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High caesarean section rate in rural China: Is it related to health insurance (New Co-operative Medical Scheme)?

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  • Long, Qian
  • Klemetti, Reija
  • Wang, Yang
  • Tao, Fangbiao
  • Yan, Hong
  • Hemminki, Elina

Abstract

The epidemic of Caesarean section (CS) is worldwide, and it has been argued that it is mainly due to non-medical factors, including healthcare financing patterns. We investigated the use of CS in rural China and the related factors, particularly health insurance in the form of the New Co-operative Medical Scheme introduced in 2003.

Suggested Citation

  • Long, Qian & Klemetti, Reija & Wang, Yang & Tao, Fangbiao & Yan, Hong & Hemminki, Elina, 2012. "High caesarean section rate in rural China: Is it related to health insurance (New Co-operative Medical Scheme)?," Social Science & Medicine, Elsevier, vol. 75(4), pages 733-737.
    • Handle: RePEc:eee:socmed:v:75:y:2012:i:4:p:733-737
    DOI: 10.1016/j.socscimed.2012.03.054
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    References listed on IDEAS

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    1. Karen Eggleston & Li Ling & Meng Qingyue & Magnus Lindelow & Adam Wagstaff, 2008. "Health service delivery in China: a literature review," Health Economics, John Wiley & Sons, Ltd., vol. 17(2), pages 149-165, February.
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    4. Wagstaff, Adam & Lindelow, Magnus & Jun, Gao & Ling, Xu & Juncheng, Qian, 2009. "Extending health insurance to the rural population: An impact evaluation of China's new cooperative medical scheme," Journal of Health Economics, Elsevier, vol. 28(1), pages 1-19, January.
    5. Bogg, Lennart & Huang, Kun & Long, Qian & Shen, Yuan & Hemminki, Elina, 2010. "Dramatic increase of Cesarean deliveries in the midst of health reforms in rural China," Social Science & Medicine, Elsevier, vol. 70(10), pages 1544-1549, May.
    6. Dubay, Lisa & Kaestner, Robert & Waidmann, Timothy, 1999. "The impact of malpractice fears on cesarean section rates," Journal of Health Economics, Elsevier, vol. 18(4), pages 491-522, August.
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    Cited by:

    1. Renate Hartwig & Robert Sparrow & Sri Budiyati & Athia Yumna & Nila Warda & Asep Suryahadi & Arjun S. Bedi, 2019. "Effects of Decentralized Health-Care Financing on Maternal Care in Indonesia," Economic Development and Cultural Change, University of Chicago Press, vol. 67(3), pages 659-686.
    2. Cheng Huang & Xiaojing Ma & Shiying Zhang & Qingguo Zhao, 2020. "Numerological preferences, timing of births and the long-term effect on schooling," Journal of Population Economics, Springer;European Society for Population Economics, vol. 33(2), pages 531-554, April.
    3. Emmanuel Nshakira-Rukundo & Essa Chanie Mussa & Nathan Nshakira & Nicolas Gerber & Joachim von Braun, 2021. "Impact of community-based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach," International Journal of Health Economics and Management, Springer, vol. 21(2), pages 203-227, June.
    4. Myriam de Loenzien & Clémence Schantz & Bich Ngoc Luu & Alexandre Dumont, 2019. "Magnitude and correlates of caesarean section in urban and rural areas: A multivariate study in Vietnam," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-14, July.
    5. David Schleifer & David J Rothman, 2012. "“The Ultimate Decision Is Yours”: Exploring Patients’ Attitudes about the Overuse of Medical Interventions," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-6, December.
    6. Wang, Eileen, 2017. "Requests for cesarean deliveries: The politics of labor pain and pain relief in Shanghai, China," Social Science & Medicine, Elsevier, vol. 173(C), pages 1-8.

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