标题：Effects of NCMS on access to care and financial protection in China
作者机构：[Hou, Z] Center for Health Management and Policy, Shandong University, China;[ Van De Poel, E] Institute of Health Policy and Management, Erasmus Univ 更多
通讯作者：Van de Poel, E
通讯作者地址：[Van de Poel, E]Erasmus Univ, Inst Hlth Policy & Management, NL-3000 DR Rotterdam, Netherlands.
关键词：access;China;financial protection;health insurance
摘要：The introduction of the New Cooperative Medical Scheme (NCMS) in rural China has been the most rapid and dramatic extension of health insurance coverage in the developing world in this millennium. The literature to date has mainly used the uneven rollout of NCMS across counties as a way of identifying its effects on access to care and financial protection. This study exploits the cross-county variation in NCMS generosity in 2006 and 2008 in the Ningxia and Shandong provinces to estimate the effect of coverage generosity on utilization and financial protection. Our results confirm earlier findings of NCMS being effective in increasing access to care but not in increasing financial protection. In addition, we find NCMS enrollees to be sensitive to the price incentives set in the NCMS design when choosing their provider and providers to respond by increasing prices and/or providing more expensive care.