IDEAS home Printed from
   My bibliography  Save this article

A gendered view of reforming health care access for farmers in China


  • Huixia Liu
  • Linxiu Zhang
  • Gale Summerfield
  • Yaojiang Shi


Purpose - The social safety net of health care insurance is rapidly expanding in rural China. New Rural Cooperative Medical System (NRCMS) programs proliferated between the national decree of 2002 and 2008, moving from a situation where less than 10 per cent of the rural population had access to health insurance to one where over 80 per cent had the opportunity to participate in these programs. The purpose of this paper is to investigate how NRCMS affects equity goals in access to health care and explore the gender-specific determinants for farmers to participate in NRCMS and use health care services. Design/methodology/approach - Empirical analysis, by using the national rural socio-economic survey data collected by the Centre for Chinese Agricultural Policy, Chinese Academy of Sciences in 2005. Based on Andersen's access to medical care model, the probit model for regression was used. All analyses are conducted with Stata 9.0 software. Findings - Gender was found to have significant effects on both NRCMS participation and health care use. Age, education, deductible level and ceiling limits of reimbursement had positive effects on both NRCMS participation and health care use. The narrow coverage with high co-payment compensation system asserted significant deterrence effects on equity access to health care. This is only a first step toward building an adequate health safety net for all rural residents, there is still a long way to go. Originality/value - Using the national household survey data, this study is one of few studies focusing on the interplay between gender and the distinct determinants of access to health care under the ongoing NRCMS. The relevant findings have important implications for further policy design.

Suggested Citation

  • Huixia Liu & Linxiu Zhang & Gale Summerfield & Yaojiang Shi, 2009. "A gendered view of reforming health care access for farmers in China," China Agricultural Economic Review, Emerald Group Publishing, vol. 1(2), pages 194-211, January.
  • Handle: RePEc:eme:caerpp:v:1:y:2009:i:2:p:194-211

    Download full text from publisher

    File URL:
    Download Restriction: Access to full text is restricted to subscribers

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    1. Xueshan, Feng & Shenglan, Tang & Bloom, Gerald & Segall, Malcolm & Xingyuan, Gu, 1995. "Cooperative medical schemes in contemporary rural China," Social Science & Medicine, Elsevier, vol. 41(8), pages 1111-1118, October.
    2. Liu, Yuanli & Hsiao, William C. & Eggleston, Karen, 1999. "Equity in health and health care: the Chinese experience," Social Science & Medicine, Elsevier, vol. 49(10), pages 1349-1356, November.
    3. Rosenberg, Mark W. & Wilson, Kathleen, 2000. "Gender, poverty and location: how much difference do they make in the geography of health inequalities?," Social Science & Medicine, Elsevier, vol. 51(2), pages 275-287, July.
    4. Doyal, Lesley, 2000. "Gender equity in health: debates and dilemmas," Social Science & Medicine, Elsevier, vol. 51(6), pages 931-939, September.
    5. Allison, R. Andrew & Foster, James E., 2004. "Measuring health inequality using qualitative data," Journal of Health Economics, Elsevier, vol. 23(3), pages 505-524, May.
    6. Rosenberg, Mark W. & Hanlon, Neil T., 1996. "Access and utilization: A continuum of health service environments," Social Science & Medicine, Elsevier, vol. 43(6), pages 975-983, September.
    Full references (including those not matched with items on IDEAS)


    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eme:caerpp:v:1:y:2009:i:2:p:194-211. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Virginia Chapman). General contact details of provider: .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.