Evidence map›Paper›PMID 29862027›Full record

ArticleJournal of global health2018

How to apply SHA 2011 at a subnational level in China's practical situation: take children health expenditure as an example.

Mingyang Li, Ang Zheng, Wenjuan Duan, Xin Mu, Chunli Liu, Yang Yang, Xin Wang

Abstract read
In one paragraph

Article in Journal of global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Mingyang LiDepartment of Orthopedics, Shengjing Hospital of China Medical University, Shenyang, China.
Ang ZhengDepartment of Breast Surgery, The First Affiliated Hospital of China Medical University, Shenyang, China.
Wenjuan DuanDepartment of Humanities and Social Sciences, China Medical University, Shenyang, China.
Xin MuDepartment of Humanities and Social Sciences, China Medical University, Shenyang, China.
Chunli LiuLibrary of China Medical University, Shenyang, China.
Yang YangDepartment of Fundamental Sciences, China Medical University, Shenyang, China.
Xin WangDepartment of Humanities and Social Sciences, China Medical University, Shenyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystem of Health Accounts 2011 (SHA 2011) is a new health care accounts system, revised from SHA 1.0 by the Organisation for Economic Co-operation and Development (OECD), the World Health Organization (WHO) and Eurostat. It keeps the former tri-axial relationship and develops three analytical interfaces, in order to fix the existing shortcomings and make it more convenient for analysis and comparison across countries. SHA 2011 was introduced in China in 2014, and little about its application in China has been reported. This study takes children as an example to study how to apply SHA 2011 at the subnational level in the practical situation of China's health system.

methodsMultistage random sampling method was applied and 3 532 517 samples from 252 institutions were included in the study. Official yearbooks and account reports helped the estimation of provincial data. The formula to calculate Current Health Expenditure (CHE) was introduced step-by-step. STATA 10.0 was used for statistics.

resultsUnder the frame of SHA 2011, the CHE for children in Liaoning was calculated as US$ 0.74 billion in 2014; 98.56% of the expenditure was spent in hospital and the allocation to primary health care institutions was insufficient. Infection, maternal and prenatal diseases cost the most in terms of Global Burden of Disease (GBD), and respiratory system diseases took the leading place in terms of International Classification of Disease Tenth Revision (ICD-10). In addition, medical income contributed most to the health financing.

conclusionsThe method to apply SHA 2011 at the subnational level is feasible in China. It makes health accounts more adaptable to rapidly developing health systems and makes the financing data more readily available for analytical use. SHA 2011 is a better health expenditure accounts system to reveal the actual burden on residents and deserves further promotion in China as well as around the world.

Indexed as

AccountingChildChild Health ServicesChinaFeasibility StudiesHealth ExpendituresHumans

Identifiers

PMID29862027
PMCPMC5935427

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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.