poverty gap were used to measure medical impoverishment. Changes in medical impoverishment after the reimbursement under the New Rural Cooperative Medical Scheme were also examined.

Results

The government-run New Rural Cooperative Medical Scheme reduced the number of medically impoverished households by 24.6 %, as well as the relative and average gaps by 37.3 % and 38.9 %, respectively.

Conclusions

China’s New Rural Cooperative Medical Scheme has certain positive but limited effects on alleviating medical impoverishment in rural Yanbian regardless of how medical impoverishment is defined and measured. More governmental and private-sector efforts should therefore be encouraged to further improve the system in terms of financing, operation, and reimbursement policy.