Matches in SemOpenAlex for { <https://semopenalex.org/work/W4233669103> ?p ?o ?g. }
Showing items 1 to 79 of
79
with 100 items per page.
- W4233669103 abstract "Abstract Background: In 2003, China established a New Rural Cooperative Medical System (NRCMS) for rural residents to alleviate the burden of medical expenses among rural residents. However, its reimbursement for high medical costs was insufficient. Therefore, China gradually established the Serious Illness Insurance System (SIMIS) based on NRCMS. After receiving payment through NRCMS, patients in rural areas who met the requirements of SIMIS policy would receive a second payment for their high medical expenses. This study aimed to analyze the effect of the implementation of SIMIS on alleviating the economic burden of rural residents in Jinzhai County. Methods: The study used the inpatient reimbursement data of NRCMS in Jinzhai County, Anhui Province, from 2013 to 2016. We adopted descriptive and regression discontinuity (RD) methods to analyze the payment effect of SIMIS. The RD analysis targeted patients (n = 7,353) whose annual serious illness expenses were between CNY 10,000 (1,414 USD) and CNY 30,000 (4,242 USD), whereas the descriptive analysis was used for data of the patients compensated by SIMIS (n = 2720). Results: The results of RD showed that the actual medical insurance payment proportion increased by about 2.5% (lwald = 0.025, P <0.01), inside medical insurance self-payment proportion increased by about 2% (lwald = 0.020, P <0.10), and outside medical insurance self-payment proportion decreased by about 1.6% (lwald = -0.016, P <0.05). The descriptive results showed that patients with serious illnesses mostly chose to go to a hospital outside the county. The annual average number of hospitalizations was 3.64. The reimbursement mainly came from the NRCMS. The payment amount of SIMIS was relatively small, and the out-of-pocket medical expenses were still high.Conclusion: The medical technology level of Jinzhai County could not meet the needs of patients with seriously illnesses, the number of beneficiaries of SIMIS was small, and the ability to relieve the burden of medical expenses of the rural residents was insufficient. The high out-of-pocket expenses increased the possibility that only people with good economic conditions could benefit from the reimbursement of SIMIS, resulting in inequity." @default.
- W4233669103 created "2022-05-12" @default.
- W4233669103 creator A5029757714 @default.
- W4233669103 creator A5031163585 @default.
- W4233669103 creator A5080714692 @default.
- W4233669103 date "2020-07-01" @default.
- W4233669103 modified "2023-09-27" @default.
- W4233669103 title "Analysis of the Effect of Serious Illness Medical Insurance on Relieving the Economic Burden of Rural Residents in China: A Case Study in Jinzhai County" @default.
- W4233669103 doi "https://doi.org/10.21203/rs.2.21703/v4" @default.
- W4233669103 hasPublicationYear "2020" @default.
- W4233669103 type Work @default.
- W4233669103 citedByCount "0" @default.
- W4233669103 crossrefType "posted-content" @default.
- W4233669103 hasAuthorship W4233669103A5029757714 @default.
- W4233669103 hasAuthorship W4233669103A5031163585 @default.
- W4233669103 hasAuthorship W4233669103A5080714692 @default.
- W4233669103 hasBestOaLocation W42336691031 @default.
- W4233669103 hasConcept C10138342 @default.
- W4233669103 hasConcept C105795698 @default.
- W4233669103 hasConcept C143998085 @default.
- W4233669103 hasConcept C144133560 @default.
- W4233669103 hasConcept C145097563 @default.
- W4233669103 hasConcept C160735492 @default.
- W4233669103 hasConcept C162118730 @default.
- W4233669103 hasConcept C162324750 @default.
- W4233669103 hasConcept C166957645 @default.
- W4233669103 hasConcept C191935318 @default.
- W4233669103 hasConcept C205649164 @default.
- W4233669103 hasConcept C2778000068 @default.
- W4233669103 hasConcept C2779703844 @default.
- W4233669103 hasConcept C2991717224 @default.
- W4233669103 hasConcept C2992052470 @default.
- W4233669103 hasConcept C33923547 @default.
- W4233669103 hasConcept C39896193 @default.
- W4233669103 hasConcept C45355965 @default.
- W4233669103 hasConcept C50522688 @default.
- W4233669103 hasConcept C545542383 @default.
- W4233669103 hasConcept C71924100 @default.
- W4233669103 hasConcept C99454951 @default.
- W4233669103 hasConceptScore W4233669103C10138342 @default.
- W4233669103 hasConceptScore W4233669103C105795698 @default.
- W4233669103 hasConceptScore W4233669103C143998085 @default.
- W4233669103 hasConceptScore W4233669103C144133560 @default.
- W4233669103 hasConceptScore W4233669103C145097563 @default.
- W4233669103 hasConceptScore W4233669103C160735492 @default.
- W4233669103 hasConceptScore W4233669103C162118730 @default.
- W4233669103 hasConceptScore W4233669103C162324750 @default.
- W4233669103 hasConceptScore W4233669103C166957645 @default.
- W4233669103 hasConceptScore W4233669103C191935318 @default.
- W4233669103 hasConceptScore W4233669103C205649164 @default.
- W4233669103 hasConceptScore W4233669103C2778000068 @default.
- W4233669103 hasConceptScore W4233669103C2779703844 @default.
- W4233669103 hasConceptScore W4233669103C2991717224 @default.
- W4233669103 hasConceptScore W4233669103C2992052470 @default.
- W4233669103 hasConceptScore W4233669103C33923547 @default.
- W4233669103 hasConceptScore W4233669103C39896193 @default.
- W4233669103 hasConceptScore W4233669103C45355965 @default.
- W4233669103 hasConceptScore W4233669103C50522688 @default.
- W4233669103 hasConceptScore W4233669103C545542383 @default.
- W4233669103 hasConceptScore W4233669103C71924100 @default.
- W4233669103 hasConceptScore W4233669103C99454951 @default.
- W4233669103 hasLocation W42336691031 @default.
- W4233669103 hasLocation W42336691032 @default.
- W4233669103 hasLocation W42336691033 @default.
- W4233669103 hasOpenAccess W4233669103 @default.
- W4233669103 hasPrimaryLocation W42336691031 @default.
- W4233669103 hasRelatedWork W2352274781 @default.
- W4233669103 hasRelatedWork W2375515470 @default.
- W4233669103 hasRelatedWork W3030968064 @default.
- W4233669103 hasRelatedWork W3031934544 @default.
- W4233669103 hasRelatedWork W3082641169 @default.
- W4233669103 hasRelatedWork W4205166488 @default.
- W4233669103 hasRelatedWork W4233669103 @default.
- W4233669103 hasRelatedWork W4237459540 @default.
- W4233669103 hasRelatedWork W4249094107 @default.
- W4233669103 hasRelatedWork W4255001422 @default.
- W4233669103 isParatext "false" @default.
- W4233669103 isRetracted "false" @default.
- W4233669103 workType "article" @default.