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The impact of the New Cooperative Medical Scheme in rural China: Do those who live far from a medical facility benefit more from NCMS participation?

机译：新农村合作医疗计划的影响：那些远离医疗机构的人是否从NCMS的参与中受益更多？

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摘要

Since the first pilot NCMS's in 2003, the New Cooperative Medical Scheme has offered catastrophic illness and other medical coverage to rural residents in China. Yet few studies have examined whether the scheme actually improves health status, utilization of health care services, and the burden of health care expenditures. This study employs data from three rounds of the China Health and Nutrition Survey to further examine this issue. For the analysis, I employ non-pooled and pooled Ordinary-Least-Squares regression and linear probability models. I also include an interaction term between the NCMS and distance from a medical facility to determine whether the effect of the NCMS differs by distance. I find that participating in the NCMS reduces the probability of being sick or injured in the past four weeks at most distances from a medical facility, and that as distance increases after approximately 8.6 minutes, so does the negative effect of NCMS participation on sick or injured in the past four weeks. The NCMS also appears to increase utilization of preventive care but does not increase utilization of other professional medical care. In two models, I find that the NCMS decreases the cost of preventive care at most distances from a medical facility, and that as distance from a medical facility increases after approximately 9.4 minutes, so does this reduction in costs for NCMS participants. However, in another model the NCMS appears to increase the cost of preventive care, counteracting the previous effect. NCMS participation reduces treatment costs in one pooled model, but the estimate is not very robust. This study finds no other indication that the NCMS reduces the burden of health care expenditures for rural residents.
机译：自2003年首个新农合试点以来，新合作医疗计划已为中国农村居民提供了重大疾病和其他医疗保险。然而，很少有研究检查该计划是否真正改善了健康状况，医疗保健服务的利用以及医疗保健支出的负担。本研究使用来自三轮中国健康与营养调查的数据来进一步研究该问题。为了进行分析，我采用了非池化和池化的普通最小二乘回归和线性概率模型。我还包括NCMS与距医疗机构的距离之间的相互作用项，以确定NCMS的效果是否因距离而异。我发现参加NCMS可以在过去四周内在距医疗机构大多数距离的地方降低生病或受伤的可能性，并且随着距离的增加，大约8.6分钟后，NCMS参加对生病或受伤的负面影响也随之降低在过去的四个星期中。新农合似乎也增加了预防保健的利用率，但并未增加其他专业医疗保健的利用率。在两个模型中，我发现NCMS可以在距医疗机构大多数距离的地方降低预防保健的成本，并且随着距医疗机构的距离在大约9.4分钟后增加，NCMS参与者的费用减少也可以减少。但是，在另一个模型中，新农合似乎增加了预防保健的费用，抵消了以前的影响。 NCMS的参与可以降低一种汇总模型中的治疗成本，但这一估算并不是十分可靠。这项研究没有其他迹象表明，新农合减轻了农村居民医疗保健支出的负担。

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  • 作者

    Lipow, Corey.;

  • 作者单位

    Georgetown University.;

  • 授予单位 Georgetown University.;
  • 学科 Health Sciences Public Health.;Sociology Public and Social Welfare.
  • 学位 M.P.P.
  • 年度 2010
  • 页码 64 p.
  • 总页数 64
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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