Extending health insurance to the rural population: An impact evaluation of China's new cooperative medical scheme
Extending health insurance to the rural population: An impact evaluation of China's new cooperative medical scheme
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DOI：
10.1016/j.jhealeco.2008.10.007
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发表时间：
2009-01-01
影响因子：
3.5
通讯作者：
Qian Juncheng
中科院分区：
文献类型：
--
作者：
Wagstaff, Adam;Lindelow, Magnus;Qian Juncheng
2003年，中国启动了对农村居民的自愿医疗保险计划。我们将联合收割机差异与匹配方法相结合，使用从项目管理人员、卫生设施和家庭收集的数据来获得影响估计。该计划增加了门诊和住院病人的利用率，并降低了分娩费用。但它并没有减少每次门诊或住院的自付费用，自付费用总体上没有减少。我们发现异质性的收入群体和实施县。该方案增加了中心乡镇卫生中心对昂贵设备的所有权，但对每个病例的成本没有影响。(C)2008 Elsevier B.V.保留所有权利。
In 2003, China launched a heavily Subsidized voluntary health insurance program for rural residents. We combine differences-in-differences with matching methods to obtain impact estimates, using data collected from program administrators, health facilities and households. The scheme has increased outpatient and inpatient utilization, and has reduced the cost of deliveries. But it has not reduced out-of-pocket expenses per outpatient visit or inpatient spell, Out-of-pocket payments overall have not been reduced. We find heterogeneity across income groups and implementing counties. The program has increased ownership of expensive equipment among central township health centers but has had no impact on cost per case. (C) 2008 Elsevier B.V. All rights reserved.