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Association between health insurance and antibiotics prescribing in four counties in rural China
School of Public Health, Shanghai Medical University, Shanghai, China.
Karolinska institutet, Stockholm, Sweden.ORCID iD: 0000-0003-0368-050X
Stockholm School of Economics, Stockholm, Sweden.
Karolinska institutet, Stockholm, Sweden; Nordic School of Public Health, Gothenburg, Sweden.
1999 (English)In: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 48, no 1, p. 29-45Article in journal (Refereed) Published
Abstract [en]

A cross-sectional study was carried out at county, township and village health care facilities in four counties in rural China in order to describe and compare the effects of health financing systems on antibiotic prescribing in outpatient care. A total of 1232 outpatients at the health care facilities was selected by multi-stage random sampling and were interviewed over 2 weeks. The results showed that health financing systems appeared to influence antibiotic prescribing in outpatient care, both in terms of frequency and of the types prescribed. The insured group had lower prescribing of antibiotics at township and village health care facilities, and for respiratory tract infections, but had higher prescribing of newer antibiotics at county and village health care facilities, for respiratory tract and g-i infections. Because there was a high patient compliance rate (94.3%) in this study the prescribing of antibiotics (supply side behavior) reflected the use of antibiotics (demand side behavior) to a great extent. Thus the results imply that antibiotics prescribing and using might be biased by the patient's health financing systems and antibiotic prescribing was the result of the interaction between physicians and patients.

Place, publisher, year, edition, pages
1999. Vol. 48, no 1, p. 29-45
Keywords [en]
drugs, rational use, health insurance, health financing, antibiotics
National Category
Medical and Health Sciences
Research subject
Care Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-11665DOI: 10.1016/S0168-8510(99)00026-3ISI: 000081756000003PubMedID: 10539584Scopus ID: 2-s2.0-0033022515OAI: oai:DiVA.org:mdh-11665DiVA, id: diva2:394131
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Funder
Sida - Swedish International Development Cooperation AgencyAvailable from: 2011-02-03 Created: 2011-02-01 Last updated: 2017-12-11Bibliographically approved

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Bogg, Lennart

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