英文文献:The effects of New Cooperative Medicine Scheme coverage on health outcomes and health care in rural China-新型合作医疗覆盖对中国农村健康成果和卫生保健的影响
英文文献作者:Chu, Xueling,Wei, Longbao,Liu, Donald J.
英文文献摘要:
The primary objective of this paper is to evaluate the impact of New Cooperative Medicine Scheme (NCMS) in rural China, established in 2003, on improving rural residents’ access to health care and health status. Further, we estimate the extent to which NCMS reduce the expense across income groups. Using data from a longitudinal survey, we adopt a triple difference methodology to estimate the causal effect of NCMS. Our results show that NCMS has significantly increased the convenient of health care facility comparing with the non-expose countries, and it also can reduce the outpatient expense for low-middle income group. However, it did not lead to better self-assessed health. Our finding also reveals that the NCMS significantly increase the health care service price.
本文的主要目的是评估2003年建立的中国农村新型合作医疗制度(NCMS)对改善农村居民获得医疗服务和健康状况的影响。此外,我们还估计了新农村合作医疗制度在不同收入群体之间降低费用的程度。利用纵向调查的数据,我们采用三种不同的方法来估计NCMS的因果效应。结果表明,新农合制度显著提高了医疗机构的便捷性,降低了中低收入人群的门诊费用。然而,它并没有带来更好的自我健康评估。我们的研究还发现,新农合显著提高了医疗服务价格。