Abstract

The economic burden of diseases has become a constraining factor affecting the performance of the global health systems [1-4]. The high medical expenses of major illnesses have resulted in catastrophic health expenditures and led to poverty for many families. In China, catastrophic medical insurance scheme was implemented in 2016 [5] for both urban and rural residents, as a supplement to the basic medical insurance system. According to the universal coverage framework recommended by WHO [6], China has achieved population-wide coverage of the catastrophic medical insurance, but it's coverage on both healthcare service and health cost still needs further confirmation.

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