[Catastrophic Health Expenditure before and after Compensations from the New Rural Cooperative Medical Scheme in Rural Zigong of Sichuan Province].
Sichuan Da Xue Xue Bao Yi Xue Ban
; 47(5): 768-771, 2016 Sep.
Article
em Zh
| MEDLINE
| ID: mdl-28598096
ABSTRACT
OBJECTIVES:
To estimate catastrophic health expenditure (CHE) of rural families in Zigong, and to determine the main influencing factors of CHE.METHODS:
CHE was estimated using indicators such as occurrence and average deviations. The influencing factors of CHE were identified through binary logistic regression.RESULTS:
We found 6.37% catastrophic health payment headcount, 1.13% mean catastrophic payment gap, and 17.80% mean positive gap after compensations. Compensations from the new rural cooperative medical scheme (NCMS) led to a reduction of 74.81% catastrophic health payment headcount for hospitalization costs and 48.00% catastrophic health payment headcount for outpatient costs, respectively. The numbers of hospitalizations in a family, presence of patients with chronic diseases, per capita household income, and numbers of family members with a job were found to be predictors of CHE.CONCLUSIONS:
Rural families that have patients with chronic diseases are vulnerable to CHE.The government should develop policies to ease the financial burdens of the families with a high accumulated health expenditure over time.Palavras-chave
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Temas:
ECOS
/
Aspectos_gerais
/
Estado_mercado_regulacao
/
Financiamentos_gastos
Bases de dados:
MEDLINE
Assunto principal:
População Rural
/
Doença Catastrófica
/
Gastos em Saúde
Tipo de estudo:
Health_economic_evaluation
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Humans
País/Região como assunto:
Asia
Idioma:
Zh
Revista:
Sichuan Da Xue Xue Bao Yi Xue Ban
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
China