Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Progress on Catastrophic Health Expenditure in China

Evidence from China Family Panel Studies (CFPS) 2010 to 2016

Bibliographic Data

ID15480426
AuthorsXiaochen Ma (0000-0002-8251-3373, Peking University), Ziyue Wang (0000-0003-1998-898X, Peking University), Xiaoyun Liu (0000-0002-4417-6468, Peking University, corresponding author)
Year2019
Volume16
Issue23
Pages4775-4775
Publication date2019-11-28
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16234775
PMID31795178
OpenAlexW2990324606
LanguageEN
Citations received20
References cited34

Background: To provide an updated estimate of the level and change in catastrophic health expenditure in China and examine the association between catastrophic health expenditure and family net income, we obtained data from four waves of the China Family Panel Studies conducted between 2010 and 2016. Method: We defined catastrophic health expenditure as out-of-pocket payments equaling or exceeding 40% of the household's capacity to pay. The Poisson regression with robust variance and generalized estimated equation (Poisson-GEE) model was used to quantify the level and change of catastrophic health expenditure, as well as the association between catastrophic heath expenditure and family net income. Result: Overall, the incidence of catastrophic expenditure in China experienced a 0.70-fold change between 2010 (12.57%) and 2016 (8.94%). The incidence of catastrophic health expenditure (CHE) decreased more in the poorest income quintile than the richest income quintile (annual decrease of 1.17% vs. 0.24% in urban areas, p p Conclusion: Our analysis found that China made progress to reduce catastrophic health expenditure, especially for poorer groups. Income growth is strongly associated with this change

China · Econometrics · Economics · Environmental health · Geography · Panel data · Poisson regression · Population · Demography · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine

  • Catastrophic health expenditure and associated factors in low-, lower-middle and upper-middle-income countries

    Open Access•Mohammod Akbar Kabir, Maelodee Chong Armstrong et al.•Global Health Action•2026

  • Factors associated with health care utilization and catastrophic health expenditure among cancer patients in China

    Open Access•Penghong Deng, Yu Fu et al.•Frontiers in Public Health•2022

  • The impact of integrated urban and rural resident basic medical insurance on health service equity

    Open Access•Qiaosheng Li, Lanyue Zhang et al.•Frontiers in Public Health•2023

  • A study on the impact of catastrophic health expenditure on social stability

    Open Access•Guowu Huang, Yunzhen Lv•Frontiers in Public Health•2026

  • Regional catastrophic health expenditure and health inequality in China

    Open Access•Xinyue Wang, Yan Guo et al.•Frontiers in Public Health•2023

  • Impact of Catastrophic Health Expenditures on Chinese Household Consumption

    Open Access•Ning Wei, Wenhao Huang et al.•Frontiers in Public Health•2021

  • Spatio-temporal patterns and determinants of persistent catastrophic health expenditure in China

    Open Access•Man-ci Zhou, Zi-xuan Chen et al.•Frontiers in Public Health•2025

  • Spatial Analysis and Comparison of the Economic Burden of Common Diseases

    Open Access•Xuwei Tang, Xiaoxu Xie et al.•Frontiers in Public Health•2021

  • Perspectives and evaluation on the effect of financial burden relief of medical insurance for people with catastrophic diseases and its influencing factors

    Open Access•Pengfei Guo, Yinghua Qin et al.•Frontiers in Public Health•2023

  • Towards universal health coverage

    Open Access•Wenjuan Tao, Zhi Zeng et al.•BMJ Global Health•2020

  • Measuring and evaluating progress towards Universal Health Coverage in China

    Open Access•Xiaoyun Liu, Ziyue Wang et al.•Journal of Global Health•2021

  • The Mediation Effect of Perceived Attitudes toward Medical Service on the Association between Public Satisfaction with the Overall Medical Service and Self-Rated Health among the General Population in China

    Open Access•Wanwan Zheng, Yuqing Liang et al.•International Journal of…•2023

  • Changing inequity in health service utilization and financial burden among patients with hypertension in China

    Open Access•Haoqing Tang, Mingyue Li et al.•International Journal for Equity…•2023

  • Financial protection effects of private health insurance

    Open Access•Xian-zhi Fu•International Journal for Equity…•2021

  • Prevalence and intensity of catastrophic health care expenditures in Iran from 2008 to 2015

    Open Access•Vahid Yazdi‐Feyzabadi, Mina Bahrampour et al.•International Journal for Equity…•2018

  • Understanding financial risk protection in China’s health system

    Open Access•Yuanyuan Li, Hongcai Guan et al.•BMC Public Health•2023

  • The relationship between self-assessment living standard and mental health among the older in rural China

    Open Access•Beibei Zhang, Xianwen Wang et al.•BMC Public Health•2023

  • Urban-rural differences in catastrophic health expenditure among households with chronic non-communicable disease patients

    Open Access•Xian-zhi Fu, Qi-wei Sun et al.•BMC Public Health•2021

  • Trends and determinants of healthcare-induced poverty in China 2013–2019

    Open Access•Linwei Li, Bingqing Guo et al.•Health Policy and Planning•2025

  • Which Matters for Medical Utilization Equity under Universal Coverage

    Open Access•Jiaoling Huang, Yuan Li et al.•International Journal of…•2020

  • An assessment of progress towards universal health coverage in Brazil, Russia, India, China, and South Africa (BRICS)

    Open Access•Rainer Martens, Di Mcintyre et al.•The Lancet•2014

  • Household catastrophic health expenditure

    Open Access•Ke Xu, D Evans et al.•The Lancet•2003

  • Estimating the Relative Risk in Cohort Studies and Clinical Trials of Common Outcomes

    L-A McNutt, Louise‐Anne McNutt•American Journal of Epidemiology•2003

  • Models for Longitudinal Data

    Scott L Zeger, Kung-Yee Liang et al.•Biometrics•1988

  • Protecting Households From Catastrophic Health Spending

    Ke Xu, D Evans et al.•Health Affairs•2007

  • Catastrophe and impoverishment in paying for health care

    Open Access•Adam Wagstaff, Eddy Van Doorslaer•Health Economics•2003

  • Moving towards universal health coverage

    Open Access•Michael R Reich, Joseph Harris et al.•The Lancet•2016

  • What can we learn from China’s health system reform?

    Open Access•Qingyue Meng, Antonia Mills et al.•BMJ•2019

  • Progress on catastrophic health spending in 133 countries

    Open Access•Adam Wagstaff, Gabriela Flores et al.•The Lancet Global Health•2018

  • Trends in access to health services and financial protection in China between 2003 and 2011

    Open Access•Qun Meng, Ling Xu et al.•The Lancet•2012

  • Factors affecting catastrophic health expenditure and impoverishment from medical expenses in China

    Open Access•Ye Li, Qunhong Wu et al.•Bulletin of the World Health…•2012

  • Changes in health expenditures in China in 2000s

    Open Access•Qian Long, Ling Xu et al.•International Journal for Equity…•2013

  • Catastrophic health expenditure and its determinants in Kenya slum communities

    Open Access•Steven Buigut, Remare Ettarh et al.•International Journal for Equity…•2015

  • Prevalence and intensity of catastrophic health care expenditures in Iran from 2008 to 2015

    Open Access•Vahid Yazdi‐Feyzabadi, Mina Bahrampour et al.•International Journal for Equity…•2018

  • The sampling design of the China Family Panel Studies (CFPS)

    Open Access•Y Xie, Ping Lü•Chinese Journal of Sociology•2015

  • Inequality in household catastrophic health care expenditure in a low-income society of Iran

    Open Access•Zahra Kavosi, Arash Rashidian et al.•Health Policy and Planning•2012

  • Socioeconomic inequality in catastrophic health expenditure in Brazil

    Open Access•Alexandra Crispim Boing, Andréa Dâmaso Bertoldi et al.•Revista de Saúde Pública•2014

  • Payments for health care and its effect on catastrophe and impoverishment

    Open Access•Tewarit Somkotra, Leizel Lagrada et al.•Social Science & Medicine•2008

  • The poor pay more

    Open Access•Supasit Pannarunothai, Antonia Mills et al.•Social Science & Medicine•1997

  • What are the economic consequences for households of illness and of paying for health care in low- and middle-income country contexts

    Open Access•Di Mcintyre, Diane Mcintyre et al.•Social Science & Medicine•2006

Unique citing works20
Citations per year2,5
Citation span2018 - 2026 (9)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 19

Tools

Open DOISci-HubOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae