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Analysis of health care utilization in rural Shandong and Ningxia
Shandong University.
Shandong University.
Mälardalen University, School of Health, Care and Social Welfare. Karolinska institutet. (Global health Department of Public Health Sciences)ORCID iD: 0000-0003-0368-050X
Liverpool University, School of Tropical Medicine.
2008 (Chinese)In: Chinese Health Economics, Vol. 27, no 8, p. 26-28Article in journal (Refereed) Published
Abstract [en]

Study of the sickness prevalence state and utilization of health care for last four weeks for 22,636 rural inhabitants from Shangdong and Ningxia provinces. For last four weeks, 32.8% of the sick inhabitants had visited a health institution, and age, occupation, and education status are factors that affect visiting a doctor or not. Village clinic was the most frequently visited health institution for its geographic convenience; good quality of health care or having an acquaintance was the main reason for selecting township health center, secondary or tertiary hospital; low price was the main reason for selecting a private institution and few people perceived the price in village clinic was low or the quality was good. The mean medical cost of out-of-pocket was 280.0 Chinese Yuan per visit, and accounted for 7.7% of annual net income and 8.7% of annual non-food expenditure per capita. For those fell sick but did not take any measure, 15.9% was because of economic barrier; 9.2% of the outpatients were recommended taking inpatient care, but had not. For outpatients recommended taking inpatient care but had not, 69.7% of them were for economic barrier. Neither the new cooperative medical scheme nor medial aid mechanism has resolved the problem of access to health care.

 

 

 

Place, publisher, year, edition, pages
2008. Vol. 27, no 8, p. 26-28
Keywords [en]
Health insurance, health financing, rural health, NCMS, utilisation, access, China
National Category
Medical and Health Sciences
Research subject
Care Sciences within Health and Welfare
Identifiers
URN: urn:nbn:se:mdh:diva-1137OAI: oai:DiVA.org:mdh-1137DiVA, id: diva2:37345
Projects
EU 6th framework Rural Health Insurance in China and Vietnam (RHINCAV)
Funder
EU, European Research CouncilAvailable from: 2008-10-03 Created: 2008-10-03 Last updated: 2013-12-30Bibliographically approved

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Bogg, Lennart

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CiteExportLink to record
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Citation style
  • apa
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