Universal Health Insurance Coverage and the Economic Burden of Disease in Eastern China
A Pooled Cross-Sectional Analysis From the National Health Service Survey in Jiangsu Province
Bibliographic Data
| ID | 22087402 |
|---|---|
| Authors | Shenping Zhou (0009-0000-7636-3703, Nanjing Medical University), Chenyu Zhou (0009-0009-2106-0583, Nanjing Medical University), Qin Yuan (0000-0002-6686-080X, Nanjing Medical University), Zhonghua Wang (0000-0001-5470-3092, Nanjing Medical University, corresponding author) |
| Year | 2022 |
| Volume | 10 |
| Pages | 738146-738146 |
| Publication date | 2022-02-07 |
| 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.2022.738146 |
| PMID | 35198521 |
| OpenAlex | W4210793719 |
| Language | EN |
| Citations received | 6 |
| References cited | 30 |
China has achieved universal social health insurance coverage, but it is unclear whether this has alleviated the economic burden of disease for individuals. This was investigated in the present study by analyzing National Health Service Survey (2008–2018) data from Jiangsu province. Ordinary least squares and binary multivariate logistic regression of pooled cross-sectional data were carried out to evaluate the effect of universal health insurance coverage and other socioeconomic factors on the economic burden of disease. Total health expenses (THE) first increased and then decreased during the survey period while out-of-pocket health expenses (OOP) decreased except for urban residents, for whom OOP increased after 2013. Household catastrophic health expenditure (HCHE) was stable between 2008 and 2013 but increased after 2013. Social health insurance had a significant positive effect on the annual THE and OOP and a negative effect on HCHE, however, universal health insurance coverage could alleviated THE and the economic burden of disease on individuals (OOP) while it was insufficient to protect against the economic risk of diseases (HCHE), with greater benefits for urban as compared to rural residents. Other socioeconomic factors including age, marital status, education, income, and health status also influenced the economic burden of disease
Business · China · Cross-sectional study · Disease · Disease burden · Economics · Environmental health · Geography · Logistic regression · Marital status · Population · Public health · Social determinants of health · Socioeconomic status · Socioeconomics · Global Health Care Issues · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine
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| Citations per year | 1.5 |
|---|---|
| Citation span | 2022 - 2026 (5) |
| Highly cited | No |