ArticleBMJ open2019
Effect of medical insurance and family financial risk on healthcare utilisation by patients with chronic diseases in China: a cross-sectional study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Can supplementary private health insurance reduce vulnerability to expected poverty and catastrophic health expenditure in China?International journal for equity in health · 2025Article
- The Digital Amplifier in Medical Insurance: How Chinese Provincial Pooling Policy Optimizes Chronic Disease Management.Healthcare (Basel, Switzerland) · 2025Article
- Can supplementary private health insurance reduce poverty vulnerability? Evidence from Shandong Province.BMC public health · 2025Article
- Research on the impact of family doctor contract services on the willingness of residents' first choice of medical institutions for treatment-empirical analysis based on PSM.BMC health services research · 2025Article
- Living with technological challenges: does socioeconomic status affect people's health?BMC geriatrics · 2025Article
- Healthcare deprivation matters: a novel framework to unveil the influencing mechanisms of aging anxiety and healthcare utilization.Frontiers in public health · 2025Article
- Association between health insurance cost-sharing and choice of hospital tier for cardiovascular diseases in China: a prospective cohort study.The Lancet regional health. Western Pacific · 2024Article
- Article
- Agent-Based Modeling and Simulation (ABMS)on the influence of adjusting medical service fees on patients' choice of medical treatment.BMC health services research · 2023Article
- Long-term Care Insurance and Health and Perceived Satisfaction of Older Chinese: Comparisons Between Urban/Rural Areas, Chronic Conditions, and Their Intersectionality.International journal of health policy and management · 2023Article
- Article
- Health insurance enrollment and vision health in rural China: an epidemiological survey.BMC health services research · 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
- Effects of cancer treatment on household impoverishment: a multicentre cross-sectional study in China.BMJ open · 2021Article
- Medical insurance and health equity in health service utilization among the middle-aged and older adults in China: a quantile regression approach.BMC health services research · 2020Article
- Long-term Care Facility and its Elderly Chronic Diseases in Jishou: Insights into Underdeveloped Area of China.Inquiry : a journal of medical care organization, provision and financingArticle
- How Housing Stress Affect Health Care Costs: A Panel Data Study.Inquiry : a journal of medical care organization, provision and financingArticle
- Analysis of quality of life and risk factors in 122 patients with persistent hemodialysis.Pakistan journal of medical sciencesArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the joint cumulative effects of medical insurance and family health financial risk on healthcare utilisation among patients with chronic conditions in China.
designA nationwide population-based case-control study with multinomial logistic regression was conducted and used to estimate the ORs of healthcare utilisation against type of medical insurance and family health financial risk using the Anderson model as a theoretical framework.
settingChina Family Panel Studies (CFPS) database.
participantsThe study sample included 5260 patients with chronic conditions identified from the 2014 CFPS database.
main outcome measuresThe participants were classified by their health insurance coverage: urban employee basic medical insurance (UEBMI), Gong Fei Medical Insurance (GFMI), new rural cooperative medical scheme (NCMS) and urban residents basic medical insurance. Healthcare utilisation was measured by assessing the care level provided by the health institutions selected by patients when they were sick. Health financial risk was measured using the cost of medical expenditures and annual family income over the past year.
resultsPatients were more likely to choose hospital care than care from primary health centres. Patients with NCMS preferred primary healthcare, compared with patients with no medical insurance (OR 1.852, 95% CI 1.458 to 2.352). Patients with UEBMI and GFMI made use of hospital healthcare services (OR 2.654, 95% CI 1.85 to 3.81; OR 1.629, 95% CI 1.15 to 2.30, respectively). Patients who had medium or high financial risk were more likely to choose tertiary/specialised hospital care, compared with those at low financial risk (OR 1.629, 95% CI 1.15 to 2.30; OR 1.220, 95% CI 1.04 to 1.43, respectively).
conclusionsThe majority of patients chose hospital care in our sample. There was a joint effect and relationship between degree of family health financial risk and medical insurance on healthcare utilisation.
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