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The effect of NCMS on catastrophic health expenditure and impoverishment from tuberculosis care in China.

Publication ,  Journal Article
Zhou, C; Long, Q; Chen, J; Xiang, L; Li, Q; Tang, S; Huang, F; Sun, Q; Lucas, H; Huan, S
Published in: Int J Equity Health
October 18, 2016

BACKGROUND: Health expenditure for tuberculosis (TB) care often pushes households into catastrophe and poverty. New Cooperative Medical Scheme (NCMS) aims to protect households from catastrophic health expenditure (CHE) and impoverishment in rural China. This article assesses the effect of NCMS on relieving CHE and impoverishment from TB care in rural China. METHODS: Three hundred fourty-seven TB cases are included in the analysis. We analyze the incidence and intensity of CHE and poverty, and assess the protective effect of NCMS by comparing the CHE and impoverishment before and after reimbursement. RESULTS: After out-of-pocket (OOP) payment for TB care, 16.1 % of non-poor fall below poverty line. The NCMS reduces the incidence of CHE and impoverishment by 11.5 % and 7.3 %. After reimbursement, 46.7 % of the households still experience CHE and 35.4 % are below the poverty line. The NCMS relieves the mean gap, mean positive gap, poverty gap and normalized positive gap by 44.5 %, 51.0 %, US$115.8 and 31.6 % respectively. CONCLUSIONS: The NCMS has partial effect on protecting households from CHE and impoverishment from TB care. The limited protection could be enhanced by redesigning benefit coverage to improve the "height" of the NCMS and representing fee-for-service with alternative payment mechanisms.

Duke Scholars

Published In

Int J Equity Health

DOI

EISSN

1475-9276

Publication Date

October 18, 2016

Volume

15

Issue

1

Start / End Page

172

Location

England

Related Subject Headings

  • Tuberculosis
  • Rural Population
  • Public Health
  • Poverty
  • Insurance, Health
  • Humans
  • Health Expenditures
  • Family Characteristics
  • China
  • Catastrophic Illness
 

Citation

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Zhou, C., Long, Q., Chen, J., Xiang, L., Li, Q., Tang, S., … Huan, S. (2016). The effect of NCMS on catastrophic health expenditure and impoverishment from tuberculosis care in China. Int J Equity Health, 15(1), 172. https://doi.org/10.1186/s12939-016-0463-0
Zhou, Chengchao, Qian Long, Jiaying Chen, Li Xiang, Qiang Li, Shenglan Tang, Fei Huang, Qiang Sun, Henry Lucas, and Shitong Huan. “The effect of NCMS on catastrophic health expenditure and impoverishment from tuberculosis care in China.Int J Equity Health 15, no. 1 (October 18, 2016): 172. https://doi.org/10.1186/s12939-016-0463-0.
Zhou C, Long Q, Chen J, Xiang L, Li Q, Tang S, et al. The effect of NCMS on catastrophic health expenditure and impoverishment from tuberculosis care in China. Int J Equity Health. 2016 Oct 18;15(1):172.
Zhou, Chengchao, et al. “The effect of NCMS on catastrophic health expenditure and impoverishment from tuberculosis care in China.Int J Equity Health, vol. 15, no. 1, Oct. 2016, p. 172. Pubmed, doi:10.1186/s12939-016-0463-0.
Zhou C, Long Q, Chen J, Xiang L, Li Q, Tang S, Huang F, Sun Q, Lucas H, Huan S. The effect of NCMS on catastrophic health expenditure and impoverishment from tuberculosis care in China. Int J Equity Health. 2016 Oct 18;15(1):172.
Journal cover image

Published In

Int J Equity Health

DOI

EISSN

1475-9276

Publication Date

October 18, 2016

Volume

15

Issue

1

Start / End Page

172

Location

England

Related Subject Headings

  • Tuberculosis
  • Rural Population
  • Public Health
  • Poverty
  • Insurance, Health
  • Humans
  • Health Expenditures
  • Family Characteristics
  • China
  • Catastrophic Illness