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International Journal for Equity in Health

, 15:172

First Online: 18 October 2016Received: 29 June 2016Accepted: 12 October 2016DOI: 10.1186-s12939-016-0463-0

Cite this article as: Zhou, C., Long, Q., Chen, J. et al. Int J Equity Health 2016 15: 172. doi:10.1186-s12939-016-0463-0

Abstract

BackgroundHealth 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.

MethodsThree 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.

ResultsAfter 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.

ConclusionsThe 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.

KeywordsNCMS Catastrophic health expenditure Impoverishment Tuberculosis China AbbreviationsCHECatastrophic health expenditure

FFSFee-for-service

HCHead count

MFAMedical financial assistance

MGMean gap

MPGMean positive gap

MPPGMean positive poverty gap

NCMSNew cooperative medical scheme

NPGNormalized poverty gap

OOPOut-of-pocket

PGPoverty gap

Electronic supplementary materialThe online version of this article doi:10.1186-s12939-016-0463-0 contains supplementary material, which is available to authorized users.

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Autor: Chengchao Zhou - Qian Long - Jiaying Chen - Li Xiang - Qiang Li - Shenglan Tang - Fei Huang - Qiang Sun - Henry Lucas - S

Fuente: https://link.springer.com/







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