Ten-Year Poverty Alleviation Effect of the Medical Insurance System on Families With Members Who Have a Non-communicable Disease

Evidence From Heilongjiang Province in China

Datos Bibliográficos

ID22073282
AutoresQi Xia (0000-0003-0538-7665, Harbin Medical University), Lichun Wu (Heilongjiang Provincial Hospital), Wanxin Tian (Harbin Medical University), Wenqing Miao (0000-0001-7355-5099, Harbin Medical University), Xiyu Zhang (0009-0001-6001-133X, Harbin Medical University), Jing Xu (0000-0001-7414-9383, Heilongjiang Provincial Hospital), Yuze Li (0000-0002-7649-0750, Jiamusi University, autor de correspondencia), Baoguo Shi (0000-0003-3577-3890, Minzu University of China), Nianshi Wang (Harbin Medical University), Huiying Yang (0000-0001-6200-4136, Harbin Medical University), Zhipeng Huang (0000-0002-7113-2903, Harbin Medical University), Huiqi Yang (0000-0001-9760-3112, Harbin Medical University), Ye Li (0000-0002-5043-9797, Jiamusi University), Linghan Shan (0000-0001-6837-2968, Harbin Medical University, autor de correspondencia), Qunhong Wu (0000-0002-2873-5266, Harbin Medical University, autor de correspondencia)
Año2021
Volumen9
Páginas705488-705488
Fecha de publicación2021-09-09
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Public Health (JOURNAL)
Identificadores de la revistaISSN: 2296-2565 • E-ISSN: 2296-2565
EditorialFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2021.705488
PMID34568256
OpenAlexW3201351565
IdiomaEN
Citas recibidas3
Referencias citadas22

Aims: Non-communicable diseases (NCD) drag the NCD patients' families to the abyss of poverty. Medical insurance due to weak control over medical expenses and low benefits levels, may have actually contributed to a higher burden of out-of-pocket payments. By making a multi-dimensional calculation on catastrophic health expenditure (CHE) in Heilongjiang Province over 10 years, it is significant to find the weak links in the implementation of medical insurance to achieve poverty alleviation. Methods: A logistic regression was undertaken to predict the determinants of catastrophic health expenditure. Results: The average CHE of households dropped from 18.9% in 2003 to 14.9% in 2013. 33.2% of the households with three or more NCD members suffered CHE in 2013, which was 7.2 times higher than the households without it (4.6%). The uninsured households with cardiovascular disease had CHE of 12.0%, which were nearly 10% points lower than insured households (20.4–22.4%). For Medical Insurance for Urban Employees Scheme enrolled households, the increasing number of NCD members raised the risk of impoverishment from 3.4 to 20.0% in 2003, and from 0.3 to 3.1% in 2008. Households with hospital in-patient members were at higher risk of CHE (OR: 3.10–3.56). Conclusions: Healthcare needs and utilization are one of the most significant determinants of CHE. Households with NCD and in-patient members are most vulnerable groups of falling into a poverty trap. The targeting of the NCD groups, the poorest groups, uninsured groups need to be primary considerations in prioritizing services that are contained in medical insurance and poverty alleviation

Business · China · Economic growth · Economics · Environmental health · Geography · Health care · Logistic regression · Payment · Poverty · Socioeconomics · Demography · Global Health Care Issues · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Medicine · Finance