Rural–urban disparities in the utilization of mental health inpatient services in China: the role of health insurance

@article{Xu2018RuralurbanDI,
  title={Rural–urban disparities in the utilization of mental health inpatient services in China: the role of health insurance},
  author={Junfang Xu and Jian Wang and Madeleine King and Ruiyun Liu and Fenghua Yu and Jinshui Xing and Lei Su and Ming-Shan Lu},
  journal={International Journal of Health Economics and Management},
  year={2018},
  volume={18},
  pages={377 - 393}
}
  • J. Xu, J. Wang, +5 authors M. Lu
  • Published 2018
  • Medicine
  • International Journal of Health Economics and Management
Reducing rural–urban disparities in health and health care has been a key policy goal for the Chinese government. With mental health becoming an increasingly significant public health issue in China, empirical evidence of disparities in the use of mental health services can guide steps to reduce them. We conducted this study to inform China’s on-going health-care reform through examining how health insurance might reduce rural–urban disparities in the utilization of mental health inpatient… Expand
Health care utilization for patients with stroke: a 3-year cross-sectional study of China’s two urban health insurance schemes across four cities
TLDR
Significant city-specific differences in stroke patients’ healthcare utilization and medical costs reflected inequalities in health care access and the fragmented social health insurance schemes in China should be consolidated. Expand
Hukou-based rural–urban disparities in maternal health service utilization and delivery modes in two Chinese cities in Guangdong Province
TLDR
Rural hukou status is associated with younger age, no difference or lower probability of having a minimum number of prenatal checkups, higher likelihood of delivering in nontertiary hospitals, increased Cesarean delivery rates, and lower medical cost for delivery in these two Chinese cities. Expand
Impact of Urban-Rural Health Insurance Integration on Health Care: Evidence from Rural China
In recent years, Chinese local governments have experimented with integrating the social health insurance system segmented between rural and urban areas to unify the administration, policy, and fundsExpand
Impact of urban-rural health insurance integration on health care: Evidence from rural China
Abstract In recent years, Chinese local governments have experimented with integrating the social health insurance system segmented between rural and urban areas to unify the administration, policy,Expand
Utilisation of health services among urban patients who had an ischaemic stroke with different health insurance - a cross-sectional study in China
TLDR
Significant disparities were found in the utilisation of hospital services between UEBMI and URBMI patients and call for a systemic strategy to improve the fragmented social health insurance system and narrow the gaps in China’s health insurance schemes. Expand
The Effect of the Full Coverage of Essential Medicines Policy on Utilization and Accessibility of Primary Healthcare Service for Rural Seniors: A Time Series Study in Qidong, China
TLDR
The FCEMs policy has alleviated the financial burden of the rural seniors and slightly improved the efficiency of primary health service utilization, however, it had no positive effect on daily hospitalization costs. Expand
Urban-rural differences in mental health among Chinese patients with multiple chronic conditions.
TLDR
It was found that rural participants reported more symptoms of anxiety and depression and had worse mental health compared to urban participants, and unemployment status, lower educational level, more long-term health conditions, and a higher degree of anxiety were associated with better mental health. Expand
The impact of social, national and community-based health insurance on health care utilization for mental, neurological and substance-use disorders in low- and middle-income countries: a systematic review
TLDR
Despite some heterogeneity across countries, the results demonstrated that enrollment in SHI, CBHI and NHI schemes increased utilization of mental health care, consistent for the length of inpatient admissions, number of hospitalizations, outpatient use of rehabilitation services, and having ever received treatment for diagnosed schizophrenia and depression. Expand
Examining the Urban and Rural Healthcare Progress in Big Cities of China: Analysis of Monitoring Data in Dalian from 2008 to 2017
TLDR
Although the urban–rural healthcare disparity has narrowed distinctly, sustained progress is not guaranteed and urban areas should pay more attention to coordinated development, while rural areas should address specific concerns based on local needs and conditions. Expand
Impact of hierarchical hospital reform on patients with diabetes in China: a retrospective observational analysis
Objectives We assess whether China’s diabetes pilot hierarchical diagnosis and treatment reforms shifted patient healthcare-seeking behaviour towards primary health institutions (PHIs) and away fromExpand
...
1
2
3
...

References

SHOWING 1-10 OF 62 REFERENCES
Mental health inpatient treatment expenditure trends in China, 2005-2012: evidence from Shandong.
  • J. Xu, Jian Wang, +4 authors M. Lu
  • Medicine
  • The journal of mental health policy and economics
  • 2014
TLDR
This study found that mental health inpatient resources use, particularly hospitalization cost, has been growing at an increasing rate, and the government needs to significantly increase its spending in preventing and treating mental illnesses in China. Expand
How does the New Cooperative Medical Scheme influence health service utilization? A study in two provinces in rural China
TLDR
Although utilization of inpatient service in general has increased under NCMS, people with high income tend to benefit more than the low income group, and NCMS policy should be more equity oriented to achieve its policy goal. Expand
Rural and Urban Disparity in Health Services Utilization in China
TLDR
Three national approaches should be considered in reforming the healthcare system in China: universal insurance Coverage, higher amounts of insurance coverage, and increasing the population's level of education. Expand
The impacts of health insurance on health care utilization among the older people in China.
TLDR
It is found that compared with people without health insurance, people with UEBMI and URBMI are more likely to use outpatient services and people withUEBMI have less OOP payments in Zhejiang while in Gansu province,People with NCMS are less likely to have outpatient visits, while people with EEBMI areMore likely to be hospitalized. Expand
The influence of the rural health security schemes on health utilization and household impoverishment in rural China: data from a household survey of western and central China
TLDR
The coverage of NRCMS among the rural population was high but not adequate to improve access to in-patient care and protect against financial catastrophe and household impoverishment due to health payment, especially for the poor and the chronically ill. Expand
Trend of Urban-Rural Disparities in Hospital Admissions and Medical Expenditure in China from 2003 to 2011
TLDR
The health insurance coverage has been continually expanding and health service utilization has been substantially improved, and the disparities in reimbursement rate and the proportion of hospitalization direct cost to the total consumer spending significantly narrowed. Expand
The New Cooperative Medical Scheme in rural China: does more coverage mean more service and better health?
TLDR
It is found that participating in the NCMS significantly decreases the use of traditional Chinese folk doctors and increases the utilization of preventive care, particularly general physical examinations. Expand
Effects of Rural Mutual Health Care on outpatient service utilization in Chinese village medical institutions: evidence from panel data.
TLDR
The results indicate that the price elasticities of demand for outpatient visits and per-visit outpatient expenses were -1.5 and -0.553 after implementing the supply-side policy, which can be used to make recommendations to the Chinese government on improving the health care system. Expand
Health Insurance Utilization and Its Impact: Observations from the Middle-Aged and Elderly in China
TLDR
In the multivariate analysis of outpatient treatment expenditure, insurance utilization was significantly associated with higher treatment cost, lost income, and gross total cost; however, the amount paid by the insured is still high. Expand
Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study
TLDR
Remarkable increases in insurance coverage and inpatient reimbursement were accompanied by increased use and coverage of health care, and these increases have not been accompanied by reductions in catastrophic health expenses. Expand
...
1
2
3
4
5
...