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评估公共保险对医疗保健利用和死亡率的影响:一项在中国的全国性研究。

Assessing the impact of public insurance on healthcare utilization and mortality: A nationwide study in China.

作者信息

Lin Lin, Zai Xianhua

机构信息

School of Public Management, East China Normal University, Shanghai, China.

Department of Labor Demography, Max Planck Institute for Demographic Research, Rostock, Germany.

出版信息

SSM Popul Health. 2024 Jan 26;25:101615. doi: 10.1016/j.ssmph.2024.101615. eCollection 2024 Mar.

Abstract

We investigate the effects of a significant health insurance expansion in rural China known as the New Cooperative Medical Scheme (NCMS). Our analysis is based on a nationwide dataset spanning from 2004 to 2011. We find that the NCMS effectively increases healthcare utilization, particularly inpatient admissions, and reduces the incidence for infectious diseases. In addition to the increased healthcare utilization, the reduction in the incidence for infectious diseases can be attributed to improved health knowledge and health behavior, both of which are associated with the expansion of insurance coverage. Our findings affirm the importance of insurance coverage in safeguarding low-income individuals from the adverse health consequences linked to infectious diseases.

摘要

我们研究了中国农村一项重大的医疗保险扩展计划,即新型农村合作医疗制度(新农合)的效果。我们的分析基于一个涵盖2004年至2011年的全国性数据集。我们发现,新农合有效地提高了医疗服务利用率,尤其是住院率,并降低了传染病发病率。除了医疗服务利用率的提高外,传染病发病率的降低可归因于健康知识和健康行为的改善,这两者都与保险覆盖范围的扩大有关。我们的研究结果证实了保险覆盖在保护低收入人群免受与传染病相关的不良健康后果方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44e2/10844660/b279858e1191/gr1.jpg

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