caa a22 4500 606167552 CHVBK 20210128100703.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10754-015-9175-z doi (NATIONALLICENCE)springer-10.1007/s10754-015-9175-z Under regional characteristics of rural China: a clearer view on the performance of the New Rural Cooperative Medical Scheme [Elektronische Daten] [Dan Liu, Daniel Tsegai, David Litaker, Joachim von Braun] The New Cooperative Medical Scheme (NCMS) was implemented in 2003 in response to the poor state of health care in rural China. Considering the substantial differences in regional socioeconomics, preferences for health care needs, and concurrent implementation of other health-related policies, the extent to which the impact of the NCMS differs in rural communities across China is unclear. The objective of this paper, therefore, was to explore the variation in the determinants of household enrolment and the impact of enrolment on health care utilization and medical expenditures in three large geographic regions in China. A quasi-experiment study was designed based on the panel data of the China Health and Nutrition Survey. The bounding approach was used to conduct a robust check of impact estimation under the assumption of unobserved bias. A major finding is that household income plays no significant role for enrolment, which indicates the equity of program coverage in income terms. However, regional circumstances matter. In the generally poorer western regions, households with a high ratio of migrant workers are less attracted to the NCMS program, and adoption of the program is related to the regional infrastructure environment variables in the eastern and western regions. The NCMS has improved medical care utilization for poor income groups and regions (western regions). The NCMS's impact on reducing the incidence of catastrophic expenditures is not shown for all regions. Springer Science+Business Media New York, 2015 Regional characteristics of rural China nationallicence Health care access nationallicence Health care expenditure nationallicence Propensity score matching nationallicence Bounding approach nationallicence Liu Dan Institute of Regional Economics and Finance, Sichuan Agricultural University, No. 211 Huiming Rd. Wenjiang District, 611130, Chengdu, China aut Tsegai Daniel Center for Development Research (ZEF), University of Bonn, Walter-Flex-Str.3, 53113, Bonn, Germany aut Litaker David Department of Medicine, Epidemiology and Biostatistics, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH, USA aut von Braun Joachim Center for Development Research (ZEF), University of Bonn, Walter-Flex-Str.3, 53113, Bonn, Germany aut International Journal of Health Economics and Management Springer US; http://www.springer-ny.com 15/4(2015-12-01), 407-431 2199-9023 15:4<407 2015 15 10754 https://doi.org/10.1007/s10754-015-9175-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10754-015-9175-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Liu Dan Institute of Regional Economics and Finance, Sichuan Agricultural University, No. 211 Huiming Rd. Wenjiang District, 611130, Chengdu, China aut NATIONALLICENCE 700 1- Tsegai Daniel Center for Development Research (ZEF), University of Bonn, Walter-Flex-Str.3, 53113, Bonn, Germany aut NATIONALLICENCE 700 1- Litaker David Department of Medicine, Epidemiology and Biostatistics, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH, USA aut NATIONALLICENCE 700 1- von Braun Joachim Center for Development Research (ZEF), University of Bonn, Walter-Flex-Str.3, 53113, Bonn, Germany aut NATIONALLICENCE 773 0- International Journal of Health Economics and Management Springer US; http://www.springer-ny.com 15/4(2015-12-01), 407-431 2199-9023 15:4<407 2015 15 10754