Catastrophic health expenditure for poor and low-income rural residents under New Rural Co-operative Medical Scheme
10.3969/j.issn.1674-2982.2014.04.006
- VernacularTitle:新农合贫困和低收入居民灾难性卫生支出研究--基于三省份的抽样调查
- Author:
Lina CHEN
;
Wei WEI
;
Jing WANG
;
Liang ZHANG
- Publication Type:Journal Article
- Keywords:
New Rural Cooperative Medical Scheme;
Catastrophic health expenditure;
Poor people;
Low-in-come people
- From:
Chinese Journal of Health Policy
2014;(4):32-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the catastrophic health expenditure for poor and lower-income rural residents and the ability of New Rural Cooperative Medical Scheme( NRCMS) to alleviate poverty. Methods:We selected Zhe-jiang, Hubei, and Chongqing provinces as sample areas and obtained 1661 questionnaires through a field survey. We calculated the out-of-pocket expenditure per year, incidence, average gap, relative gap, and concentration index of catastrophic health expenditure for participating households. Results:Both before and after compensation, incidence, average gap, and relative gap of catastrophic health payment for poverty group were the highest, followed by low-in-come group. After compensation, the concentration index decreased. This means that catastrophic health expenditure tends to be focused more on families with financial difficulties. Conclusion:To protect poor and low-income rural res-idents from catastrophic health expenditure, we should promote critical illness insurance, improve the medical assis-tance system, implement payment reform, and improve the NRCMS.
