第一个书签之前
List of Tables
List of figures
List of Abbreviations
Chinese Abstract
English Abstract
1 Introduction
1.1 The rationale for broader policy reforms in China
1.2 Statement of the Problem and Justification
1.3 Thesis Structure
2 Institutional background
2.1 Social health insurance reforms in China
2.2 Collapse of health insurance schemes in the 1970s and 1980s
2.2.1 China early efforts in health system reforms in the 1980s
2.2.2 China health insurance reform since the late 1990s
2.2.3 China Healthcare reform after 2009
2.3 Three Key Health Insurance Schemes in China
2.3.1 The Urban Employees Basic Medical Insurance (UEBMI)
2.3.2 The Urban Residents Basic Medical Insurance (URBMI)
2.3.3 The New Rural Cooperative Medical Scheme (NRCMS) in China
2.4 Scope of the study and Definitions of terms
2.4.1 Rural areas in Chinese Context
2.4.2 Asymmetric Information Problems (AIP)
2.4.3 Adverse selection in the New Rural Cooperative Medical Scheme in China
2.4.4 Study Contribution
3 Literature Review
3.1 Social Health Insurance in Developing Countries
3.1.1 Literature on Spatial Disparities in Healthcare Utilization
3.1.2 Literature on Disparities in Out of Pocket Expenditure and Healthcare
3.1.3 Trends of Health Insurance Disparities in China
3.1.4 The impact of the New Rural Cooperative Medical Scheme
3.2 Summary of findings of the most relevant Literature
3.3 Objectives and Research Questions
3.4.1 Main Objective
3.4.2 Specific Objectives
3.4.3 Research Questions
3.4.4 Research Hypotheses
4 A Conceptual Framework for the study
5 Study Methodology
5.1 Data source
5.2 Sampling
5.3 Data analysis
5.4 Variables Specifications
5.4.1 Independent variables
5.4.2 Dependent variables
5.5 Models Specification
5.5.1 OLS Model for analysis of Out of pocket expenses
5.5.2 Logit Model for access to inpatient care
6 Results and Discussion
6.1 Summary Statistics
6.2 OLS Results on Out of pocket expenses.
6.2.1 OLS results for beneficiaries’ attributes and out of pocket expenses
6.2.2 Household income groups and Out of pocket expenses
6.2.3 Age of the NRCMS beneficiaries and Out of pocket expenses
6.2.4 Marital and work status of the beneficiary and Out of pocket expenses
6.2.5 Health Status of NRCMS beneficiaries and Out of pocket expenses
6.3 Logit model results for access to inpatient care
6.4 Discussion
6.4.1 New Rural Cooperative Medical Schemes and Inpatient access
6.4.2 New Rural Cooperative Medical Scheme and Out of pocket
7 Conclusion, Policy Implications and Recommendations
7.1 Conclusion
7.2 Policy Implications
7.3 Policy Recommendations
7.3.1 Eliminating Public Subsides that are Skewed in favour of the Non-Poor
7.3.2 Conducting rigorous policy monitoring and evaluations
7.3.3 Ensuring Inclusiveness of the Scheme for diversified social income groups
7.4 Study Limitations and suggestion for further studies
References
Acknowledgments
