Can the New Cooperative Medical Scheme promote rural elders' access to health-care services?

Baozhen Dai, Jianzai Zhou, Y. John Mei, Bei Wu, Zongfu Mao

Research output: Contribution to journalReview article

Abstract

The aim of the present study was to examine the impact of the New Cooperative Medical Scheme (NCMS) on rural elders' access to health-care services. Articles were identified from PubMed, Elsevier, Wiley, EBSCO, EMBASE, SCI Expanded, ProQuest, Google, and CNKI which is the most informative database in Chinese, with the search terms "rural", "China", "old", "older", or "elder", "elderly", or "aged", "aging", "medical insurance", or "community-based medical insurance", or "cooperative medical scheme". Related websites and yearbooks were searched as well. The NCMS has improved the health-care utilization of rural elders, and they have the highest satisfaction with it among all age groups. However, affordability difficulty remained the common barrier for the rural elderly to access quality health care, in spite of the special considerations given to the rural elderly, such as premium remission and free check-ups. Faced with ever-growing health challenges, some impoverished rural elders with poor physical health and functional limitations may lack sufficient access to basic health-care services. Followed by the provider payment reform initiated by the NCMS, a stricter regulation for doctors' prescriptions, clinical practice and disease management is needed to promote rural elders' access to health-care services. Health management for rural elders can be expected for the NCMS to promote rural elders' health-care access once a better coordination between the NCMS and health-care system can be achieved.

Original languageEnglish (US)
Pages (from-to)239-245
Number of pages7
JournalGeriatrics and Gerontology International
Volume11
Issue number3
DOIs
StatePublished - Jul 2011

Fingerprint

Health Services Accessibility
health care services
Health Services
Rural Health
health care
Insurance
Patient Acceptance of Health Care
insurance
Delivery of Health Care
Quality of Health Care
Practice Management
Health
Disease Management
PubMed
Prescriptions
China
Age Groups
premium
health
Databases

Keywords

  • China
  • Elderly
  • Health-care system
  • New Cooperative Medical Scheme
  • Rural

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology
  • Health(social science)

Cite this

Can the New Cooperative Medical Scheme promote rural elders' access to health-care services? / Dai, Baozhen; Zhou, Jianzai; Mei, Y. John; Wu, Bei; Mao, Zongfu.

In: Geriatrics and Gerontology International, Vol. 11, No. 3, 07.2011, p. 239-245.

Research output: Contribution to journalReview article

Dai, Baozhen ; Zhou, Jianzai ; Mei, Y. John ; Wu, Bei ; Mao, Zongfu. / Can the New Cooperative Medical Scheme promote rural elders' access to health-care services?. In: Geriatrics and Gerontology International. 2011 ; Vol. 11, No. 3. pp. 239-245.
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