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

Xu, Chengdong; Zheng-bing, Wang; Gericke, Christian A.

doi:10.1007/s10389-011-0448-9

Cited by 4 publications

(4 citation statements)

References 26 publications

(26 reference statements)

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“…And as for the ampli cation, in urban hospital, master degree gets the rst place and bachelor degree comes the second, while in township hospitals, bachelor degree is the largest and the following is college degree. Then, seen from the professional title in 2015, the proportion of the advanced and intermediate title in urban hospital is 56.5% altogether, compared with 24.7% in township hospital [25,26].…”

Section: Education Attainment and Professional Titlementioning

confidence: 99%

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Participants’ satisfaction on China's New Rural Cooperative Medical System:a cross-sectional Survey in Liaoning province of China.

Liu

Wei

et al. 2020

Preprint

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Background:China launched New Rural Cooperative Medical System (NRCMS) in 2003. However, satisfaction and voluntary participation in NRCMS of Liaoning province was unknown after ten years launching of NRCMS. Methods: In 2014, a total of 1500 individuals from 12 general hospitals in Liaoyang City, Dalian City, Panjin City and Tieling City of Liaoning Province were investigated using self-administered questionnaire by trained staff. Univariate and multivariate logistic regression analyses were applied to find out the satisfaction with NRCMS and its influencing factors among population from Liaoning province. Results: Of all respondents, 180 individuals (13.8%) were highly or relatively satisfied with the program. Moreover, 1092 individuals (84.0%) were fairly satisfied with the program, whereas 29 individuals (2.2%) were not. Multivariate analysis showed the price and range of drug, reimbursement ratio, simplicity of reimbursement procedures and medical technology level of hospitals were the main factors influencing the satisfaction.Conclusion: The overall satisfaction degree of Liaoning province's participating in NRCMS participant is at the middle level. In the process of seeking medical treatment, efforts are made to improve the reimbursement level, simplify the reimbursement procedures, increase the types of drugs in the reimbursement catalogue, and simultaneously take effective measures to control drug prices.

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Section: Education Attainment and Professional Titlementioning

confidence: 99%

“…A survey studying the reasons why people prefer urban hospitals showed that (multiple choices are permitted): good technology(29%), good service attitude(51%), good facilities (26%) [25,26]. Therefore, no matter for patients and doctors, the better condition of urban hospitals is a main attraction.…”

Section: Education Attainment and Professional Titlementioning

confidence: 99%

Participants’ satisfaction on China's New Rural Cooperative Medical System:a cross-sectional Survey in Liaoning province of China.

Liu

Wei

et al. 2020

Preprint

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“…It is a voluntary program and the voluntary feature was adopted to overcome public mistrust in the government-run insurance program ( 8 , 9 ). The survey showed a high enrolment rate of 92% in this voluntary insurance scheme ( 10 ). Based on fee-for-service and cost-sharing models, the NRCMS mainly applies to inpatient services and some medical outpatient services, aiming to reduce the burden of disease costs for the rural population ( 8 , 11 ).…”

Section: Introductionmentioning

confidence: 99%

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

Hou

Huang

2022

Front. Public Health

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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.

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“…In 2003, the Chinese government launched the New Rural Cooperative Medical Scheme (NRCMS), a government-run system that differed from the previous one in two aspects: (i) farmers contributed to a county-level rather than a town-level financing pool [ 13 ]; and (ii) participation was voluntary rather than mandatory. One of the main goals of the system is to address catastrophic medical payments [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

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

Sun

Shen

et al. 2016

BMC Health Serv Res

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BackgroudThis 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.MethodsThis 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.ResultsThe 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.ConclusionsChina’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.

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

Cited by 4 publications

References 26 publications

Participants’ satisfaction on China's New Rural Cooperative Medical System:a cross-sectional Survey in Liaoning province of China.

Participants’ satisfaction on China's New Rural Cooperative Medical System:a cross-sectional Survey in Liaoning province of China.

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

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

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