脆弱性(计算)
贫穷
业务
中国
环境卫生
生计
健康的社会决定因素
成本分摊
社会经济学
经济增长
经济
医疗保健
地理
医学
农业
考古
护理部
计算机科学
计算机安全
作者
Shiju Dong,Wenhao Fu,Zexuan Yu,Jiajia Li
标识
DOI:10.1093/heapol/czac081
摘要
Abstract In recent years, China has been increasing social health insurance benefits to alleviate poverty due to illness. In 2015, China introduced the Critical Illness Insurance for patients with high out-of-pocket expenses as supplementary to the social health insurance, which categorized patients with different medical expenses into different cost-sharing policies. We conducted a survey on households with high-cost patients in rural Shandong in 2019 and employed the instrumental variables estimation approach to determine how different cost-sharing measures affect households’ poverty vulnerability. We found that cost-sharing reduction significantly decreases the vulnerability of sick families to poverty. Moreover, we found that the positive effect is attributed to a reduction in health burden and household livelihood capital shocks. The vulnerability to poverty is still exceptionally high owing to the heavy health burden in rural China and other developing countries. The results of our study provide insights into poverty alleviation by improving social health insurance in developing economies.
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