Abstract:
BACKGROUND:Older adults are more prone to various diseases. Health insurance becomes effective mechanism to relieve financial burden when the insured is sick. In China, most older adults live in the countryside, and New Rural Cooperative Medical Scheme is a kind of health insurance system in rural areas. The relationship between New Rural Cooperative Medical Scheme and financial burden due to health expenditure of older adults in China was investigated. This paper aims at the impact of New Rural Cooperative Medical Scheme on the poverty among rural older adults. METHODS:This study employs Probit model and Tobit model to assess the impact of New Rural Cooperative Medical Scheme on alleviating poverty among rural older adults based on a survey in nine representative counties in western China. RESULTS:The findings show that diseases have significantly negative impact on rural elderly poverty. New Rural Cooperative Medical Scheme has impact on alleviating of the health-payment poverty due to catastrophic health expenditure, but the impact is limited. The impact of health insurance on poverty alleviation is greater for men, older adults aged between 60 to 69 and households in in economically poorer area than their counterparts. CONCLUSIONS:This study show the relationship between New Rural Cooperative Medical Scheme and catastrophic health expenditure of older adults in China. The results draw policy attention to introduce different reimbursement expense ratios for different groups to alleviate them from poverty based on more comprehensive insurance packages.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Zhai S,Yuan S,Dong Qdoi
10.1186/s12939-021-01379-5subject
Has Abstractpub_date
2021-01-25 00:00:00pages
47issue
1issn
1475-9276pii
10.1186/s12939-021-01379-5journal_volume
20pub_type
杂志文章abstract:INTRODUCTION:Many countries from the European region, which moved from a government financed and provided health system to social health insurance, would have had the risk of moving away from universal health coverage if they had followed a "traditional" approach. The Eastern European high-income countries studied in t...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0295-y
更新日期:2016-01-15 00:00:00
abstract:BACKGROUND:In 2007 Uruguay began a reform in the health sector towards the construction of a National Integrated Health System (SNIS), based on public insurance with private and public provision. The main objective of the reform was to universalize access to health services. METHODS:Data comes from the first National ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01237-w
更新日期:2020-10-26 00:00:00
abstract:BACKGROUND:Healthy eating behaviour is an essential determinant of overall health. This behaviour is generally poor among people at risk of experiencing food insecurity, which may be caused by many factors including perceived higher costs of healthy foods, financial stress, inadequate nutritional knowledge, and inadequ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1077-0
更新日期:2019-11-27 00:00:00
abstract:BACKGROUND:Health equity is a priority in the global sustainable development agenda. Available health equity indicators often focus on health outcomes, access to healthcare, risk factors and determinants such as income, education, and gender. Less attention has been given to other social determinants, including those r...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-0978-2
更新日期:2019-06-03 00:00:00
abstract:BACKGROUND:Resources for coronary revascularisations have increased substantially since the early 1990s in Finland. At the same time, ischaemic heart disease (IHD) mortality has decreased markedly. This study aims to examine how these changes have influenced trends in absolute and relative differences between socioecon...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0536-8
更新日期:2017-02-20 00:00:00
abstract:BACKGROUND:Bariatric surgery is the most effective current treatment for severe obesity. Capacity to perform surgery within Canada's public health system is limited and potential candidates face protracted wait times. A better understanding of the gaps between demand for surgery and the capacity to provide it is requir...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-54
更新日期:2012-09-18 00:00:00
abstract:BACKGROUND:The theory of fundamental causes explains why health disparities persist over time, even as risk factors, mechanisms, and diseases change. Using an intersectional framework, we evaluated multifactorial discrimination as a fundamental cause of mental health disparities. METHODS:Using baseline data from the P...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0532-z
更新日期:2017-03-04 00:00:00
abstract:BACKGROUND:Efficiency and equity are both important policy objectives in resource allocation. The discipline of health economics has traditionally focused on maximising efficiency, however addressing inequities in health also requires consideration. Methods to incorporate equity within economic evaluation techniques ra...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-8-34
更新日期:2009-10-07 00:00:00
abstract:BACKGROUND:A growing body of literature has demonstrated that higher social capital is associated with improved health conditions. However, some research indicated that the association between social capital and health was substantially attenuated after adjustment for material deprivation. Studies exploring the associa...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-8-2
更新日期:2009-02-15 00:00:00
abstract:BACKGROUND:In 2003, Médecins Sans Frontières, the provincial government, and the provincial health authority began a community project to guarantee financial access to primary health care in Karuzi province, Burundi. The project used a community-based assessment to provide exemption cards for indigent households and a ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-8-36
更新日期:2009-10-24 00:00:00
abstract:BACKGROUND:The importance of culture for food consumption is widely acknowledged, as well as the fact that culture-based resources ("cultural capital") differ between educational groups. Since current explanations for educational inequalities in healthy and unhealthy food consumption (e.g. economic capital, social capi...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0884-z
更新日期:2018-11-15 00:00:00
abstract:BACKGROUND:Inequity in use of physician services has been detected even within health care systems with universal coverage of the population through public insurance schemes. In this study we analyse and compare inequity in use of physician visits (GP and specialists) in Norway based on data from the Surveys of Living ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-10-25
更新日期:2011-06-15 00:00:00
abstract:BACKGROUND:Like other African countries, Tanzania has in recent years, been implementing various exemptions and targeting programmes to protect and ensure equitable access to health care by poorer segments of the population. A body of evidence indicates that exemption policies, while potentially effective in principle,...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-12-80
更新日期:2013-09-26 00:00:00
abstract:BACKGROUND:Family planning and maternal care services have become increasingly available in West Africa but the level of non-use remains high. This unfavorable outcome may be partly due to the unaffordability of reproductive health care services. METHODS:Using the Demographic Health Survey data from Burkina Faso, Nige...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01167-7
更新日期:2020-03-27 00:00:00
abstract:INTRODUCTION:The prevalence of Community Treatment Orders (CTOs) in the Western world has generated considerable discussion regarding best practices in the outpatient treatment of the seriously mentally ill. Although problems encountered by ethnic minority communities in the various health care systems have been studie...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-014-0069-3
更新日期:2014-09-06 00:00:00
abstract:BACKGROUND:Like most Central European countries Slovakia has experienced a period of socioeconomic changes and at the same time a decline in the mortality rate. Therefore, the aim is to study socioeconomic factors that changed over time and simultaneously contributed to regional differences in mortality. METHODS:The a...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0404-y
更新日期:2016-07-19 00:00:00
abstract::Monitoring inequalities in healthcare is increasingly being recognized as a key first step in providing equitable access to quality care. However, the detailed sociodemographic data that are necessary for monitoring are currently not routinely collected from patients in many jurisdictions. We undertook a mixed methods...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-12-75
更新日期:2013-08-30 00:00:00
abstract:INTRODUCTION:Despite the relentless efforts to reduce infant and child mortality with the introduction of the National Expanded Programmes on Immunization (EPI) in 1974, major disparities still exist in immunizations coverage across different population sub-groups. In Kenya, for instance, while the proportion of fully ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-015-0154-2
更新日期:2015-02-27 00:00:00
abstract:BACKGROUND:The 1986 Ottawa Charter for Health Promotion coincided with a preponderance of research, worldwide, on the social determinants of health and health inequities. Despite the establishment of a 'health inequities knowledge base', the precise roles for municipal governments in reducing health inequities at the l...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-9-13
更新日期:2010-05-25 00:00:00
abstract:BACKGROUND:The recent economic and financial crisis in Portugal urged the Portuguese Government in April 2011 to request financial assistance from the troika austerity bail out program to get aid for its government debt. The troika agreement included health reforms and austerity measures of the National Health Service ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0679-7
更新日期:2017-10-25 00:00:00
abstract:BACKGROUND:Although health equity issues at regional, national and international levels are receiving increasing attention, health equity issues at the local level have been virtually overlooked. Here, we describe here a comprehensive equity assessment carried out by the Hôpital Albert Schweitzer-Haiti (HAS) in 2003. H...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-6-7
更新日期:2007-08-01 00:00:00
abstract:BACKGROUND:Street-level workers play a key role in public health policies in Africa, as they are often the ones to ensure their implementation. In Burkina Faso, the State formulated two different user-fee exemption policies for indigents, one for deliveries (2007), and one for primary healthcare (2009). The objective o...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0717-5
更新日期:2018-01-08 00:00:00
abstract::The unifying theme of the papers in this series is a concern for understanding the everyday practice of governance in low- and middle-income country (LMIC) health systems. Rather than seeing governance as a normative health system goal addressed through the architecture and design of accountability and regulatory fram...
journal_title:International journal for equity in health
pub_type: 社论
doi:10.1186/s12939-017-0665-0
更新日期:2017-09-15 00:00:00
abstract:BACKGROUND:With the depth development of health care system reform in China, emergency medical services (EMS) is confronted with challenges as well as opportunities. This study aimed to analyze the equity of China's EMS needs, utilization, and resources distribution, and put forward proposal to improve the equity. MET...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0507-5
更新日期:2017-01-11 00:00:00
abstract:BACKGROUND:Residential segregation can foster health inequality mechanisms by increasing stress related to neighborhood violence and disorder. AIMS:We studied the association between neighborhood violence and disorder and inequalities in anxiety between two groups of perinatal Israeli women (Jewish, Palestinian-Arab) ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01339-5
更新日期:2020-12-09 00:00:00
abstract:BACKGROUND:Effective implementation can maximise the beneficial impacts of health services. It is therefore important to review implementation in the context of Indigenous populations, who suffer some of the greatest disadvantage within developed countries. This paper analyses Aboriginal and Torres Strait Islander (her...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-016-0337-5
更新日期:2016-03-10 00:00:00
abstract:BACKGROUND:The provision of insecticide-treated nets (ITNs) is widely accepted in Burkina Faso thanks to large-scale national distribution campaigns. However, household also use other methods of prevention. Thus far, there is little knowledge about the expenditures of these malaria prevention methods, particularly in c...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-014-0108-0
更新日期:2014-11-07 00:00:00
abstract:BACKGROUND:The rampant urbanization and medical marketization in China have resulted in increased vulnerabilities to health and socioeconomic disparities among the rural migrant workers in urban China. In the Chinese context, the socioeconomic characteristics of rural migrant workers have attracted considerable researc...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0692-x
更新日期:2017-11-07 00:00:00
abstract:BACKGROUND:Chronic diseases are more prevalent and occur at a much younger age in Aboriginal people in Australia compared with non-Aboriginal people. Aboriginal people also have higher rates of unplanned hospital readmissions and emergency department presentations. There is a paucity of research on the effectiveness of...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0776-2
更新日期:2018-05-18 00:00:00
abstract:BACKGROUND:Health sector priority setting in Low and Middle-Income Countries (LMICs) entails balancing between a high demand and low supply of scarce resources. Human Resources for Health (HRH) consume the largest allocation of health sector resources in LMICs. Health sector decentralization continues to be promoted fo...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01284-3
更新日期:2020-09-21 00:00:00