List of Abbreviations | 第10-11页 |
摘要 | 第11-12页 |
Abstract | 第12-13页 |
1 Introduction | 第14-18页 |
1.1 The rationale for broader policy reforms in China | 第15-16页 |
1.2 Statement of the Problem and Justification | 第16-17页 |
1.3 Thesis Structure | 第17-18页 |
2 Institutional background | 第18-32页 |
2.1 Social health insurance reforms in China | 第18-19页 |
2.2 Collapse of health insurance schemes in the 1970s and 1980s | 第19-23页 |
2.2.1 China early efforts in health system reforms in the 1980s | 第20-21页 |
2.2.2 China health insurance reform since the late 1990s | 第21-22页 |
2.2.3 China Healthcare reform after 2009 | 第22-23页 |
2.3 Three Key Health Insurance Schemes in China | 第23-28页 |
2.3.1 The Urban Employees Basic Medical Insurance (UEBMI) | 第23-24页 |
2.3.2 The Urban Residents Basic Medical Insurance (URBMI) | 第24-25页 |
2.3.3 The New Rural Cooperative Medical Scheme (NRCMS) in China | 第25-28页 |
2.4 Scope of the study and Definitions of terms | 第28-32页 |
2.4.1 Rural areas in Chinese Context | 第28页 |
2.4.2 Asymmetric Information Problems (AIP) | 第28-29页 |
2.4.3 Adverse selection in the New Rural Cooperative Medical Scheme in China | 第29-30页 |
2.4.4 Study Contribution | 第30-32页 |
3 Literature Review | 第32-43页 |
3.1 Social Health Insurance in Developing Countries | 第32-39页 |
3.1.1 Literature on Spatial Disparities in Healthcare Utilization | 第35页 |
3.1.2 Literature on Disparities in Out of Pocket Expenditure and Healthcare | 第35-36页 |
3.1.3 Trends of Health Insurance Disparities in China | 第36-38页 |
3.1.4 The impact of the New Rural Cooperative Medical Scheme | 第38-39页 |
3.2 Summary of findings of the most relevant Literature | 第39-42页 |
3.3 Objectives and Research Questions | 第42-43页 |
3.4.1 Main Objective | 第42页 |
3.4.2 Specific Objectives | 第42页 |
3.4.3 Research Questions | 第42页 |
3.4.4 Research Hypotheses | 第42-43页 |
4 A Conceptual Framework for the study | 第43-45页 |
5 Study Methodology | 第45-51页 |
5.1 Data source | 第45-46页 |
5.2 Sampling | 第46-47页 |
5.3 Data analysis | 第47-48页 |
5.4 Variables Specifications | 第48-49页 |
5.4.1 Independent variables | 第48页 |
5.4.2 Dependent variables | 第48-49页 |
5.5 Models Specification | 第49-51页 |
5.5.1 OLS Model for analysis of Out of pocket expenses | 第49页 |
5.5.2 Logit Model for access to inpatient care | 第49-51页 |
6 Results and Discussion | 第51-61页 |
6.1 Summary Statistics | 第51-52页 |
6.2 OLS Results on Out of pocket expenses | 第52-55页 |
6.2.1 OLS results for beneficiaries'attributes and out of pocket expenses | 第53-54页 |
6.2.2 Household income groups and Out of pocket expenses | 第54页 |
6.2.3 Age of the NRCMS beneficiaries and Out of pocket expenses | 第54页 |
6.2.4 Marital and work status of the beneficiary and Out of pocket expenses | 第54-55页 |
6.2.5 Health Status of NRCMS beneficiaries and Out of pocket expenses | 第55页 |
6.3 Logit model results for access to inpatient care | 第55-58页 |
6.4 Discussion | 第58-61页 |
6.4.1 New Rural Cooperative Medical Schemes and Inpatient access | 第59-60页 |
6.4.2 New Rural Cooperative Medical Scheme and Out of pocket | 第60-61页 |
7 Conclusion, Policy Implications and Recommendations | 第61-65页 |
7.1 Conclusion | 第61-62页 |
7.2 Policy Implications | 第62-63页 |
7.3 Policy Recommendations | 第63-64页 |
7.3.1 Eliminating Public Subsides that are Skewed in favour of the Non-Poor | 第63页 |
7.3.2 Conducting rigorous policy monitoring and evaluations | 第63-64页 |
7.3.3 Ensuring Inclusiveness of the Scheme for diversified social income groups | 第64页 |
7.4 Study Limitations and suggestion for further studies | 第64-65页 |
References | 第65-72页 |
致謝 | 第72-73页 |
Acknowledgements | 第73页 |