Statistical Analysis of the Effectiveness of the New Cooperative Medical Scheme in Rural China

Xuemei LUO, Xiao HAN

Abstract


This study is aimed at evaluating the impact of China's New Cooperative Medical Scheme (NCMS) on the utilization of health service and health status. Using a large sample based on the China Health and Nutrition Survey (CHNS) data and both Instrument Variables and individual Fixed Effect methods to eliminate the potential endogeneity problem, we consistently found that being enrolled by NCMS reduces out-of-pockets expenditure of rural residents of China. There's also a weaker evidence that the enrollment increase the use of preventive health service. However, we found that Enrolled in NCMS neither improves health condition nor increases the utilization of preventive and formal health service.
Key words: New Cooperative Medical Scheme; Health service; Rural residents; Statistical Analysis

Résumé: Cette étude vise à évaluer l'impact de la Chine Nouvelle coopérative médicale Scheme (SNGC) sur l'utilisation des services de santé et l'état de santé. L'utilisation d'un large échantillon basé sur la Santé de la Chine et la nutrition Enquête (ISC) des données et des variables instrumentales et individuels à la fois des méthodes à effet fixe pour éliminer le problème d'endogénéité, nous avons constamment trouvé que étant inscrits par SNGC réduit out-of-poches des dépenses des résidents ruraux de la Chine. Il ya également une faible preuve que l'inscription d'accroître l'utilisation des services de santé préventifs. Toutefois, nous avons constaté que ni inscrits dans le SNGC améliore l'état de santé, ni l'augmentation de l'utilisation des services de santé préventifs et formelle.
Mots clés: Nouveau système de coopérative médicale; Le service de santé; Les résidents ruraux; D'analyse statistique

Keywords


New Cooperative Medical Scheme; Health service; Rural residents; Statistical Analysis;Nouveau système de coopérative médicale; Le service de santé; Les résidents ruraux; D'analyse statistique

Full Text:

PDF

References


Akin, J.S., Dow, W.H., Lance, P.M. (2004). Did the Distribution of Health Insurance in China Continue to Grow Less Equitable in the Nineties? Results from a Longitudinal Survey. Social Science & Medicine, 58, 293-304.

Brown PH, de Brauw A, Du Y. (2008). Understanding Variation in the Design of China’s New Cooperative Medical Scheme. 2008 CES Annual Conference, Tianjin, China.

China Statistical Yearbook, 2006

Hendrik P., Van dalen. (2006). When Health Care Insurance Does Not Make A Difference – The Case of Health Care ‘Made in China’. Tinbergen Institute Discussion Paper.

Lei, X.Y., & Lin, W.C. (2009). The New Cooperative Medical Scheme in Rural China: does More Coverage Mean More Service and Better Health? Health Economics, 18(S2), S25-S46.

Mao Z. (2005). Pilot Program of Ncms in China: System Design and Progress. Background Paper for the World Bank China Rural Health Study. World Bank Health, Nutrition and Population-China Rural.

Wagstaff, A., M. Lindelow, J. Gao, L. Xu, and J. Qian. (2009). Extending Health Insurance to the Rural Population: An Impact Evaluation of China’s New Cooperative Medical Scheme. Journal of Health Economics, 28(1), 1-19.

Yan, Y., L. Zhang, H.H. Wang, and S. Rozelle. (2006). Insuring Rural China’s Health? An Empirical Analysis of China’s New Collective Medical System. Mimeo, Stanford University.

Yip W, Wang H, Hsiao W. (2008). The Impact of Rural Mutual Health Care on Access to Care: Evaluation of a Social Experiment in Rural China. Harvard Working Paper.

Yuanting Zhang and Franklin W. Goza. (2005). Who Will Care for the Elderly in China? A Review of the Problems Caused by China’s One Child Policy and their Potential Solutions. Bowling Green State University Working Paper Series, 05-07.




DOI: http://dx.doi.org/10.3968%2Fj.css.1923669720110703.004

Refbacks

  • There are currently no refbacks.


Reminder

If you have already registered in Journal A and plan to submit article(s) to Journal B, please click the CATEGORIES, or JOURNALS A-Z on the right side of the "HOME".


We only use three mailboxes as follows to deal with issues about paper acceptance, payment and submission of electronic versions of our journals to databases: caooc@hotmail.com; css@cscanada.net; css@cscanada.org

Copyright © Canadian Academy of Oriental and Occidental Culture

Address: 758, 77e AV, Laval, Quebec, H7V 4A8, Canada

Telephone: 1-514-558 6138

Http://www.cscanada.net Http://www.cscanada.org

E-mail:css@cscanada.net, css@cscanada.org