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学者姓名:周忠良

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The distribution of benefits under China's new rural cooperative medical system: evidence from western rural China SSCI PubMed Scopus
期刊论文 | 2018 , 17 | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
WoS CC Cited Count: 1 SCOPUS Cited Count: 1
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Background: China's New Cooperative Medical Scheme (NCMS) enables insured citizens to enjoy the same benefit package by paying a flat-rate premium. However, it still remains uncertain whether economically disadvantaged enrollees receive insurance benefits that at least match those of non-disadvantaged enrollees. This article, therefore, estimates the distribution of benefits under the NCMS across economic groups and compares the magnitude of economic-related inequity changes in the NCMS benefits. Methods: Data were drawn from two-wave large-scale representative and comparable cross-sectional household health survey datasets conducted in Shaanxi Province in 2008 and 2013. In total, 9506 (2008) and 38,010 (2013) NCMS enrollees were included. The benefits from the NCMS are measured in two ways: via the probability of receiving reimbursements and via the absolute amount of the obtained reimbursements. Two-part models were used to estimate the benefit distribution and to adjust benefits for health care needs. Concentration curve, dominance test of the concentration curve, and concentration index (CI) were used to estimate the overall degree of economic-related inequality. The degree of horizontal inequity was estimated via indirectly standardized measures based on the "equal treatment for equal needs" concept. Results: Our results indicate that economically affluent groups were more likely to receive reimbursements from the NCMS, and these reimbursements were also higher. Positive need-adjusted CIs for the probability of receiving reimbursements (CIs: 0.2027/0.1056 in 2008/2013) and the absolute amount of reimbursements (CIs: 0.3002/0.1660 in 2008/2013) further suggest the existence of clear pro-rich horizontal inequities in the benefits distribution under the NCMS. Encouragingly, a decreasing trend could be observed from 2008 to 2013, which suggests that horizontal inequities in NCMS benefits that favored the rich decreased over the investigated period, while the level of insurance benefits improved. Conclusions: Our study suggests that the benefits of NCMS are concentrated toward economically affluent groups. Although any trade-off between policy feasibility and equity has become a challenge for the formulation of social health insurance funding and benefit packages in developing countries, inequality can be gradually reduced through continuous adjustment of the medical insurance scheme, thus effectively targeting economically disadvantaged enrollees.

Keyword :

New cooperative medical scheme Health insurance China Benefit Equity

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GB/T 7714 Lai, Sha , Shen, Chi , Xu, Yongjian et al. The distribution of benefits under China's new rural cooperative medical system: evidence from western rural China [J]. | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH , 2018 , 17 .
MLA Lai, Sha et al. "The distribution of benefits under China's new rural cooperative medical system: evidence from western rural China" . | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH 17 (2018) .
APA Lai, Sha , Shen, Chi , Xu, Yongjian , Yang, Xiaowei , Si, Yafei , Gao, Jianmin et al. The distribution of benefits under China's new rural cooperative medical system: evidence from western rural China . | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH , 2018 , 17 .
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Research on the horizontal equity of inpatient benefits among NCMS enrollees in China: evidence from Shaanxi Province SSCI SCIE PubMed Scopus
期刊论文 | 2018 , 18 | BMC HEALTH SERVICES RESEARCH
WoS CC Cited Count: 1
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Background: Equity is an important goal for countries in formulating relevant health policies, and research on the equity of health services is more important for China, where the gap between the rich and poor is widening. The aims of this study are to explore to what extent the benefit equity of New Rural Cooperative Medical System enrollees has been achieved and to determine the geographical disparities in Shaanxi province and thus provide suggestions for future policy formulations. Methods: Data were obtained from the fifth Health Service Survey of Shaanxi province in 2013. A two-step mode was used to analyse the influencing factors of the inpatient benefit rate and inpatient compensation fee. Concentration indexes and concentration curves were applied to measure the inequity of the inpatient benefit rate and inpatient compensation fee. The decomposition method was employed to explore the source of inequity and horizontal inequity. Results: Based on a sample of 38,032 enrollees, our results showed that there were pro-rich inequities in the inpatient benefit rate and compensation fee. The concentration index of the inpatient benefit rate and compensation fee in 2013 were 0.064 and 0.174, respectively. The economic level (224.62%), self-evaluated health status (- 25.89%) and occupation status (- 12.32%) were the primary three contributors to the inequity of the inpatient benefit rate, and the economic level (106.16%) and age (- 2.88%) were the first two contributors to the inequity of the compensation fee. There were regional differences in the sources of inequities. Moreover, pro-rich horizontal inequity remained after standardizing health care needs. Conclusions: Our results indicated that there were pro-rich inequities in the inpatient benefit rate and compensation fee in the New Rural Cooperative Medical System. The economic levels of enrollees accounted for most of the existing inequity, followed by self-evaluated health scores and age. Efforts should be made to strengthen policies and programmes in the New Rural Cooperative Medical System to achieve basic health services equity, such as implementing hierarchical medical treatments and reducing extra inpatient benefits for the rich.

Keyword :

Benefit equity Inpatient Decomposition of the concentration index Concentration index New rural cooperative medical system

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GB/T 7714 Yan, Jue , Ren, Yangling , Zhou, Zhongliang et al. Research on the horizontal equity of inpatient benefits among NCMS enrollees in China: evidence from Shaanxi Province [J]. | BMC HEALTH SERVICES RESEARCH , 2018 , 18 .
MLA Yan, Jue et al. "Research on the horizontal equity of inpatient benefits among NCMS enrollees in China: evidence from Shaanxi Province" . | BMC HEALTH SERVICES RESEARCH 18 (2018) .
APA Yan, Jue , Ren, Yangling , Zhou, Zhongliang , Xu, Tiange , Wang, Xiao , Du, Leilei et al. Research on the horizontal equity of inpatient benefits among NCMS enrollees in China: evidence from Shaanxi Province . | BMC HEALTH SERVICES RESEARCH , 2018 , 18 .
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针对性护理联合健康教育在小儿手足口病感染防控护理中的应用值分析
期刊论文 | 2018 , (53) , 109 | 临床医药文献电子杂志
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目的 研究针对性护理联合健康教育在小儿手足口病感染防控护理中的应用价值.方法 选取我院小儿手足口病患儿78例,按照入院顺序奇偶数随机分为实验组和常规组各39例,常规组采用日常常规性护理,实验组在常规护理基础上对患儿实施针对性护理联合健康教育,对比两组患儿治愈时间、皮疹消退时间以及治疗效果.结果 实验组患儿治愈时间与皮疹消退时间明显低于常规组,治疗效果高于常规组,P<0.05,具有统计学意义.结论 对小儿手足口患儿实施针对性护理联合健康教育能有效缩短患儿的治愈时间以及皮疹消退时间,显著提升治疗效果,促进患儿病情康复,具有临床推广应用价值.

Keyword :

健康教育 小儿手足口病 感染防控 针对性护理

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GB/T 7714 张西嫔 , 周忠良 , 司亚飞 . 针对性护理联合健康教育在小儿手足口病感染防控护理中的应用值分析 [J]. | 临床医药文献电子杂志 , 2018 , (53) : 109 .
MLA 张西嫔 et al. "针对性护理联合健康教育在小儿手足口病感染防控护理中的应用值分析" . | 临床医药文献电子杂志 53 (2018) : 109 .
APA 张西嫔 , 周忠良 , 司亚飞 . 针对性护理联合健康教育在小儿手足口病感染防控护理中的应用值分析 . | 临床医药文献电子杂志 , 2018 , (53) , 109 .
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Importance of medical information for health-care utilisation in China: a cross-sectional study CPCI-S SCIE
会议论文 | 2018 , 392 , 49-49 | Lancet-CAMS Health Summit
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GB/T 7714 Si, Yafei , Su, Min , Dong, Wanyue et al. Importance of medical information for health-care utilisation in China: a cross-sectional study [C] . 2018 : 49-49 .
MLA Si, Yafei et al. "Importance of medical information for health-care utilisation in China: a cross-sectional study" . (2018) : 49-49 .
APA Si, Yafei , Su, Min , Dong, Wanyue , Yang, Zesen , Zhou, Zhongliang , Chen, Xi . Importance of medical information for health-care utilisation in China: a cross-sectional study . (2018) : 49-49 .
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Effects of China's urban basic health insurance on preventive care service utilization and health behaviors: Evidence from the China Health and Nutrition Survey SSCI SCIE PubMed
期刊论文 | 2018 , 13 (12) | PLOS ONE
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Background Lifestyle choices are important determinants of individual health. Few studies have investigated changes in health behaviors and preventive activities brought about by the 2007 implementation of Urban Resident Basic Health Insurance (URBMI) in China. This study, therefore, aimed to explore whether URBMI has reduced individuals' incentives to adopt healthy behaviors and utilize preventive care services. Methods Data were drawn from two waves of the China Health and Nutrition Survey. Respondents were categorized according to their insurance situation before and after the URBMI reform in 2006 and 2011. Propensity score matching and difference-in-differences methods were used to measure levels of preventive care and behavior changes over time. Estimations were also made based on gender, self-reported health, and income. Results We found that URBMI implementation did not change residents' utilization of preventive care services or their smoking habits, drinking habits, or other risky behaviors overall. However, the likelihood of sedentariness did increase by five percentage points. Females tended to be more sedentary while males were less likely to drink soft drinks. Residents with poor self-reported health exercised less while those who reported good health were more likely to be sedentary. Low-and middle-income residents were likely to be sedentary while middle-income people tended to smoke after becoming insured. Conclusion Since URBMI implementation, some unhealthy behaviors like sedentariness have increased among those who were newly insured, and different subgroups have reacted differently. This suggests that the insurance design needs to be optimized and effective measures need to be adopted to help improve people's lifestyle choices.

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GB/T 7714 Dong, Wanyue , Gao, Jianmin , Zhou, Zhongliang et al. Effects of China's urban basic health insurance on preventive care service utilization and health behaviors: Evidence from the China Health and Nutrition Survey [J]. | PLOS ONE , 2018 , 13 (12) .
MLA Dong, Wanyue et al. "Effects of China's urban basic health insurance on preventive care service utilization and health behaviors: Evidence from the China Health and Nutrition Survey" . | PLOS ONE 13 . 12 (2018) .
APA Dong, Wanyue , Gao, Jianmin , Zhou, Zhongliang , Bai, Ruhai , Wu, Yue , Su, Min et al. Effects of China's urban basic health insurance on preventive care service utilization and health behaviors: Evidence from the China Health and Nutrition Survey . | PLOS ONE , 2018 , 13 (12) .
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Assessing the effects of the percentage of chronic disease in households on health payment-induced poverty in Shaanxi Province, China SSCI SCIE PubMed
期刊论文 | 2018 , 18 | BMC HEALTH SERVICES RESEARCH
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BackgroundChronic disease has become one of the leading causes of poverty in China, which posed heavy economic burden on individuals, households and society, and accounts for an estimated 80% of deaths and 70% of disability-adjusted life-years lost now in China. This study aims to assess the effect of chronic diseases on health payment-induced poverty in Shaanxi Province, China.MethodsThe data was from the 5th National Health Survey of Shaanxi Province, which was part of China's National Health Service Survey (NHSS) conducted in 2013. Totally, 20,700 households were selected for analysis. We used poverty headcount, poverty gap and mean positive poverty gap to assess the incidence, depth and intensity of poverty before and after health payment, respectively. Logistic regression models were further undertaken to evaluate the influence of percentage of chronic patients in households on the health payment-induced poverty with the control of other covariates.ResultsIn rural areas, the incidence of poverty increased 31.90% before and after health payment in the household group when the percentage of chronic patients in the households was 0, and the poverty gap rose from 932.77 CNY to 1253.85 CNY (50.56% increased). In the group when the percentage of chronic patients in the households was 1-40% and 41-50%, the poverty gap increased 76.78 and 89.29%, respectively. In the group when the percentage of chronic patients in the households was 51 similar to 100%, the increase of poverty headcount and poverty gap was 49.89 and 46.24%. In the logistic model, we found that the proportion of chronic patients in the households was closely related with the health payment-induced poverty. The percentage of chronic disease in the households increased by 1 %, the incidence of poverty increased by 1.01 times. On the other hand, the male household head and the household's head with higher educational lever were seen as protective factors for impoverishment.ConclusionsWith the percentage of chronic patients in the households growing, the health payment-induced poverty increases sharply. Furthermore, the households members with more chronic diseases in rural areas were more likely to suffer poverty than those in urban areas. Our analysis emphasizes the need to protect households from the impoverishment of chronic diseases, and our findings will provide suggestions for further healthcare reforms in China and guidance for vulnerable groups.

Keyword :

NHSS Chronic diseases China Health payment-induced poverty Logistic model

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GB/T 7714 Lan, Xin , Zhou, Zhongliang , Si, Yafei et al. Assessing the effects of the percentage of chronic disease in households on health payment-induced poverty in Shaanxi Province, China [J]. | BMC HEALTH SERVICES RESEARCH , 2018 , 18 .
MLA Lan, Xin et al. "Assessing the effects of the percentage of chronic disease in households on health payment-induced poverty in Shaanxi Province, China" . | BMC HEALTH SERVICES RESEARCH 18 (2018) .
APA Lan, Xin , Zhou, Zhongliang , Si, Yafei , Shen, Chi , Fan, Xiaojing , Chen, Gang et al. Assessing the effects of the percentage of chronic disease in households on health payment-induced poverty in Shaanxi Province, China . | BMC HEALTH SERVICES RESEARCH , 2018 , 18 .
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Using smartphone-based virtual patients to assess the quality of primary healthcare in rural China: protocol for a prospective multicentre study SSCI SCIE PubMed Scopus
期刊论文 | 2018 , 8 (7) | BMJ OPEN
WoS CC Cited Count: 2 SCOPUS Cited Count: 2
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Introduction Valid and low-cost quality assessment tools examining care quality are not readily available. The unannounced standardised patient (USP), the gold standard for assessing quality, is costly to implement while the validity of clinical vignettes, as a low-cost alternative, has been challenged. Computerised virtual patients (VPs) create high-fidelity and interactive simulations of doctorpatient encounters which can be easily implemented via smartphone at low marginal cost. Our study aims to develop and validate smartphone-based VP as a quality assessment tool for primary care, compared with USP. Methods and analysis The study will be implemented in primary health centres (PHCs) in rural areas of seven Chinese provinces, and physicians practicing at township health centres and village clinics will be our study population. The development of VPs involves three steps: (1) identifying 10 VP cases that can best represent rural PHCs' work, (2) designing each case by a case-specific development team and (3) developing corresponding quality scoring criteria. After being externally reviewed for content validity, these VP cases will be implemented on a smartphone-based platform and will be tested for feasibility and face validity. This smartphone-based VP tool will then be validated for its criterion validity against USP and its reliability (ie, internal consistency and stability), with 1260 VP/USP-clinician encounters across the seven study provinces for all 10 VP cases. Ethics and dissemination Sun Yat-sen University: No. 2017-007. Study findings will be published and tools developed will be freely available to low-income and middle-income countries for research purposes.

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GB/T 7714 Liao, Jing , Chen, Yaolong , Cai, Yiyuan et al. Using smartphone-based virtual patients to assess the quality of primary healthcare in rural China: protocol for a prospective multicentre study [J]. | BMJ OPEN , 2018 , 8 (7) .
MLA Liao, Jing et al. "Using smartphone-based virtual patients to assess the quality of primary healthcare in rural China: protocol for a prospective multicentre study" . | BMJ OPEN 8 . 7 (2018) .
APA Liao, Jing , Chen, Yaolong , Cai, Yiyuan , Zhan, Nan , Sylvia, Sean , Hanson, Kara et al. Using smartphone-based virtual patients to assess the quality of primary healthcare in rural China: protocol for a prospective multicentre study . | BMJ OPEN , 2018 , 8 (7) .
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Comparing the income-related inequity of tested prevalence and self-reported prevalence of hypertension in China SSCI PubMed Scopus
期刊论文 | 2018 , 17 | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
WoS CC Cited Count: 1 SCOPUS Cited Count: 1
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Background: Hypertension has become a global health challenge given its high prevalence and but low awareness and detection. Whether the actual prevalence of hypertension has been estimated is important, especially for the poor. This study aimed to measure tested prevalence and self-reported prevalence of hypertension and compare the inequity between them in China. Methods: Data were derived from China Health and Nutrition Survey (CHNS) conducted in 2011. By using the multistage, stratified, random sampling method, 12,168 respondents aged 18 or older were identified for analysis. Both tested prevalence (systolic blood pressure >= 140 mmHg or/and diastolic blood pressure >= 90 mmHg or /and current use any of antihypertensive medication) and self-reported prevalence (ever diagnosed with hypertension by a doctor) were used to measure the prevalence of hypertension. The concentration index was employed to measure the extent of inequality in tested prevalence and self-reported prevalence. A decomposition method, based on a Probit model, was used to analyze income-related horizontal inequity of tested prevalence and self-reported prevalence. Results: The tested prevalence and self-reported prevalence of total respondents were 28.8% [95% CI (28.0%, 29.6%)] and 15.7% [95% CI (15.0%, 16.3%)], and 26.4% [95% CI (25.1%, 27.6%)] and 19.0% [95% CI (17.9%, 20.1%)] in urban areas, and 30.3% [95% CI (29.3%, 31.4%)] and 13.5% [95% CI (12.7%, 14.3%)] in rural areas. The horizontal inequity indexes of mean tested prevalence and self-reported prevalence were - 0.0494 and 0.1203 of total respondents, - 0.0736 and 0. 0748 in urban area, and - 0.0177 and 0.0466 in rural area respectively, indicating pro-poor inequity in tested prevalence and pro-rich inequity in self-reported prevalence of hypertension. Economic status, education attainment and age were key factors of the pro-poor inequity in tested prevalence. Economic status, area and age were key factors to explain the poor-rich inequity in self-reported prevalence. Conclusions: This study revealed self-reported prevalence of hypertension was much lower than tested prevalence in China, while a larger gap between self-reported and tested prevalence was found in rural areas. Our study suggested social strategies aiming at narrowing economic gap and regional disparities, reducing educational inequity, and facilitating health conditions of the elderly should be implemented. Finally, awareness raising campaigns to test hypertension in rural area need be strengthened by health education programs and improving the access to public health service, especially for those who do not engage with regular health checkups.

Keyword :

Tested prevalence Self-reported prevalence Income-related health inequality Horizontal inequity China Hypertension Decomposition

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GB/T 7714 Su, Min , Si, Yafei , Zhou, Zhongliang et al. Comparing the income-related inequity of tested prevalence and self-reported prevalence of hypertension in China [J]. | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH , 2018 , 17 .
MLA Su, Min et al. "Comparing the income-related inequity of tested prevalence and self-reported prevalence of hypertension in China" . | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH 17 (2018) .
APA Su, Min , Si, Yafei , Zhou, Zhongliang , Shen, Chi , Dong, Wanyue , Fan, Xiaojing et al. Comparing the income-related inequity of tested prevalence and self-reported prevalence of hypertension in China . | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH , 2018 , 17 .
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Unequal distribution of health human resource in mainland China: what are the determinants from a comprehensive perspective? SSCI PubMed Scopus
期刊论文 | 2018 , 17 | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
WoS CC Cited Count: 7 SCOPUS Cited Count: 7
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Background: The inequality of health human resource is a worldwide problem, and solving it also is one of the major goals of China's recent health system reform. Yet there is a huge disparity among cities in mainland China. The aim of this study is to analyze the distribution inequality of the health human resource in 322 prefecture-level cities of mainland China in 2014, and to reveal the facets and causes of the inequalities. Methods: The data for this study were acquired from the provincial and municipal Health Statistics Yearbook (2014) and Statistical Yearbook (2014), the municipal National Economic Bulletin (2014), and the official websites of municipal governments, involving 322 prefecture-level cities. Meanwhile, Concentration Index was used to measure the magnitude of the unequal distribution of health human resource. A decomposition analysis was employed to quantify the contribution of each determinant to the total inequality. Results: The overall concentration index of doctors and nurses in mainland China in 2014 was 0.1038 (95% CI = 0.0208, 0.1865) and 0.0785 (95% CI = 0.0018, 0.1561). Decomposition of the concentration index revealed that economic status was the primary contributor (58.5% and 57%) to the inequality of doctors and nurses, followed by the Southwest China (19.1% and 18.6%), urbanization level (-13.1% and -12.8%), and revenue (8.0% and 7.8%). Party secretaries with Master degree (7.0%, 6.8%), mayors who were 60 years old or above (6.3%, 6.1%) also were proved to be a major contributor to the inequality of health human resource. Conclusions: There was inequality of health human resource distribution which was pro-rich in mainland China in 2014. Economic status of the cities accounted for most of the existing inequality, followed by the Southwest China, urbanization level, revenue, party secretaries with Master degree, and mayors who were 60 years old or above in respective importance. Besides, the party secretaries and mayors also had certain influence on the allocation of health human resource. The tough issue of HHR inequality should be addressed by comprehensive measures from a multidisciplinary perspective.

Keyword :

Decomposition analysis Inequality Concentration index Health human resource

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GB/T 7714 Li, Dan , Zhou, Zhongliang , Si, Yafei et al. Unequal distribution of health human resource in mainland China: what are the determinants from a comprehensive perspective? [J]. | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH , 2018 , 17 .
MLA Li, Dan et al. "Unequal distribution of health human resource in mainland China: what are the determinants from a comprehensive perspective?" . | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH 17 (2018) .
APA Li, Dan , Zhou, Zhongliang , Si, Yafei , Xu, Yongjian , Shen, Chi , Wang, Yiyang et al. Unequal distribution of health human resource in mainland China: what are the determinants from a comprehensive perspective? . | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH , 2018 , 17 .
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Catastrophic health expenditure in households with chronic disease patients: A pre-post comparison of the New Health Care Reform in Shaanxi Province, China SSCI SCIE PubMed Scopus
期刊论文 | 2018 , 13 (3) | PLOS ONE
WoS CC Cited Count: 6 SCOPUS Cited Count: 6
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Introduction In 2009, China officially launched the New Health Care Reform (NHCR). One important purpose of the reform was to reduce financial burden of health care through health insurance expansion and health care provider regulations. This study aimed to provide evidence on the effect of the NHCR reform on catastrophic health expenditure (CHE) by comparing the occurrence and inequality of CHE among households with chronic diseases patients before and after the reform. Methods This study used the subset of data from the 2008 and 2013 National Health Services Survey conducted in Shaanxi Province. Our sample included households with chronic diseases patients and excluded observations with key variables missing. The final sample size was 1942 households in 2008 and 7704 households in 2013. We defined CHE occurrence following the definition of the World Health Organization (WHO). The income-related inequality in CHE was measured by the concentration index. A multi-level logistic regression model was used in the study to explore the influence of the NHCR on CHE occurrence, controlling for important covariates. Results From 2008 to 2013, the occurrence rate of CHE in rural areas declined from 29.15% to 23.62%. However, the CHE rate in urban areas increased from 19.18% to 24.95%. The interaction term between year and rural/urban location was statistically significant, confirming that the influence of the NHCR on the CHE occurrence rates were heterogeneous between rural and urban areas. As for the CHE inequality, the concentration index in rural areas decreased from -0.4572 to -0.5499 with a p-value less than 0.05. This implied that the CHE occurrence inequality was increased after the implementation of the NHCR. Conclusion Our study suggested that the implementation of the NHCR might not have been effective in reducing the CHE occurrence for households with chronic disease patients. Although the occurrence of CHE of rural households had decreased, the occurrence of CHE in urban areas was higher than before. In addition, the income inequality of CHE occurrence was greater in 2013 compared to that in 2008 in rural areas. Although the reform resulted in higher insurance coverage and higher government expenditure in health care, the financial burden of health care on households did not necessarily improve. Further efforts on developing the current health insurance system and optimizing the hierarchical health care system are required to improve the protection against CHE.

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GB/T 7714 Xu, Yongjian , Ma, Jie , Wu, Na et al. Catastrophic health expenditure in households with chronic disease patients: A pre-post comparison of the New Health Care Reform in Shaanxi Province, China [J]. | PLOS ONE , 2018 , 13 (3) .
MLA Xu, Yongjian et al. "Catastrophic health expenditure in households with chronic disease patients: A pre-post comparison of the New Health Care Reform in Shaanxi Province, China" . | PLOS ONE 13 . 3 (2018) .
APA Xu, Yongjian , Ma, Jie , Wu, Na , Fan, Xiaojing , Zhang, Tao , Zhou, Zhongliang et al. Catastrophic health expenditure in households with chronic disease patients: A pre-post comparison of the New Health Care Reform in Shaanxi Province, China . | PLOS ONE , 2018 , 13 (3) .
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