Impact of Urban-Rural Health Insurance Integration on Health Care: Evidence from Rural China

2020 ◽  
Author(s):  
Xian Huang ◽  
Bingxiao Wu
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Rural Health ◽  
Rural China ◽  
Urban Rural

scholarly journals Public Medical Insurance and Healthcare Utilization and Expenditures of Older with Chronic Diseases in Rural China: Evidence from NRCMS

2020 ◽  
Vol 17 (20) ◽  
pp. 7683
Author(s):  
Qi Liu ◽  
Jin Liu ◽  
Shuntian Sui
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Insurance ◽  
Chronic Diseases ◽  
Rural China ◽  
Health Care Service ◽  
Outpatient Service ◽  
Public Health Insurance ◽  
Care Utilization ◽  
The Impact

China’s rural older are the threat from chronic diseases, making it important to evaluate the effect of public health insurance on the health care utilization and expenditures with chronic diseases. In 2003, China initiated a public health insurance, which was called the New Rural Cooperative Medical System (NRCMS). NRCMS is a voluntary program, targeting rural residents with government subsidies and individual contribution. Using the two-stage residual inclusion approach (2SRI), we analyzed the impact of NRCMS on health-care service utilization and expenditure of rural older with chronic diseases by using the 2011 and 2013 China Health and Retirement Survey (CHARLS) data. The results showed NRCMS did not play an effective role on improving the medical services utilization of rural older with chronic diseases. Although NRCMS immediate reimbursement significantly reduced the outpatient service fee, the actual outpatient reimbursement is the opposite. In addition, NRCMS did not significantly decrease their hospitalization expense. Policy makers should pay attention to health management about chronic diseases in rural China, and some measures should be taken to deepen the medical security system reform and improve the public health service system.

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