Back to Journals » Risk Management and Healthcare Policy » Volume 13

The Effect of New Rural Cooperative Medical Scheme on the Socioeconomic Inequality in Inpatient Service Utilization Among the Elderly in China

Authors Sun J, Lyu X, Yang F

Received 3 March 2020

Accepted for publication 10 August 2020

Published 29 August 2020 Volume 2020:13 Pages 1383—1390

DOI https://doi.org/10.2147/RMHP.S252336

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Professor Marco Carotenuto


Jian Sun,1 Xiaoyin Lyu,2 Fan Yang1,3

1School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai 200030, People’s Republic of China; 2High School Affiliated to Shanghai Jiao Tong University, Shanghai 200439, People’s Republic of China; 3China Institute for Urban Governance, Shanghai Jiao Tong University, Shanghai 200030, People’s Republic of China

Correspondence: Fan Yang
School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai 200030, People’s Republic of China
Tel +86-137-7430-5290
Email fan_yang86@sjtu.edu.cn

Background and Aim: Health equity is an important goal of health policy, and the equalization of access to health care plays a vital role in guaranteeing it. The aim of this study was to use the cross-sectional data to explore the effect of New Rural Cooperative Medical Scheme (NRCMS) on the socioeconomic inequality in inpatient service utilization among the elderly in china.
Methods: The data of this study were obtained from the 2018 wave of China Family Panel Studies (CFPS), involving 3645 older adults aged 60 and above. Furthermore, concentration index and concentration curve were employed to measure the socioeconomic inequality in inpatient service utilization. Moreover, this study used multiple linear regression model to explore the effect of NRCMS on inpatient service utilization. In addition, this study adopted the decomposition of concentration index to investigate the effect of NRCMS on the socioeconomic inequality of inpatient service utilization.
Results: The concentration index of inpatient expense for the older people was 0.0538, and its concentration curve lays below the diagonal. The regression result indicates that NRCMS was significantly associated with higher inpatient expense among the elderly (coefficient = 0.8749, p < 0.01). The decomposition result reveals that the contribution rate of NRCMS to concentration index was − 2.29%, which indicates that its contribution on reducing pro-rich inequality in inpatient service utilization was limited.
Conclusion: This study demonstrates that there was a pro-rich inequality in inpatient service utilization among the elderly. Furthermore, NRCMS was significantly associated with higher inpatient expense. Moreover, NRCMS only played a limited role in reducing pro-rich inequality in inpatient service utilization.

Keywords: socioeconomic inequality, inpatient service utilization, elderly, New Rural Cooperative Medical Scheme, China

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]