This study investigates the impact of the New Rural Cooperative Medical Scheme(NRCMS)on rural households to escape poverty.We employ the instrumental variable method,the IVProbit model,to analyze the national data fro...This study investigates the impact of the New Rural Cooperative Medical Scheme(NRCMS)on rural households to escape poverty.We employ the instrumental variable method,the IVProbit model,to analyze the national data from the rural-resident field survey by the China Family Panel Studies(CFPS)in 2016.Based on the large-scale data,we found that,first,the hospitalization of family members is the key factor in increasing the risk of the family falling into poverty.The NRCMS has significantly reduced the likely risk of falling into poverty.Second,the impact of the NRCMS on poverty alleviation varies among groups with different levels of income.There is no impact on the upper-middle and high-income groups;in contrast,the NRCMS has substantially improved the capacity of low-income rural families to prevent poverty due to illness,especially for the lower-middle-income group.Third,there exist significant regional differences in the impact of NRCMS on the health poverty alleviation of rural households in China.The NRCMS has successfully reduced the risk of rural households in the western region falling into poverty,simultaneously,no significant impact on those in the eastern and central regions.In order to diminish and eliminate poverty eventually and boost rural residents'capacity for income acquisition,we propose the following:raise the actual compensation ratio of the NRCMS,control the rising expense of NRCMS by promoting the payment method reform,construct the comprehensive healthcare system in the western region,strengthen the medical security for the poor in remote area,and enhance the living environment for rural residents.展开更多
Carrying out health poverty alleviation and ensuring the security of basic medical care for the poor are important contents for China to implement the strategy of targeted poverty alleviation and win the battle to get...Carrying out health poverty alleviation and ensuring the security of basic medical care for the poor are important contents for China to implement the strategy of targeted poverty alleviation and win the battle to get rid of poverty. Xundian Hui and Yi Autonomous County in Yunnan Province is a national poor county integrating ' nationality,poverty,mountainous area and old revolutionary base area'. In recent years,based on the actual situation,Xundian County has explored an effective way of health poverty alleviation. It has effectively prevented the phenomenon of poverty caused by illness and returning to poverty due to illness,and effectively ensured that Xundian County has successfully achieved the goal of getting rid of poverty. Xundian County finally got rid of the shadow of ' poverty' for more than 30 years to become one of the first batch of counties in Yunnan Province to get rid of poverty. This paper makes great efforts to analyze and summarize the specific methods,main achievements,successful experience,lessons and reference about health poverty alleviation in Xundian County. At the same time,it also studies and analyzes the main problems existing in the model,and puts forward the corresponding measures and suggestions,in order to provide a reference for health poverty alleviation in other poor areas.展开更多
[Objectives]The paper was to understand the health of rural poor population in Chongqing,and to put forward countermeasures for health poverty alleviation.[Methods]The 439 people living in poverty in Qianjiang Distric...[Objectives]The paper was to understand the health of rural poor population in Chongqing,and to put forward countermeasures for health poverty alleviation.[Methods]The 439 people living in poverty in Qianjiang District and Pengshui County,Chongqing,were investigated on the spot to deeply understand and analyze the health status,current medical insurance status and accuracy of medical system of rural poor population in Chongqing.[Results]The vast majority of poor households had been lifted out of poverty after targeted poverty alleviation.Poverty due to illness was the main cause of family poverty.The prevalence of chronic diseases in poor households was high,and the overall health level showed a downward trend.The countermeasures and suggestions for strengthening the construction of medical insurance system,exploring and perfecting rural medical assistance system,enhancing the service capacity of primary medical and health institutions,and strengthening health education and health management were put forward.[Conclusions]The study provides an empirical evidence for improving the health level of poor rural residents and promoting targeted health poverty alleviation policies.展开更多
The coronavirus disease 2019(COVID-19)global public health emergency,has exposed the fragility of health systems.Access to healthcare became a scarce commodity as healthcare providers and resource-poor populatio...The coronavirus disease 2019(COVID-19)global public health emergency,has exposed the fragility of health systems.Access to healthcare became a scarce commodity as healthcare providers and resource-poor populations became victims of the novel corona virus.Therefore,this study focuses on Africa’s readiness to integrate telemedicine into the weak health systems and its adoption may help alleviate poor healthcare and poverty after COVID-19.We conducted a narrative review through different search strategies in Scopus on January 20,2021,to identify available literature reporting implementation of various telemedicine modes in Africa from January 1,2011 to December 31,2020.We summarized 54 studies according to geographies,field,and implementation methods.The results show a willingness to adopt telemedicine in the resource-poor settings and hard-to-reach populations,which will bring relief to the inadequate healthcare systems and alleviate poverty of those who feel the burden of healthcare cost the most.With adequate government financing,telemedicine promises to enhance the treating of communicable and non-communicable diseases as well as support health infrastructure.It can also alleviate poverty among vulnerable groups and hard-to-reach communities in Africa with adequate government financing.However,given the lack of funding in Africa,the challenges in implementing telemedicine require global and national strategies before it can yield promising results.This is especially true in regards to alleviating the multidimensionality of poverty in post-COVID-19 Africa.展开更多
健康扶贫是我国的一项重大民生工程。文章依据中国家庭追踪调查(China family panel studies,CFPS)数据,基于2010—2020年6次CFPS数据分析我国贫困中年群体慢性病患病率,并在社会生态系统理论下对2020年CFPS数据中的贫困中年群体自评健...健康扶贫是我国的一项重大民生工程。文章依据中国家庭追踪调查(China family panel studies,CFPS)数据,基于2010—2020年6次CFPS数据分析我国贫困中年群体慢性病患病率,并在社会生态系统理论下对2020年CFPS数据中的贫困中年群体自评健康及影响因素进行分析。结果显示,微观层面影响因素为午休习惯、情绪积极、较高学历;中观层面影响因素为看病点医疗水平不好、对医生信任度好;宏观层面就业问题不严重对贫困中年群体自评健康有显著正向影响。因此可从个人参与、社会支持、政策优化三个方面构建健康扶贫逻辑,强调对贫困中年群体健康扶贫的多元主体协同共治。展开更多
基金supports by the National Social Science Fund of China(18FGL014)the Key Project of Humanities and Social Science Base of Anhui Province of China(SK2019A0491)+4 种基金the Humanities and Social Science Foundation of the Ministry of Education of China(18YJA790065)the Social Science Foundation of Anhui Province of China(AHSKY2017D01)the Outstanding Scholar Project of Anhui Province of China(gxbj ZD12)the Key Project of the Social Science Foundation of Anhui Province of China(AHSKY2020D44)the 2019 Major Project of the Social Science Foundation of Anhui Province of China(AHSKZD2019D04)。
文摘This study investigates the impact of the New Rural Cooperative Medical Scheme(NRCMS)on rural households to escape poverty.We employ the instrumental variable method,the IVProbit model,to analyze the national data from the rural-resident field survey by the China Family Panel Studies(CFPS)in 2016.Based on the large-scale data,we found that,first,the hospitalization of family members is the key factor in increasing the risk of the family falling into poverty.The NRCMS has significantly reduced the likely risk of falling into poverty.Second,the impact of the NRCMS on poverty alleviation varies among groups with different levels of income.There is no impact on the upper-middle and high-income groups;in contrast,the NRCMS has substantially improved the capacity of low-income rural families to prevent poverty due to illness,especially for the lower-middle-income group.Third,there exist significant regional differences in the impact of NRCMS on the health poverty alleviation of rural households in China.The NRCMS has successfully reduced the risk of rural households in the western region falling into poverty,simultaneously,no significant impact on those in the eastern and central regions.In order to diminish and eliminate poverty eventually and boost rural residents'capacity for income acquisition,we propose the following:raise the actual compensation ratio of the NRCMS,control the rising expense of NRCMS by promoting the payment method reform,construct the comprehensive healthcare system in the western region,strengthen the medical security for the poor in remote area,and enhance the living environment for rural residents.
基金Supported by Project of the Office of the Leading Group of Rural Work of Kunming Municipal Party Committee
文摘Carrying out health poverty alleviation and ensuring the security of basic medical care for the poor are important contents for China to implement the strategy of targeted poverty alleviation and win the battle to get rid of poverty. Xundian Hui and Yi Autonomous County in Yunnan Province is a national poor county integrating ' nationality,poverty,mountainous area and old revolutionary base area'. In recent years,based on the actual situation,Xundian County has explored an effective way of health poverty alleviation. It has effectively prevented the phenomenon of poverty caused by illness and returning to poverty due to illness,and effectively ensured that Xundian County has successfully achieved the goal of getting rid of poverty. Xundian County finally got rid of the shadow of ' poverty' for more than 30 years to become one of the first batch of counties in Yunnan Province to get rid of poverty. This paper makes great efforts to analyze and summarize the specific methods,main achievements,successful experience,lessons and reference about health poverty alleviation in Xundian County. At the same time,it also studies and analyzes the main problems existing in the model,and puts forward the corresponding measures and suggestions,in order to provide a reference for health poverty alleviation in other poor areas.
基金Project of Health Committee of Pengshui Miao Tujia Autonomous County"Research on the Effect and Innovation Mechanism of Health Poverty Alleviation in Pengshui County"(1971037)University-level Innovative Scientific Research Project of Graduate Student at Chongqing Technology and Business University"A Study on the Relationship between Health Level and Family Reproduction Capacity under the Mechanism of Disease and Poverty Cycle:A Case Study of Abject Poverty Areas and Counties in Chongqing"(yjscxx2020-094-15).
文摘[Objectives]The paper was to understand the health of rural poor population in Chongqing,and to put forward countermeasures for health poverty alleviation.[Methods]The 439 people living in poverty in Qianjiang District and Pengshui County,Chongqing,were investigated on the spot to deeply understand and analyze the health status,current medical insurance status and accuracy of medical system of rural poor population in Chongqing.[Results]The vast majority of poor households had been lifted out of poverty after targeted poverty alleviation.Poverty due to illness was the main cause of family poverty.The prevalence of chronic diseases in poor households was high,and the overall health level showed a downward trend.The countermeasures and suggestions for strengthening the construction of medical insurance system,exploring and perfecting rural medical assistance system,enhancing the service capacity of primary medical and health institutions,and strengthening health education and health management were put forward.[Conclusions]The study provides an empirical evidence for improving the health level of poor rural residents and promoting targeted health poverty alleviation policies.
文摘The coronavirus disease 2019(COVID-19)global public health emergency,has exposed the fragility of health systems.Access to healthcare became a scarce commodity as healthcare providers and resource-poor populations became victims of the novel corona virus.Therefore,this study focuses on Africa’s readiness to integrate telemedicine into the weak health systems and its adoption may help alleviate poor healthcare and poverty after COVID-19.We conducted a narrative review through different search strategies in Scopus on January 20,2021,to identify available literature reporting implementation of various telemedicine modes in Africa from January 1,2011 to December 31,2020.We summarized 54 studies according to geographies,field,and implementation methods.The results show a willingness to adopt telemedicine in the resource-poor settings and hard-to-reach populations,which will bring relief to the inadequate healthcare systems and alleviate poverty of those who feel the burden of healthcare cost the most.With adequate government financing,telemedicine promises to enhance the treating of communicable and non-communicable diseases as well as support health infrastructure.It can also alleviate poverty among vulnerable groups and hard-to-reach communities in Africa with adequate government financing.However,given the lack of funding in Africa,the challenges in implementing telemedicine require global and national strategies before it can yield promising results.This is especially true in regards to alleviating the multidimensionality of poverty in post-COVID-19 Africa.
文摘健康扶贫是我国的一项重大民生工程。文章依据中国家庭追踪调查(China family panel studies,CFPS)数据,基于2010—2020年6次CFPS数据分析我国贫困中年群体慢性病患病率,并在社会生态系统理论下对2020年CFPS数据中的贫困中年群体自评健康及影响因素进行分析。结果显示,微观层面影响因素为午休习惯、情绪积极、较高学历;中观层面影响因素为看病点医疗水平不好、对医生信任度好;宏观层面就业问题不严重对贫困中年群体自评健康有显著正向影响。因此可从个人参与、社会支持、政策优化三个方面构建健康扶贫逻辑,强调对贫困中年群体健康扶贫的多元主体协同共治。
