Catastrophic medical payment and financial protection in rural China: Evidence from the new cooperative medical scheme in Shandong Province

Health Economics

Volumn 18, Issue 1, 2009, Pages 103-119

  Sun, Xiaoyun ^a   Jackson, Sukhan ^b   Carmichael, Gordon ^c   Sleigh, Adrian C ^c  

^a Hlth Dis Prev Ctr Shandong Prov   (China)

^b UNIVERSITY OF QUEENSLAND   (Australia)

^c The Australian National University   (Australia)

Author keywords

Catastrophic illness; China; Community financing; Health insurance; Health protection; Medical costs; Rural health

Indexed keywords

ARTICLE; CHINA; CLUSTER ANALYSIS; CONTROLLED STUDY; FEMALE; FINANCIAL MANAGEMENT; HEALTH CARE ORGANIZATION; HEALTH INSURANCE; HUMAN; INTERVIEW; MALE; MEDICAL FEE; POPULATION RESEARCH; PRIORITY JOURNAL; REIMBURSEMENT; RISK MANAGEMENT; RURAL HEALTH CARE; VALIDITY; ECONOMICS; FAMILY SIZE; HEALTH; HEALTH CARE COST; HEALTH CARE QUALITY; PILOT STUDY; STATISTICAL MODEL; STATISTICS; TERMINAL DISEASE;

CATASTROPHIC ILLNESS; CHINA; FAMILY CHARACTERISTICS; FEMALE; FINANCING, ORGANIZED; HEALTH EXPENDITURES; HUMANS; INSURANCE, HEALTH; INTERVIEWS AS TOPIC; MALE; MODELS, ECONOMETRIC; PILOT PROJECTS; PROGRAM EVALUATION; RURAL HEALTH;

EID: 61449375480     PISSN: 10579230     EISSN: 10991050     Source Type: Journal    
DOI: 10.1002/hec.1346     Document Type: Article

References (37)

1. Bureau of Statistics of Linyi County. 2004. Handbook of Linyi Statistics 2003. Bureau of Statistics: Linyi.
2. Carrin G, Ron A, Yang H, Wang H, Zhang T, Zhang L, Zhang S, Ye Y, Chen J, Jiang Q, Zhang Z, Yu J, Li X. 1999. The reform of the rural cooperative medical system in the People's Republic of China: interim experience in 14 pilot counties. Social Science and Medicine 48(7): 961-972.
3. Central Committee of the CPC and the State Council. 2002. The Decision of Further Strengthening Rural Health. Zhongfa 2002 No. 13. Government Document.
4. Centre for Health Statistics and Information, Ministry of Health. 2004. Research on National Health Services: An Analysis Report of National Health Services Survey in 2003. Xie He Medical University Press: Beijing.
5. China Daily. 2002. Rural health care critical. China Daily, 17 September: 4.
6. Commission on Macroeconomics and Health. 2002. Mobilization of Domestic Resources for Health: The Report of Working Group 3 of the Commission on Macroeconomic and Health. World Health Organization: Geneva.
7. Ekman B. 2004. Community-based health insurance in low-income countries: a systematic review of the evidence. Health Policy and Planning 19(5): 249-270.
8. Hofler M. 2005. Causal inference based on counterfactuals. BMC Medical Research Methodology 28(5). (Available from: http:// www.biomedcentral.com/1471-2288/5/28).
9. ILO. 2002. Extending Social Protection in Health through Community Based Health Organizations: Evidence and Challenges. Discussion Paper. International Labour Office, Geneva.
10. Jackson S, Sleigh AC, Li P, Liu X. 2005. Health finance in rural China: low premium insurance compared to the out-of-pocket system. The China Quarterly 181: 137-157.
11. Jackson S, Sleigh AC, Liu X. 2002. Economics of Malaria Control in China: Cost, Performance and Effectiveness of Henan's Consolidation Programme. Social, Economic and Behavioural (SEB) Research, Report Series No. 1. World Health Organization: Geneva.
12. Jackson S, Sleigh AC, Wang G, Liu X. 2006a. Household poverty, off-farm migration and pulmonary tuberculosis in rural Henan, China. In Population Dynamics and Infectious Diseases in Asia, Sleigh AC, Chee HL, Yeoh BSA, Phua KH, Safman R (eds). World Scientific: London, 231-244.
13. Jackson S, Sleigh AC, Wang G, Liu X. 2006b. Poverty and the economic effects of TB in rural china. International Journal of Tuberculosis and Lung Disease 10(10): 1104-1110.
14. Kraay A. 2000. Household saving in China. World Bank Economic Review 14(3): 545-570.
15. Liu Y, Hu S, Fu W, Hsiao WC. 1996. Is community financing necessary and feasible for rural China? Health Policy 38(3): 155-171.
16. Liu Y, Rao K, Hsiao W. 2003. Medical expenditure and rural impoverishment in China. Journal of Health Population and Nutrition 21(3): 216-222.
17. McIntyre D, Thiede M, Dahlgren G, Whitehead M. 2006. What are the economic consequences for households of illness and of paying for health care in low- and middle-income country contexts? Social Science and Medicine 62(4): 858-865.
18. Murray CJL, Salomon JA, Mathers C. 2000. A critical examination of summary measures of population health. Bulletin of the World Health Organization 8(78): 981-994.
19. Murray CJL, Ezzati M, Lopez AD, Rodgers A, vander Hoom S. 2003a. Comparative quantification of health risks: conceptual framework and methodological issues. Population Health Metrics 1(1). (Available from: http://www.pophealthmetrics.com/content/1/1/1).
20. Murray CJL, Xu K, Klavus J, Kawabata K, Hanvoravongchai P, Zeramdini R, Aguilar-Rivera AM, Evans DB. 2003b. Assessing the distribution of household financial contributions to the health system: concepts and empirical application. In Health Systems Performance Assessment: Debates, Methods and Empiricism, Murray CJL, Evans DB (eds). World Health Organization: Geneva, 513-532.
21. Preker AS, Carrin G, Dror D, Jakab M, Hsiao W, Arhin-Tenkorany D. 2002. Effectiveness of community health financing in meeting the cost of illness. Bulletin of the World Health Organization 80(2): 143-150.
22. Preker AS, Carrin G, Dror DM, Jakab M, Hsiao W, Arhin D. 2001. Role of communities in resource mobilization and risk sharing: a synthesis report. Health Nutrition and Population Discussion Paper, World Bank, Washington, DC.
23. Qian Y. 1988. Urban and rural household saving in China'. International Monetary Fund Staff Papers 35(4): 592-627.
24. Ranson K. 2002. Reduction of catastrophic health expenditures by a community-based health insurance scheme in Gujarat, India: current experiences and challenges. Bulletin of the World Health Organization 80(8): 613-621.
25. Russell S. 2004. The economic burden of illness for households in developing countries: a review of studies focusing on malaria, tuberculosis and human immunodeficiency virus/acquired immunodeficiency syndrome. American Journal of Tropical Medicine and Hygiene 71 (Suppl 2): 147-155.
26. Su TT, Kouyate B, Flessa S. 2006. Catastrophic household expenditure for health care in a low income society: a study from Nouna District, Burkina Faso. Bulletin of the World Health Organization 84(1): 21-27.
27. Sun X. 2007. Community health financing in rural China: the New Cooperative Medical Scheme and its impact on health care provision and financial protection. Ph.D. Thesis, The Australian National University: Canberra.
28. van Doorslaer E, O'Donnell O, Rannan-Eliya RP, Somanathan A, Adhikari B, Garg CC, Harbianto D, Herrin AN, Huq MN, Ibragimova S, Karan A, Lee T-J, Leung GM, Lu J-F, Ng CW, Pande BR, Racelis R, Tao S, Tin K, Tisayaticom K, Trisnantoro L, Visasvid C, Zhao Y. 2005. Paying out-of-pocket for health care in Asia: catastrophic and poverty impact. Equity in Asia-Pacific Health Systems Working Paper No. 2, Erasmus University: Rotterdam and IPS: Colombo (available from http://www.equitap.org/ publications/wps.htm).
29. Wagstaff A, van Doorslaer E. 2003. Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993-1998. Health Economics 12: 921-934.
30. Waters HR, Anderson GF, Mays J. 2004. Measuring financial protection in health in the United States. Health Policy 69: 339-349.
31. Wilkes A, Yu H, Bloom G, Gu X. 1997. Coping with the costs of severe illness in rural China. IDS Working Paper No. 58, Institute of Development Studies, University of Sussex, Brighton.
32. Wu Q. 2001. Research on the necessity of building a medical protection system for the poor population in China. Ph.D. Thesis, Harbin Medical University: Harbin.
33. Wyszewianski L. 1986a. Families with catastrophic health care expenditures. Health Service Research 21(5): 716-734.
34. Wyszewianski L. 1986b. Financially catastrophic and high-cost cases: de. nitions, distinctions, and their implications for policy formulation. Inquiry 23(4): 382-394.
35. Xu K, Evans DB, Kawabata K, Zeramdini R, Klavus J, Murray CJL. 2003a. Understanding household catastrophic health expenditures: a multi-country analysis. In Health Systems Performance Assessment: Debates, Methods and Empiricism, Murray CJL, Evans DB (eds). World Health Organization: Geneva, 565-572.
36. Xu K, Klavus J, Kawabata K, Evans DB, Hanvoravongchai P, Ortiz JP, Zeramdini R, Murray CJL. 2003b. Household health system contributions and capacity to pay: definitional, empirical, and technical challenges. In Health Systems Performance Assessment: Debates, Methods and Empiricism, Murray CJL, Evans DB (eds). World Health Organization: Geneva, 532-542.
37. Yu H, Lucas H, Gu X, Shu B. 1998. Financing health care in poor rural counties in China: experiences from a township-based co-operative medical scheme. IDS Working Paper No. 66, Institute of Development Studies, University of Sussex, Brighton.