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

dc.contributor.author Wagstaff, Adam
dc.contributor.author Lindelow, Magnus
dc.contributor.author Jun, Gao
dc.contributor.author Ling, Xu
dc.contributor.author Juncheng, Qian
dc.date.accessioned 2012-06-05T21:29:55Z
dc.date.available 2012-06-05T21:29:55Z
dc.date.issued 2007-03
dc.description.abstract In 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.identifier http://documents.worldbank.org/curated/en/2007/03/7410304/extending-health-insurance-rural-population-impact-evaluation-chinas-new-cooperative-medical-scheme
dc.identifier.uri http://hdl.handle.net/10986/7202
dc.language English
dc.publisher World Bank, Washington, DC
dc.relation.ispartofseries Policy Research Working Paper; No. 4150
dc.rights CC BY 3.0 IGO
dc.rights.holder World Bank
dc.rights.uri http://creativecommons.org/licenses/by/3.0/igo/
dc.subject ADVERSE SELECTION
dc.subject AGE STRUCTURE
dc.subject AGRICULTURE
dc.subject CITIES
dc.subject COST CONTROL
dc.subject COST-SHARING ARRANGEMENTS
dc.subject DELIVERY SYSTEM
dc.subject DEVELOPMENT RESEARCH GROUP
dc.subject DISTRICTS
dc.subject ECONOMIC DEVELOPMENT
dc.subject ECONOMIES OF SCALE
dc.subject EDUCATIONAL ATTAINMENT
dc.subject EXPENDITURES
dc.subject FAMILIES
dc.subject FEE-FOR-SERVICE
dc.subject GENDER
dc.subject HEALTH CARE
dc.subject HEALTH CARE PROVIDERS
dc.subject HEALTH EXPENDITURES
dc.subject HEALTH INSURANCE
dc.subject HEALTH INSURANCE PROGRAM
dc.subject HEALTH INSURANCE SCHEME
dc.subject HEALTH SERVICES
dc.subject HEALTH SPENDING
dc.subject HEALTH STATUS
dc.subject HEALTH SYSTEM
dc.subject HOSPITALS
dc.subject HOUSEHOLD EXPENDITURE
dc.subject HOUSEHOLD INCOME
dc.subject HOUSEHOLD LEVEL
dc.subject HOUSEHOLD SIZE
dc.subject HOUSEHOLD SURVEY
dc.subject HOUSEHOLDS
dc.subject INCOME DISTRIBUTION
dc.subject INCOME GROUPS
dc.subject INFORMAL SECTOR
dc.subject INFORMAL SECTOR WORKERS
dc.subject INSURERS
dc.subject LOCAL GOVERNMENTS
dc.subject MEDICAL SERVICES
dc.subject MEDICAL SYSTEM
dc.subject MORAL HAZARD
dc.subject MORTALITY
dc.subject NATIONAL HEALTH
dc.subject NATIONAL HEALTH SERVICE
dc.subject OCCUPANCY
dc.subject OUTPATIENT CARE
dc.subject POCKET PAYMENTS
dc.subject POLICY RESEARCH
dc.subject POOR HOUSEHOLDS
dc.subject POSITIVE SPILLOVERS
dc.subject PUBLIC HEALTH
dc.subject PUBLIC HEALTH INSURANCE
dc.subject QUALITY CONTROL
dc.subject RURAL AREAS
dc.subject RURAL HOUSEHOLDS
dc.subject RURAL POPULATION
dc.subject SAFETY
dc.subject SOCIAL HEALTH INSURANCE
dc.subject STANDARD ERRORS
dc.subject VILLAGES
dc.subject WORKERS
dc.title Extending Health Insurance to the Rural Population : An Impact Evaluation of China's New Cooperative Medical Scheme en
dspace.entity.type Publication
okr.doctype Publications & Research :: Policy Research Working Paper
okr.doctype Publications & Research
okr.docurl http://documents.worldbank.org/curated/en/2007/03/7410304/extending-health-insurance-rural-population-impact-evaluation-chinas-new-cooperative-medical-scheme
okr.globalpractice Social, Urban, Rural and Resilience
okr.globalpractice Poverty
okr.globalpractice Health, Nutrition, and Population
okr.identifier.doi 10.1596/1813-9450-4150
okr.identifier.externaldocumentum 000016406_20070222160135
okr.identifier.internaldocumentum 7410304
okr.identifier.report WPS4150
okr.language.supported en
okr.pdfurl http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2007/02/22/000016406_20070222160135/Rendered/PDF/wps4150.pdf en
okr.region.administrative East Asia and Pacific
okr.region.country China
okr.topic Health Economics and Finance
okr.topic Health Monitoring and Evaluation
okr.topic Housing and Human Habitats
okr.topic Poverty Reduction :: Small Area Estimation Poverty Mapping
okr.topic Rural Development :: Regional Rural Development
okr.topic Communities and Human Settlements
okr.topic Health, Nutrition and Population
okr.unit Development Research Group (DECRG)
okr.volume 1 of 1
relation.isAuthorOfPublication 5d38fde2-5803-56c6-b733-3866ea5be265
relation.isAuthorOfPublication d6df2a53-bb3c-5376-8494-5d7b3af636f6
relation.isSeriesOfPublication 26e071dc-b0bf-409c-b982-df2970295c87
Files
Original bundle
Now showing 1 - 2 of 2
Thumbnail Image
Name:
English PDF
Size:
370.65 KB
Format:
Adobe Portable Document Format
Description:
No Thumbnail Available
Name:
English Text
Size:
115.74 KB
Format:
Plain Text
Description:
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Plain Text
Description: