Spatial Analysis and Comparison of the Economic Burden of Common Diseases
An Investigation of 5.7 Million Rural Elderly Inpatients in Southeast China, 2010–2016
Bibliographic Data
| ID | 22070207 |
|---|---|
| Authors | Xuwei Tang (0000-0002-0702-6719, Fujian Medical University), Xiaoxu Xie (0000-0002-3103-3724, Fujian Medical University), Zhixiang Rao (Fujian Medical University), Zhenquan Zheng (Fujian Medical University), ChanChan Hu (0000-0002-3629-4245, Fujian Medical University), Shanshan Li (0000-0001-5116-3588, Fujian Medical University), Zhijian Hu (0000-0002-6889-0789, Fujian Medical University, corresponding author) |
| Year | 2021 |
| Volume | 9 |
| Pages | 774342-774342 |
| Publication date | 2021-11-17 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2021.774342 |
| PMID | 34869186 |
| OpenAlex | W3212675026 |
| Language | EN |
| Citations received | 5 |
| References cited | 27 |
Background: As China embraced an aging society, the burden of age-related diseases had increased dramatically. Knowledge about spatial distribution characteristics of disease burden and the influencing factors of medical expenditure is of great significance to the formulation of health policies. However, related research in rural China is still insufficient. Methods: A total of 5,744,717 records of hospitalized rural elderly in southeast China were collected from 2010 to 2016. We described the temporal trends of hospitalization medical expenditure and the prevalence of catastrophic health expenses (CHE) in the rural elderly by common diseases. Then, geographical information tools were used for visualization of geographic distribution patterns of CHE, the ordinary least squares methods (OLS) and geographically weighted regression (GWR) were employed to examine the influencing factors of medical expenditure. Results: The number of CHE hospitalizations and the total number of hospitalizations for the rural elderly people increased by 2.1 times and 2.2 times, respectively, from 2010 to 2016. Counties with a high prevalence of CHE were clustered in the eastern coastal area (Moran's I = 0.620, P < 0.001, General G < 0.001, P < 0.001). Unspecified transport accidents, cardiovascular disease, and essential hypertension were the top causes of CHE in the rural elderly. Adequate hospital beds ( P < 0.05) and reasonable utilization and distribution of town-level ( P < 0.001) and county-level hospitals ( P < 0.001) may help reduce medical expenditures. Conclusions: In the context of an aging society, the disease burden for the elderly in rural areas should arouse more attention. These findings highlight the importance of age-related disease prevention and the rational allocation of medical resources in rural areas
China · Disease · Disease burden · Environmental health · Geography · Population · Rural area · Demography · Global Health Care Issues · Health disparities and outcomes · Healthcare Systems and Reforms · Medicine · Gerontology
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| Unique citing works | 5 |
|---|---|
| Citations per year | 1.67 |
| Citation span | 2023 - 2025 (3) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 5 |