In the September Health Affairs: Health insurance & mortality in China


Credit: Health Affairs

The September issue of Health Affairs includes a study by Maigeng Zhou of the Chinese Center for Disease Control and Prevention and coauthors that examined whether wider availability of health insurance through the New Cooperative Medical Scheme (NCMS) reduced adult mortality in rural China. The authors assembled and analyzed data for the period 2004-12 in seventy-two counties, using newly collected data on NCMS implementation. According to the authors, the percentage of the population living in counties that offered the NCMS increased from 18.4 percent in 2004 to 100 percent by 2012 (see the exhibit below). However, the introduction of the NCMS was not shown to be significantly correlated with reductions in county mortality rates among people ages sixty and older. The authors note that these results should be cautiously interpreted, and that some mortality reductions might become apparent only after additional time has elapsed. They conclude that population health policies remain central to China's efforts to increase healthy life expectancy and reduce the disparities between its rural and urban residents.


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