The Effect of the “Triple-Layer Medical Security” Policy on the Vulnerability as Expected Poverty of Rural Households: Evidence from Yunnan Province, China

Jingjing Zhou (), Yaoyu Zhang, Yong Sha (), Jianfang Zhou, Hang Ren, Xin Shen and Hui Xu
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Jingjing Zhou: School of Sociology and Population Sciences, Nanjing University of Posts and Telecommunications, Nanjing 210023, China
Yaoyu Zhang: Institute of Population Studies, Nanjing University of Posts and Telecommunications, Nanjing 210042, China
Yong Sha: School of Sociology and Population Sciences, Nanjing University of Posts and Telecommunications, Nanjing 210023, China
Jianfang Zhou: Institute of Population Studies, Nanjing University of Posts and Telecommunications, Nanjing 210042, China
Hang Ren: Institute of Population Studies, Nanjing University of Posts and Telecommunications, Nanjing 210042, China
Xin Shen: School of Sociology and Population Sciences, Nanjing University of Posts and Telecommunications, Nanjing 210023, China
Hui Xu: School of Sociology and Population Sciences, Nanjing University of Posts and Telecommunications, Nanjing 210023, China

IJERPH, 2022, vol. 19, issue 19, 1-22

Abstract: China launched the “critical battle against poverty” nationwide in 2012. As its main battlefield, Yunnan province promulgated the “triple medical security” (TMS) policy in 2017. This study, based on the pooled cross-section database of 2015–2020 of registered poor households in Yunnan province, employed the logit model to examine the effect of TMS on the vulnerability as expected poverty (VEP) of these households. It found that increasing the reimbursement rates for overall medical expenses and inpatient expenses and decreasing the proportion of out-of-pocket medical payment to income reduced the VEP; increases in the number of sick people in the family increased its VEP, and although the increase in the reimbursement rate for overall medical expenses or for inpatient expenses partially offset the VEP caused by the increase in the number of chronically ill people in the family, the VEP caused by the increase in the number of critically ill people would increase in the short term with the increase in the reimbursement rate for overall medical expenses or for inpatient expenses. The findings help improve policies concerning the medical security and health of the rural poor population, providing theoretical reference and practical guidance for future research.

Keywords: triple-layer medical security (TMS); vulnerability as expected poverty (VEP); registered poor households; Yunnan province; China (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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