ArticleBMJ open2017
Insurance status, inhospital mortality and length of stay in hospitalised patients in Shanxi, China: a cross-sectional study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
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- The impact of an innovative payment method on medical expenditure, efficiency, and quality for inpatients with different types of medical insurance: evidence from a pilot city, China.International journal for equity in health · 2024Article
- Predicting preterm birth using auto-ML frameworks: a large observational study using electronic inpatient discharge data.Frontiers in pediatrics · 2024Article
- Intrahospital Mortality Rate after the Implementation of the Second Phase of the Health Sector Reform in Comparison with Before that in Iran.International journal of preventive medicine · 2024Article
- In-hospital outcomes by insurance type among patients undergoing percutaneous coronary interventions for acute myocardial infarction in New South Wales public hospitals.International journal for equity in health · 2023Article
- Does the integration of urban and rural health insurance influence the functional limitations of the middle-aged and elderly in rural China?SSM - population health · 2023Article
- Insurance status and traumatized patients' outcomes: a report from the national trauma registry of Iran.BMC health services research · 2023Article
- Socio-economic status and 1 year mortality among patients hospitalized for heart failure in China.ESC heart failure · 2022Article
- Effects of medical insurance system on the hospitalization cost of acute myocardial infarction patients.Cost effectiveness and resource allocation : C/E · 2022Article
- Three Exposure Metrics for Fine Particulate Matter Associated With Outpatient Visits for Acute Lower Respiratory Infection Among Children in Guangzhou, China.Frontiers in public health · 2022Article
- The Chasm in Percutaneous Coronary Intervention and In-Hospital Mortality Rates Among Acute Myocardial Infarction Patients in Rural and Urban Hospitals in China: A Mediation Analysis.International journal of public health · 2022Article
- Actual compliance rate of Enhanced Recovery After Surgery protocol in laparoscopic distal gastrectomy.Journal of minimally invasive surgery · 2021Article
- Assessment of the satisfaction with public health insurance programs by patients with chronic diseases in China: a structural equation modeling approach.BMC public health · 2021Article
- The Impact of China's Zero Markup Drug Policy on Hospitalization Expenses for Inpatients in Tertiary Public Hospitals: Evidence Based on Quantile Difference-in-Difference Models.Healthcare (Basel, Switzerland) · 2021Article
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- Impact of reimbursement rates on the length of stay in tertiary public hospitals: a retrospective cohort study in Shenzhen, China.BMJ open · 2020Article
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Corrections and comments
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine insurance-related disparities in hospital care for patients with acute myocardial infarction (AMI), heart failure (HF) and pneumonia. SETTING AND
participantsA total of 22 392 patients with AMI, 8056 patients with HF and 17 161 patients with pneumonia were selected from 31 tertiary hospitals in Shanxi, China, from 2014 to 2015 using the International Classification of Diseases, Tenth Revision codes. Patients were stratified by health insurance status, namely, urban employee-based basic medical insurance (UEBMI), urban resident-based basic medical insurance (URBMI), new cooperative medical scheme (NCMS) and self-payment. OUTCOME MEASURES: Inhospital mortality and length of stay (LOS).
resultsThe highest unadjusted inhospital mortality rate was detected in NCMS patients independent of medical conditions (4.7%, 4.4% and 11.1% for AMI, HF and pneumonia, respectively). The lowest unadjusted inhospital mortality rate and the longest LOS were observed in UEBMI patients. After controlling patient-level and hospital-level covariates, the adjusted inhospital mortality was significantly higher for NCMS and self-payment among patients with AMI, for NCMS among patients with HF and for URBMI, NCMS and self-payment among patients with pneumonia compared with UEBMI. The LOS of the URBMI, NCMS and self-payment groups was significantly shorter than that of the UEBMI group.
conclusionInsurance-related disparities in hospital care for patients with three common medical conditions were observed in this study. NCMS patients had significantly higher adjusted inhospital mortality and shorter LOS compared with UEBMI patients. Policies on minimising the disparities among different insurance schemes should be established by the government.
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