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

dc.contributor.author Yang, Xiaowei
dc.contributor.author Gao, Jianmin
dc.contributor.author Zhou, Zhongliang
dc.contributor.author Yan, Jue
dc.contributor.author Lai, Sha
dc.contributor.author Xu, Yongjian
dc.contributor.author Chen, Gang
dc.date.accessioned 2017-03-31T05:09:26Z
dc.date.available 2017-03-31T05:09:26Z
dc.date.issued 2016-07-05
dc.description Copyright: © 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.abstract Background 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.citation Yang 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.0157918 en
dc.identifier.doi https://doi.org/10.1371/journal.pone.0157918 en
dc.identifier.issn 1932-6203
dc.identifier.uri http://hdl.handle.net/2328/37047
dc.language.iso en
dc.publisher Public Library of Science en
dc.rights Copyright: © 2016 Yang et al. en
dc.rights.holder The authors en
dc.rights.license CC-BY
dc.subject Disease en
dc.subject Poverty en
dc.subject China en
dc.subject Rural China en
dc.subject New Cooperative Medical Scheme (NCMS) en
dc.title Assessing the Effects of the New Cooperative Medical Scheme on Alleviating the Health Payment-Induced Poverty in Shaanxi Province, China en
dc.type Article en
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