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2013•Xiandai yufang yixueRequires access

Influence of rural health security schemes on catastrophic health payment among three provinces located in Chinese central-western rural areas

Hong Zhang

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Abstract

OBJECTIVE To examine the impact of New Rural Cooperative Medical Scheme(NRCMS)and Medical Financial Aid(MFA)on catastrophic health payment(CHP).METHODS A household survey was conducted.RESULTS 90.8% individuals participated in NRCMS and 8.0% had no insurance.Among the 1 337 poor individuals,7.6% had their premium paid by MFA.Non-admission fee incurred a larger CHP than admission fee.For total fees,the incidence and intensity of CHP was 14.3% and 2.8%.NRCMS reduced those parameters by 9.9% and 16.9%.NRCMS was more effective in decreasing both the incidence and intensity of CHP for hospital admission than those for non-hospital care.FMA prevented 1% households from CHP.NRCMS were not associated with CHP.CONCLUSION The current medical care insurance schemes hardly protect against CHP.

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What this paper is about

OBJECTIVE To examine the impact of New Rural Cooperative Medical Scheme(NRCMS)and Medical Financial Aid(MFA)on catastrophic health payment(CHP).METHODS A household survey was conducted.RESULTS 90.8% individuals participated in NRCMS and 8.0% had no insurance.Among the 1 337 poor individuals,7.6% had their premium paid by MFA.Non-admission fee incurred a larger CHP than admission fee.For total fees,the incidence and intensity of CHP was 14.3% and 2.8%.NRCMS reduced those parameters by 9.9% and 16.9%.NRCMS was more effective in decreasing both the incidence and intensity of CHP for hospital admission than those for non-hospital care.FMA prevented 1% households from CHP.NRCMS were not associated with CHP.CONCLUSION The current medical care insurance schemes hardly protect against CHP.

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Available abstract

OBJECTIVE To examine the impact of New Rural Cooperative Medical Scheme(NRCMS)and Medical Financial Aid(MFA)on catastrophic health payment(CHP).METHODS A household survey was conducted.RESULTS 90.8% individuals participated in NRCMS and 8.0% had no insurance.Among the 1 337 poor individuals,7.6% had their premium paid by MFA.Non-admission fee incurred a larger CHP than admission fee.For total fees,the incidence and intensity of CHP was 14.3% and 2.8%.NRCMS reduced those parameters by 9.9% and 16.9%.NRCMS was more effective in decreasing both the incidence and intensity of CHP for hospital admission than those for non-hospital care.FMA prevented 1% households from CHP.NRCMS were not associated with CHP.CONCLUSION The current medical care insurance schemes hardly protect against CHP.

Key concepts: Payment, Medical insurance, Rural area, Health insurance, Incidence (geometry), Environmental health, Business, Health care

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Influence of rural health security schemes on catastrophic health payment among three provinces located in Chinese central-western rural areas — Research Paper | ScholarLens