ArticleBMC health services research2013
Household catastrophic medical expenses in eastern China: determinants and policy implications.
Article in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Is there an association between out-of-pocket hospital costs, quality and care outcomes? A systematic review of contemporary evidence.BMC health services research · 2023Pooled it
- Economic status and catastrophic health expenditures in China in the last decade of health reform: a systematic review and meta-analysis.BMC health services research · 2021Pooled it
- Determinants of health poverty vulnerability of rural households in Jiangxi Province, China: an analysis based on risk theory.BMC public health · 2025Article
- Prevalence of multimorbidity and its relationship with socioeconomic status among Chinese older adults over time.PloS one · 2025Article
- Factors associated with financial risk due to health spending in Argentina.Health policy and planning · 2024Article
- Increase of catastrophic and impoverishing health expenditures in Mexico associated to policy changes and the COVID-19 pandemic.Journal of global health · 2023Article
- Catastrophic health care spending in managing type 2 diabetes before and during the COVID-19 pandemic in Tanzania.PLOS global public health · 2023Article
- How does digital infrastructure affect residents' healthcare expenditures? Evidence from Chinese microdata.Frontiers in public health · 2023Article
- Article
- Households' Direct Economic Burden Associated with Chronic Non-Communicable Diseases in Saudi Arabia.International journal of environmental research and public health · 2022Article
- Multi-dimensional vulnerability analysis on catastrophic health expenditure among middle-aged and older adults with chronic diseases in China.BMC medical research methodology · 2022Article
- Article
- Does the universal medical insurance system reduce catastrophic health expenditure among middle-aged and elderly households in China? A longitudinal analysis.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Do Drug Accessibility and OOP Burden Affect Health-Related Quality of Life of Patients With Chronic Diseases? - EQ-5D-5L Evaluation Evidence From Five Districts in China.Frontiers in public health · 2021Article
- Examining the incidence of catastrophic health expenditures and its determinants using multilevel logistic regression in Malawi.PloS one · 2021Article
- Catastrophic Out-of-Pocket Health Expenditure Among Rural Households in the Semi-Pastoral Community, Western Ethiopia: A Community-Based Cross-Sectional Study.ClinicoEconomics and outcomes research : CEOR · 2020Article
- Measurement of the Equality of the Drug Welfare Induction Level of Chinese Patients With Chronic Diseases in Gansu, Sichuan, Hebei, and Zhejiang Based on the Bivariate Theil-T Index Method.Frontiers in public health · 2020Article
- Effect of Critical Illness Insurance on Household Catastrophic Health Expenditure: The Latest Evidence from the National Health Service Survey in China.International journal of environmental research and public health · 2019Article
- Determinants of Household Catastrophic Health Expenditure: A Systematic Review.The Malaysian journal of medical sciences : MJMS · 2019Review
- The relationship between catastrophic health expenditure and health-related quality of life.International journal for equity in health · 2018Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMuch of research on household catastrophic medical expenses in China has focused on less developed areas and little is known about this problem in more developed areas. This study aimed to analyse the incidence and determinants of catastrophic medical expenses in eastern China.
methodsData were obtained from a health care utilization and expense survey of 11,577 households conducted in eastern China in 2008. The incidence of household catastrophic medical expenses was calculated using the method introduced by the World Health Organization. A multi-level logistic regression model was used to identify the determinants.
resultsThe incidence of household catastrophic medical expenses in eastern China ranged from 9.24% to 24.79%. Incidence of household catastrophic medical expenses was lower if the head of household had a higher level of education, labor insurance coverage, while the incidence was higher if they lived in rural areas, had a family member with chronic diseases, had a child younger than 5 years old, had a person at home who was at least 65 years old, and had a household member who was hospitalized. Moreover, the impact of the economic level on catastrophic medical expenses was non-linear. The poorest group had a lower incidence than that of the second lowest income group and the group with the highest income had a higher incidence than that of the second highest income group. In addition, region was a significant determinant.
conclusionsReducing the incidence of household catastrophic medical expenses should be one of the priorities of health policy. It can be achieved by improving residents' health status to reduce avoidable health services such as hospitalization. It is also important to design more targeted health insurance in order to increase financial support for such vulnerable groups as the poor, chronically ill, children, and senior populations.
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