Social and Structural Determinants of Health Inequities

Socioeconomic, Transportation-Related, and Provincial-Level Indicators of Cost-Related Forgone Hospital Care in China

Datos Bibliográficos

ID15501767
AutoresSamuel D Towne (0000-0002-7310-5837, University of Central Florida, autor de correspondencia), Xiaojun Liu (0000-0003-4672-8569, Fujian Medical University), Rui Li (0000-0001-9744-7965, Wuhan University), Matthew Lee Smith (0000-0002-8232-9285, Texas A&M University), Jay E Maddock (0000-0002-1119-0300, Texas A&M University), Anran Tan (Wuhan University), Samah Hayek (0000-0002-3300-1769, Clalit Health Services), Shira Zelber‐Sagi (0000-0002-1324-7497, University of Haifa), Shira Zelber-Sagi (University of Haifa), Xiaoqing Jiang (0000-0002-6339-8912, Sun Yat-sen University), Haotian Ruan (Wuhan University), ZhaoKang Yuan (0000-0002-9507-8462, Nanchang University)
Año2021
Volumen18
Número11
Páginas6113-6113
Fecha de publicación2021-06-06
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18116113
PMID34204018
OpenAlexW3166942747
IdiomaEN
Citas recibidas4
Referencias citadas20

Despite near universal health insurance coverage in China, populations with low incomes may still face barriers in access and utilization of affordable health care. We aimed to identify the likelihood of forgone medical care due to cost by surveying individuals from the community to assess: (1) The percent with forgone medical care due to cost; and (2) Factors associated with forgone medical care due to cost. Surveys conducted (2016-2017) in Mandarin included demographic and medical care utilization-related items. Theoretically-informed, fully-adjusted analyses were employed. Approximately 94% of respondents had health insurance, which is somewhat similar to national estimates. Overall, 24% of respondents resided in rural areas, with 18% having less than a high school education, and 49% being male. More than 36% reported forgone medical care due to cost in the past 12 months. In fully-adjusted analyses, having lower education, generally not being satisfied with the commute to the hospital, and being a resident of a province with a lower density of physicians were associated with forgone medical care. Cost-related disparities in the access and utilization of needed medical care persist, even with near universal health insurance, which may be due to one's satisfaction with travel time to healthcare and other community assets

China · Economic growth · Economics · Environmental health · Geography · Health care · Population · Public health · Social determinants of health · Socioeconomic status · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Nursing