The China health and nutrition survey: an important database for poverty and inequality research

Liu, Haiyong

doi:10.1007/s10888-008-9088-x

Cited by 22 publications

(11 citation statements)

References 9 publications

(9 reference statements)

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“…In Turkey, risk pooling/health insurance was found to be beneficial and better protected people from catastrophic health expenditure (CHE) than other individuals with comparable income levels in other countries [ 5 ]. Laos [ 6 ] and Ireland [ 7 ] provided a universal health insurance through implementing new schemes or modifying existing policies, to decrease the population’s disease-related financial burden.…”

Section: Backgroundsmentioning

confidence: 99%

New cooperative medical scheme decreased financial burden but expanded the gap of income-related inequity: evidence from three provinces in rural China

Zhang

et al. 2016

Int J Equity Health

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BackgroundSubsidizing healthcare costs through insurance schemes is crucial to overcome financial barriers to health care and to avoid high medical expenditures for patients in China. The health insurance could decrease financial risk by less out-of-pocket (OOP) payment, but not promise the protection equity. With the growth of New Cooperative Medical Scheme (NCMS) financing and coverage since 2008, the protection effectiveness and equity of the modified NCMS policies on financial burden should be further evaluated.MethodsA cross-sectional household survey was conducted in Zhejiang, Hubei, and Chongqing provinces by multi-stage stratified random sampling in 2011. A total of 1,525 households covered by the NCMS were analyzed. The protection effectiveness and protection equity of NCMS was analyzed by comparing the changes in health care utilization and medical expenditures, and the changes in the prevalence of catastrophic health expenditure (CHE) and its concentration indices (CIs) between pre- and post-NCMS reimbursement, respectively.ResultsThe medical financial burden was still remarkably high for the low income rural residents in China due to high OOP payment, even after NCMS reimbursement. In Hubei province, the OOP payment of the poorest quintile was almost same as their households’ annual expenditures. Even it was higher than their annual expenditures in Chongqing municipality. Effective reimbursement ratio of both outpatient and inpatient services were far lower than nominal reimbursement ratio originally designed by NCMS plans. After NCMS reimbursement, the prevalence of CHE was considerably high in all three provinces, and the absolute values of CIs were even higher than those before reimbursement, indicating the inequity exaggerated.ConclusionPolicymakers should further modify NCMS policy in rural China. The high OOP payment could be decreased by expanding the drug list and check directory for benefit package of NCMS to minimize the gap between nominal reimbursement ratio and effective reimbursement ratio. And the increase in medical expenditures should be controlled by monitoring excess demand from both medical service providers and patients, and changing fee-for-service payment for providers to a prospective payment system. Service accessibility and affordability for vulnerable rural residents should be protected by modifying regressive financing in NCMS, and by providing extra financial aid and reimbursement from government.

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Section: Backgroundsmentioning

confidence: 99%

New cooperative medical scheme decreased financial burden but expanded the gap of income-related inequity: evidence from three provinces in rural China

Zhang

et al. 2016

Int J Equity Health

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“…The CHNS data provides longitudinal information on health, nutrition, and family characteristics and offers reliable information for studying patterns of poverty and inequality in China over time (Liu, 2008;Zhang and Wan, 2006). High quality panel data are a rarity in developing countries, making CHNS a valuable resource for understanding socio-economic patterns in developing economies.…”

Section: Datamentioning

confidence: 99%

Poverty Reduction in Urban China: The Impact of Cash Transfers

Ramesh

2014

Social Policy & Society

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“…5 See, among others, Benjamin et al (2005), Benjamin et al (2005b), Liu (2008). The survey waves in the CHNS are 1989CHNS are , 1991CHNS are , 1993CHNS are , 1997CHNS are , 2000CHNS are , 2004CHNS are , 2006CHNS are , 2009 and 2011.…”

Section: Market Sizementioning

confidence: 99%

Demand forces of technical change evidence from the Chinese manufacturing industry

Beerli

Weiss

Zilibotti

et al. 2020

China Economic Review

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This paper investigates the effect of domestic market size on innovation activities across different durable good industries in the Chinese manufacturing sector. We address the endogeneity of market size by an IV strategy, based on a measure of potential market size, which is driven only by changes in the Chinese income distribution. This measure is exogenous to changes in prices and qualities of durable goods and is a valid instrument for expected future market size. Our results indicate that an increase in market size by one percent leads to an increase in firm-specific total factor productivity by 0.46 percent and an increase in labor productivity by 0.50 percent. These findings are robust to controlling for export behavior of firms and supply side drivers of R&D.

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The China health and nutrition survey: an important database for poverty and inequality research

Abstract: China, Health, Nutrition,

Cited by 22 publications

References 9 publications

New cooperative medical scheme decreased financial burden but expanded the gap of income-related inequity: evidence from three provinces in rural China

New cooperative medical scheme decreased financial burden but expanded the gap of income-related inequity: evidence from three provinces in rural China

Poverty Reduction in Urban China: The Impact of Cash Transfers

Demand forces of technical change evidence from the Chinese manufacturing industry

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