ArticleBMC health services research2014
Current level and determinants of inappropriate admissions to township hospitals under the new rural cooperative medical system in China: a cross-sectional study.
Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed.
- Differential Impact of an Education-Based Intervention for Patients with Type 2 Diabetes Mellitus in Rural China.International journal of environmental research and public health · 2019Trial
- Does more generous health insurance reimbursement lead to moral hazard? Evidence from large-scale administrative data in China.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Estimating the efficiency of primary health care services and its determinants: evidence from provincial panel data in China.Frontiers in public health · 2023Article
- Is there a change in the appropriateness of admission after patients were admitted? Evidence from four county hospitals in rural China.Frontiers in public health · 2023Article
- Difference in bypass for inpatient care and its determinants between rural and urban residents in China.International journal for equity in health · 2022Article
- Characterizing Potentially Preventable Hospitalizations of High-Cost Patients in Rural China.Frontiers in public health · 2022Article
- Prevalence and associated factors of inappropriate hospital admissions and days of children in a secondary hospital in Shanghai, China.PloS one · 2022Article
- Performance and Sociodemographic Determinants of Excess Outpatient Demand of Rural Residents in China: A Cross-Sectional Study.International journal of environmental research and public health · 2020Article
- Has the Efficiency of China's Healthcare System Improved after Healthcare Reform? A Network Data Envelopment Analysis and Tobit Regression Approach.International journal of environmental research and public health · 2019Article
- Does capitation prepayment based Integrated County Healthcare Consortium affect inpatient distribution and benefits in Anhui Province, China? An interrupted time series analysis.International journal of integrated care · 2019Article
- Distribution of the Indicator of the Appropriate Admission of Patients with Circulatory System Diseases to County Hospitals in Rural China: A Cross-Sectional Study.International journal of environmental research and public health · 2019Article
- Determinants and Differences of Township Hospital Efficiency among Chinese Provinces.International journal of environmental research and public health · 2019Article
- Determinants of inappropriate admission of elderly people in county-level hospitals: a cross-sectional study in rural China.BMJ open · 2019Article
- Is There a Difference in the Utilisation of Inpatient Services Between Two Typical Payment Methods of Health Insurance? Evidence from the New Rural Cooperative Medical Scheme in China.International journal of environmental research and public health · 2019Article
- Determinants of inappropriate admissions of children to county hospitals: a cross-sectional study from rural China.BMC health services research · 2019Article
- Effect of inappropriate admissions on hospitalization performance in county hospitals: a cross-sectional study in rural China.Cost effectiveness and resource allocation : C/E · 2019Article
- Exploring Medical Expenditure Clustering and the Determinants of High-Cost Populations from the Family Perspective: A Population-Based Retrospective Study from Rural China.International journal of environmental research and public health · 2018Article
- Article
- Article
- Determinants of Inappropriate Admissions in County Hospitals in Rural China: A Cross-Sectional Study.International journal of environmental research and public health · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe increased funding and reimbursement for the New Rural Cooperative Medical System (NRCMS) have provided residents in rural China with better access to inpatient services. This research aims to examine the level of inappropriate admissions to township hospitals under NRCMS, and the determinants that influence inappropriate admissions.
methodsA total of 2,044 medical records in 10 township hospitals were collected from five counties in Midwestern China by stratified cluster sampling and evaluated using the Appropriateness Evaluation Protocol (AEP), which was developed by a Delphi expert consultation of 32 experts. A two-level logistic regression model by MLwiN 2.30 was used to examine the determinants of inappropriate admissions.
resultsTownship hospitals had an average inappropriate admission rate of 26.5%. The highest rate of inappropriate admission was among patients aged more than 59 years old (30.1%). Inappropriate admissions mostly occurred for respiratory and circulatory diseases. Township hospital similarity and clustering were observed. Two-level logistic regression analysis showed that age, treating department, and disease were determinants of inappropriate admission.
conclusionsTownship hospitals have a high rate of inappropriate admissions. Explicit diagnostic criteria and a standardized supervision system should be developed to reduce this.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.