DOI: 10.7664/CHE20140215
The Impact of New Rural Cooperative Medical System on Catastrophic Health Payment of Rural Residents in 3 Counties of Hunan
Abstract：Objective:To evaluate the effects of New Rural Cooperative Medical System(NCMS) on catastrophic health payment of rural residents . Methods:Compare the changing of family risk ( FR ) and catastrophic health expenditures ( CHP ) before and after compensation of NCMS. Results: The rate of residents in middle and high FR reduce from 8.25% to 6.75% after the compensation of NCMS. The rates of catastrophic health payment headcount are 16.50% and 13.50%, catastrophic payment gaps are 5.14% and 3.63%before and after the compensation of NCMS. Mean positive gaps are 31.16%and 26.89%, concentration indexes of catastrophic payment headcount are -0.315 2 and -0.325 9 respectively. Conclusion: Low-income families face higher FR and CHP; the mean catastrophic payment gaps are high;NCMS needs to improve the fairness of compensation method;the comprehensive application of FR and CHP help to make more scientific and reasonable evaluation on family health expenditure.
Keywords：catastrophic health paymentdisease economic risknew cooperative medical systemHunan
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 48-50 )