Assessing the Effects of the New Cooperative Medical Scheme on Alleviating the Health Payment-Induced Poverty in Shaanxi Province, China

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dc.contributor.authorYang, Xiaowei
dc.contributor.authorGao, Jianmin
dc.contributor.authorZhou, Zhongliang
dc.contributor.authorYan, Jue
dc.contributor.authorLai, Sha
dc.contributor.authorXu, Yongjian
dc.contributor.authorChen, Gang
dc.date.accessioned2017-03-31T05:09:26Z
dc.date.available2017-03-31T05:09:26Z
dc.date.issued2016-07-05
dc.descriptionCopyright: © 2016 Yang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en
dc.description.abstractBackground Disease has become one of the key causes of falling into poverty in rural China. The poor households are even more likely to suffer. The New Cooperative Medical Scheme (NCMS) has been implemented to provide rural residents financial protection against health risks. This study aims to assess the effect of the NCMS on alleviating health payment-induced poverty in the Shaanxi Province of China. Methods The data was drawn from the 5th National Health Service Survey of Shaanxi Province, conducted in 2013. In total, 41,037 individuals covered by NCMS were selected. Poverty headcount ratio (HCR), poverty gap and mean positive poverty gap were used for measuring the incidence, depth and intensity of poverty, respectively. The differences on poverty measures pre- and post- insurance reimbursement indicate the effectiveness of alleviating health payment-induced poverty under NCMS. Results For the general insured, 5.81% of households fell below the national poverty line owing to the health payment; this HCR dropped to 4.84% after insurance reimbursement. The poverty HCRs for the insured that had hospitalization in the past year dropped from 7.50% to 2.09% after reimbursement. With the NCMS compensation, the poverty gap declined from 42.90 Yuan to 34.49 Yuan (19.60% decreased) for the general insured and from 57.48 Yuan to 10.01 Yuan (82.59% decreased) for the hospital admission insured. The mean positive poverty gap declined 3.56% and 37.40% for two samples, respectively. Conclusion The NCMS could alleviate the health payment-induced poverty. The effectiveness of alleviating health payment-induced poverty is greater for hospital admission insured than for general insured, mainly because NCMS compensates for serious diseases. Our study suggests that a more comprehensive insurance benefit package design could further improve the effectiveness of poverty alleviation.en
dc.identifier.citationYang X, Gao J, Zhou Z, Yan J, Lai S, Xu Y, et al. (2016) Assessing the Effects of the New Cooperative Medical Scheme on Alleviating the Health Payment-Induced Poverty in Shaanxi Province, China. PLoS ONE 11(7): e0157918. doi:10.1371/journal.pone.0157918en
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0157918en
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/2328/37047
dc.language.isoen
dc.oaire.license.condition.licenseCC-BY
dc.publisherPublic Library of Scienceen
dc.rightsCopyright: © 2016 Yang et al.en
dc.rights.holderThe authorsen
dc.subjectDiseaseen
dc.subjectPovertyen
dc.subjectChinaen
dc.subjectRural Chinaen
dc.subjectNew Cooperative Medical Scheme (NCMS)en
dc.titleAssessing the Effects of the New Cooperative Medical Scheme on Alleviating the Health Payment-Induced Poverty in Shaanxi Province, Chinaen
dc.typeArticleen
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