ArticleBMC health services research2018
A comparative study of catastrophic health expenditure in Zhejiang and Qinghai province, China.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The socioeconomic and health system determinants of financial protection indicators: a global systematic review (2008-2023).BMJ global health · 2025Pooled it
- Understanding variation in catastrophic health expenditure from socio-ecological aspect: a systematic review.BMC public health · 2024Pooled it
- Catastrophic health expenditure and commercial health insurance purchase: evidence from China.BMC health services research · 2026Article
- Factors influencing residents' willingness to choose medical institutions first for treatment in the highland agricultural and pastoral areas of Qinghai province: a study based on the Anderson model.Frontiers in health services · 2026Article
- The equity of health service utilization in less developed areas of China: evidence from Gansu Province.BMC public health · 2025Article
- Catastrophic health expenditure and its association with socioeconomic status in China: evidence from the 2011-2018 China Health and Retirement Longitudinal Study.International journal for equity in health · 2023Article
- Long-term trend of antibiotic use at public health care institutions in northwest China, 2012-20 -- a case study of Gansu Province.BMC public health · 2023Article
- Regional catastrophic health expenditure and health inequality in China.Frontiers in public health · 2023Article
- A 25-Year Trend of Catastrophic Health Expenditure and Its Inequality in China: Evidence from Longitudinal Data.Risk management and healthcare policy · 2022Article
- Household catastrophic health expenditure and its effective factors: a case of Iran.Cost effectiveness and resource allocation : C/E · 2021Article
- Socioeconomic Factors Contributing to Antibiotic Resistance in China: A Panel Data Analysis.Antibiotics (Basel, Switzerland) · 2021Article
- Family characteristics associated with rural households' willingness to renew the family doctor contract services: a cross-sectional study in Shandong, China.BMC public health · 2021Article
- Economic burden of antibiotic resistance in China: a national level estimate for inpatients.Antimicrobial resistance and infection control · 2021Article
- Interpretation of China's 2017 health expenditure: a latent profile analysis of panel data.BMJ open · 2020Article
- Transmission center and driving factors of hand, foot, and mouth disease in China: A combined analysis.PLoS neglected tropical diseases · 2020Article
- Inequality in the health services utilization in rural and urban china: A horizontal inequality analysis.Medicine · 2020Article
- The effect of medical insurance on catastrophic health expenditure: evidence from China.Cost effectiveness and resource allocation : C/E · 2020Article
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10 authors.
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Abstract
backgroundChina has made great achievements in health insurance coverage and healthcare financing; however, the rate of catastrophic health expenditure (CHE) was 13.0% in China in 2008, which is higher than that in some other countries. There remain some differences in life-style, national customs, medical conditions, and health consciousness in different provinces in China. This study aimed to compare the rates of households with CHE, further to explore the different performance of factors influencing CHE between Zhejiang and Qinghai province, China.
methodsData were derived from the household surveys conducted in Zhejiang and Qinghai. Sampling on multi-stage stratified cluster random method was adopted. Household with CHE occurs when the out-of-pocket payment for health care equals to or exceeds 40% of a household's income. Univariate and multivariate logistic regression analyses were used to identify the performance of factors of CHE.
resultsA total of 1598 households were included in this study, including 995 in Zhejiang and 603 in Qinghai. The average rates of CHE in Zhejiang and Qinghai were 9.6 and 30.5%, respectively. We found that economic status of households and households headed by an employed person are the protective factors for CHE; and number of members with chronic diseases and number of inpatients in household are the risk factors for CHE in the two provinces. Besides, poor/low-insured households in Zhejiang; and households having outpatients and households headed by a minority person in Qinghai are more likely to experience the risk of CHE.
conclusionsThis study highlights the importance of improving economic development, expanding employment, and adjusting policies to make greater efforts to protect chronic diseases patients, outpatients, and inpatients, further to reduce the risk of CHE. The Chinese government should pay more attention to the actual conditions in different provinces, further to make policy decisions according to the local knowledge.
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