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Extending Health Insurance to the Rural Population : An Impact Evaluation of China's New Cooperative Medical Scheme

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dc.contributor.authorJun, Gao
dc.contributor.authorWagstaff, Adam
dc.contributor.authorLing, Xu
dc.contributor.authorLindelow, Magnus
dc.contributor.authorJuncheng, Qian
dc.date.accessioned2012-06-05T21:29:55Z
dc.date.available2012-06-05T21:29:55Z
dc.date.issued2007-03
dc.description.abstractIn 2003, after over 20 years of minimal health insurance coverage in rural areas, China launched a heavily subsidized voluntary health insurance program for rural residents. The authors use program and household survey data, as well as health facility census data, to analyze factors affecting enrollment into the program and to estimate its impact on households and health facilities. They obtain estimates by combining differences-in-differences with matching methods. The authors find some evidence of lower enrollment rates among poor households, holding other factors constant, and higher enrollment rates among households with chronically sick members. The household and facility data point to the scheme significantly increasing both outpatient and inpatient utilization (by 20-30 percent), but they find no impact on utilization in the poorest decile. For the sample as a whole, the authors find no statistically significant effects on average out-of-pocket spending, but they do find some-albeit weak-evidence of increased catastrophic health spending. For the poorest decile, by contrast, they find that the scheme increased average out-of-pocket spending but reduced the incidence of catastrophic health spending. They find evidence that the program has increased ownership of expensive equipment among central township health centers but had no impact on cost per case.en
dc.identifierhttp://documents.worldbank.org/curated/en/2007/03/7410304/extending-health-insurance-rural-population-impact-evaluation-chinas-new-cooperative-medical-scheme
dc.identifier.doi10.1596/1813-9450-4150
dc.identifier.urihttps://hdl.handle.net/10986/7202
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesPolicy Research Working Paper; No. 4150
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectADVERSE SELECTION
dc.subjectAGE STRUCTURE
dc.subjectAGRICULTURE
dc.subjectCITIES
dc.subjectCOST CONTROL
dc.subjectCOST-SHARING ARRANGEMENTS
dc.subjectDELIVERY SYSTEM
dc.subjectDEVELOPMENT RESEARCH GROUP
dc.subjectDISTRICTS
dc.subjectECONOMIC DEVELOPMENT
dc.subjectECONOMIES OF SCALE
dc.subjectEDUCATIONAL ATTAINMENT
dc.subjectEXPENDITURES
dc.subjectFAMILIES
dc.subjectFEE-FOR-SERVICE
dc.subjectGENDER
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURANCE PROGRAM
dc.subjectHEALTH INSURANCE SCHEME
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SPENDING
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEM
dc.subjectHOSPITALS
dc.subjectHOUSEHOLD EXPENDITURE
dc.subjectHOUSEHOLD INCOME
dc.subjectHOUSEHOLD LEVEL
dc.subjectHOUSEHOLD SIZE
dc.subjectHOUSEHOLD SURVEY
dc.subjectHOUSEHOLDS
dc.subjectINCOME DISTRIBUTION
dc.subjectINCOME GROUPS
dc.subjectINFORMAL SECTOR
dc.subjectINFORMAL SECTOR WORKERS
dc.subjectINSURERS
dc.subjectLOCAL GOVERNMENTS
dc.subjectMEDICAL SERVICES
dc.subjectMEDICAL SYSTEM
dc.subjectMORAL HAZARD
dc.subjectMORTALITY
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL HEALTH SERVICE
dc.subjectOCCUPANCY
dc.subjectOUTPATIENT CARE
dc.subjectPOCKET PAYMENTS
dc.subjectPOLICY RESEARCH
dc.subjectPOOR HOUSEHOLDS
dc.subjectPOSITIVE SPILLOVERS
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH INSURANCE
dc.subjectQUALITY CONTROL
dc.subjectRURAL AREAS
dc.subjectRURAL HOUSEHOLDS
dc.subjectRURAL POPULATION
dc.subjectSAFETY
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectSTANDARD ERRORS
dc.subjectVILLAGES
dc.subjectWORKERS
dc.titleExtending Health Insurance to the Rural Population : An Impact Evaluation of China's New Cooperative Medical Schemeen
dspace.entity.typePublication
okr.crossref.titleExtending Health Insurance To The Rural Population : An Impact Evaluation Of China's New Cooperative Medical Scheme
okr.date.doiregistration2025-04-10T10:34:14.105633Z
okr.doctypePublications & Research::Policy Research Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2007/03/7410304/extending-health-insurance-rural-population-impact-evaluation-chinas-new-cooperative-medical-scheme
okr.globalpracticeSocial, Urban, Rural and Resilience
okr.globalpracticePoverty
okr.globalpracticeHealth, Nutrition, and Population
okr.guid383551468029341290
okr.identifier.doi10.1596/1813-9450-4150
okr.identifier.externaldocumentum000016406_20070222160135
okr.identifier.internaldocumentum7410304
okr.identifier.reportWPS4150
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2007/02/22/000016406_20070222160135/Rendered/PDF/wps4150.pdfen
okr.region.administrativeEast Asia and Pacific
okr.region.countryChina
okr.topicHealth Economics and Finance
okr.topicHealth Monitoring and Evaluation
okr.topicHousing and Human Habitats
okr.topicPoverty Reduction::Small Area Estimation Poverty Mapping
okr.topicRural Development::Regional Rural Development
okr.topicCommunities and Human Settlements
okr.topicHealth, Nutrition and Population
okr.unitDevelopment Research Group (DECRG)
okr.volume1 of 1
relation.isAuthorOfPublication5d38fde2-5803-56c6-b733-3866ea5be265
relation.isAuthorOfPublicationd6df2a53-bb3c-5376-8494-5d7b3af636f6
relation.isAuthorOfPublication.latestForDiscoveryd6df2a53-bb3c-5376-8494-5d7b3af636f6
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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