title: Does China's new cooperative medical scheme promote rural elders' access to healthcare services in relation to chronic conditions?
abstract: BACKGROUND
  This study examined use of healthcare services by elderly people with a long-term condition living in rural China and participating in that country's New Cooperative Medical Scheme (NCMS).
  
  
  METHODS
  Data were taken from the 2009 China Health and Nutrition Survey.
  
  
  RESULTS
  The study results showed that education level and annual income were low among rural elders (aged ≥65 years); the illiteracy rate was 58.0% (200/345) and 67.6% (92/136) had an annual income of less than 5000 Chinese yuan renminbi. The elders had low rates of treatment and use of preventive healthcare services while the prevalence of chronic disease was highest among them when compared to other age groups. Among the few elders who received preventive healthcare, most received it at village clinics.
  
  
  CONCLUSIONS
  Preventive healthcare services and chronic disease management are urgently needed by rural elders in China. NCMS should initiate payments to township health centers to enable them to undertake community outreach and education campaigns among rural residents, and train village doctors in standard chronic condition management and prevention, with prioritization of the provision of prevention and management of chronic conditions by village clinics.
authors.affiliation: Department of Health Policy and Management, School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang 212013, China hixiaodai@sina.com.
authors.forename: Baozhen
authors.initials: B
authors.lastname: Dai
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002681:China / Q000453:epidemiology; D002908:Chronic Disease / Q000453:epidemiology* / Q000517:prevention & control*; D016000:Cluster Analysis; D004522:Educational Status; D005260:Female; D006297:Health Services Accessibility; D006299:Health Services for the Aged / Q000458:organization & administration* / Q000706:statistics & numerical data; D006801:Humans; D007239:Infections / Q000453:epidemiology; D007348:Insurance, Health / Q000458:organization & administration / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011203:Poverty; D015995:Prevalence; D011314:Preventive Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D019035:Rural Health Services / Q000458:organization & administration / Q000706:statistics & numerical data; D055815:Young Adult
keywords: China; Chronic condition; Elderly; New Cooperative Medical Scheme (NCMS); Rural
references.citation: Med Care. 2009 Dec;47(12):1209-16
references.pmid: 19786910
references.citation: Health Policy Plan. 2010 Sep;25(5):419-26
references.pmid: 20308188
references.citation: Curr Opin Nephrol Hypertens. 2005 May;14(3):249-52
references.pmid: 15821418
references.citation: BMC Public Health. 2009 Oct 21;9:394
references.pmid: 19843346
references.citation: Med Princ Pract. 2010;19(1):22-7
references.pmid: 19996615
references.citation: Health Policy. 2008 May;86(2-3):239-44
references.pmid: 18054112
references.citation: Geriatrics. 2009 Oct;64(10):10-9
references.pmid: 20726383
references.citation: Lancet. 2005 Nov 19;366(9499):1821-4
references.pmid: 16298221
references.citation: Ren Fail. 2004 May;26(3):201-8
references.pmid: 15354966
references.citation: Global Health. 2014 Feb 20;10:6
references.pmid: 24555698
references.citation: Australas J Ageing. 2008 Jun;27(2):83-8
references.pmid: 18713198
references.citation: Lancet. 2008 Nov 8;372(9650):1697-705
references.pmid: 18930526
references.citation: Health Policy. 2009 Jun;91(1):1-9
references.pmid: 19121873
references.citation: Drugs Aging. 2010 Jun 1;27(6):471-90
references.pmid: 20524707
references.citation: PLoS One. 2013;8(1):e53928
references.pmid: 23326541
references.citation: Exp Lung Res. 2005 Sep;31 Suppl 1:55-6
references.pmid: 16395859
references.citation: Qual Life Res. 2008 Aug;17(6):823-30
references.pmid: 18595006
references.citation: Arch Gerontol Geriatr. 2010 Jan-Feb;50(1):24-9
references.pmid: 19217674
references.citation: J Health Econ. 2009 Jan;28(1):1-19
references.pmid: 19058865
references.citation: Lancet. 2012 Mar 3;379(9818):843-52
references.pmid: 22386037
references.citation: J Aging Health. 2004 Feb;16(1):44-70
references.pmid: 14979310
references.citation: BMC Health Serv Res. 2010 May 10;10:116
references.pmid: 20459726
references.citation: Chin Med J (Engl). 2013 Nov;126(22):4348-53
references.pmid: 24238527
references.citation: Diabetes Technol Ther. 2012 Jun;14 Suppl 1:S59-67
references.pmid: 22650226
references.citation: Qual Life Res. 2007 Oct;16(8):1275-80
references.pmid: 17703375
references.citation: Skin Therapy Lett. 2010 Sep;15(8):5-9
references.pmid: 20844849
references.citation: Aging Ment Health. 2010 Jan;14(1):108-12
references.pmid: 20155527
references.citation: Neuropsychiatr Dis Treat. 2010 Sep 07;6:539-49
references.pmid: 20856917
references.citation: J Public Health (Oxf). 2009 Dec;31(4):530-40
references.pmid: 19202151
references.citation: Health Soc Care Community. 2009 Sep;17(5):476-84
references.pmid: 19456901
references.citation: Science. 2008 Feb 8;319(5864):772-5
references.pmid: 18258907
references.citation: Environ Sci Technol. 2012 Jan 3;46(1):132-9
references.pmid: 22103244
references.citation: Am J Geriatr Pharmacother. 2009 Oct;7(5):233-49
references.pmid: 19948300
references.citation: Int J Health Plann Manage. 2014 Apr-Jun;29(2):e97-e106
references.pmid: 23296711
references.citation: Health Aff (Millwood). 2012 May;31(5):1065-74
references.pmid: 22566448
references.citation: Geriatr Gerontol Int. 2011 Jul;11(3):239-45
references.pmid: 21545383