ArticlePloS one2013
Health insurance utilization and its impact: observations from the middle-aged and elderly in China.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Medical insurance coverage and its associated factors among children in urban and rural Chongqing, China.International health · 2026Article
- Social health insurance, family support, and chronic diseases as determinants of health service utilization among senior citizens in rural Nepal.BMC public health · 2025Article
- The cost of rehabilitation after critical illness: a comparison of hospitalization costs for traumatic brain injury and non-traumatic brain injury patients with disorders of consciousness.Frontiers in public health · 2025Article
- Work status among middle-aged and older individuals in China: the effects on physical and mental health.Frontiers in public health · 2024Article
- Healthcare Services Utilisation and Financial Burden among Vietnamese Older People and Their Households.International journal of environmental research and public health · 2023Article
- Inequality of opportunity in health service utilization among middle-aged and elderly community-dwelling adults in China.Archives of public health = Archives belges de sante publique · 2023Article
- Impact of community-based health insurance on health services utilisation among vulnerable households in Amhara region, Ethiopia.BMC health services research · 2023Article
- Assessing the incidence of catastrophic health expenditure and impoverishment from out-of-pocket payments and their determinants in Bangladesh: evidence from the nationwide Household Income and Expenditure Survey 2016.International health · 2022Article
- Utilization of social health security scheme among the households of Illam district, Nepal.PloS one · 2022Article
- Prevalence and Associated Factors of Self-Treatment among the Elderly-A Comparative Study between Empty and Non-Empty Nesters in Shandong, China.International journal of environmental research and public health · 2020Article
- The effect of a community-based health insurance on the out-of-pocket payments for utilizing medically trained providers in Bangladesh.International health · 2020Article
- Study on the Utilization of Inpatient Services for Middle-Aged and Elderly Rural Females in Less Developed Regions of China.International journal of environmental research and public health · 2020Article
- Medical expenditure for middle-aged and elderly in Beijing.BMC health services research · 2019Article
- Household Registration System, Migration, and Inequity in Healthcare Access.Healthcare (Basel, Switzerland) · 2019Article
- Rural-urban disparities in the utilization of mental health inpatient services in China: the role of health insurance.International journal of health economics and management · 2018Article
- Epidemiology of Hypertensive State among Chinese Migrants: Effects of Unaffordable Medical Care.International journal of hypertension · 2018Article
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- Inpatient Treatment for the Middle-aged and Elderly in Central China.Frontiers in public health · 2017Article
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Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveIn China, despite a high coverage rate, health insurance is not used for all illness episodes. Our goal is to identify subjects' characteristics associated with insurance utilization and the association between utilization and medical expenditure.
methodsA survey was conducted in January and February of 2012. 2093 middle-aged and elderly subjects (45 years old and above) were surveyed.
resultsHeath insurance was not utilized for 12.6% (inpatient), 53.3% (outpatient), and 72.6% (self-treatment) of disease episodes. Subjects' characteristics were associated with insurance utilization. Inpatient and outpatient treatments were expensive. In the multivariate analysis of outpatient treatment expenditure, insurance utilization was significantly associated with higher treatment cost, lost income, and gross total cost.
conclusionUtilization of health insurance may need to be improved. Insurance utilization can reduce out-of-pocket medical expenditure. However, the amount paid by the insured is still high. Policy intervention is needed to further improve the effectiveness of health insurance.
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