Understanding variation in the design of China's new co-operative medical system
Although the New Co-operative Medical System (NCMS) was expected to operate in all rural Chinese counties by the end of 2008, county governments were given significant leeway in the design of the local programmes. As a result, fundamental characteristics of NCMS programmes vary dramatically between...
| Autores principales: | , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Cambridge University Press
2009
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| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/162248 |
| _version_ | 1855525283675766784 |
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| author | Brown, Philip H. de Brauw, Alan Du, Yang |
| author_browse | Brown, Philip H. Du, Yang de Brauw, Alan |
| author_facet | Brown, Philip H. de Brauw, Alan Du, Yang |
| author_sort | Brown, Philip H. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Although the New Co-operative Medical System (NCMS) was expected to operate in all rural Chinese counties by the end of 2008, county governments were given significant leeway in the design of the local programmes. As a result, fundamental characteristics of NCMS programmes vary dramatically between counties. Such heterogeneity in programme design may influence satisfaction with the NCMS in each county, and thus each programme's prospects for success. This article uses survey data collected by the authors to consider five distinct measures of success. We find that households respond favourably to making emigrants eligible for coverage and to lowering the spending threshold for reimbursement eligibility. However, households are less likely to have received reimbursement in counties that require referrals or limit treatment to approved hospitals. Finally, out-of-pocket expenditures associated with catastrophic health care may still be too high to facilitate treatment of the rural poor. |
| format | Journal Article |
| id | CGSpace162248 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2009 |
| publishDateRange | 2009 |
| publishDateSort | 2009 |
| publisher | Cambridge University Press |
| publisherStr | Cambridge University Press |
| record_format | dspace |
| spelling | CGSpace1622482025-02-19T14:07:16Z Understanding variation in the design of China's new co-operative medical system Brown, Philip H. de Brauw, Alan Du, Yang agriculture Although the New Co-operative Medical System (NCMS) was expected to operate in all rural Chinese counties by the end of 2008, county governments were given significant leeway in the design of the local programmes. As a result, fundamental characteristics of NCMS programmes vary dramatically between counties. Such heterogeneity in programme design may influence satisfaction with the NCMS in each county, and thus each programme's prospects for success. This article uses survey data collected by the authors to consider five distinct measures of success. We find that households respond favourably to making emigrants eligible for coverage and to lowering the spending threshold for reimbursement eligibility. However, households are less likely to have received reimbursement in counties that require referrals or limit treatment to approved hospitals. Finally, out-of-pocket expenditures associated with catastrophic health care may still be too high to facilitate treatment of the rural poor. 2009-06 2024-11-21T10:01:57Z 2024-11-21T10:01:57Z Journal Article https://hdl.handle.net/10568/162248 en Limited Access Cambridge University Press Brown, Philip H.; Brauw, Alan de; Du, Yang. 2009. Understanding variation in the design of China's new co-operative medical system. The China Quarterly The China Quarterly 198: 304-329 |
| spellingShingle | agriculture Brown, Philip H. de Brauw, Alan Du, Yang Understanding variation in the design of China's new co-operative medical system |
| title | Understanding variation in the design of China's new co-operative medical system |
| title_full | Understanding variation in the design of China's new co-operative medical system |
| title_fullStr | Understanding variation in the design of China's new co-operative medical system |
| title_full_unstemmed | Understanding variation in the design of China's new co-operative medical system |
| title_short | Understanding variation in the design of China's new co-operative medical system |
| title_sort | understanding variation in the design of china s new co operative medical system |
| topic | agriculture |
| url | https://hdl.handle.net/10568/162248 |
| work_keys_str_mv | AT brownphiliph understandingvariationinthedesignofchinasnewcooperativemedicalsystem AT debrauwalan understandingvariationinthedesignofchinasnewcooperativemedicalsystem AT duyang understandingvariationinthedesignofchinasnewcooperativemedicalsystem |