ArticleInternational journal for equity in health2020
Inequity in inpatient services utilization: a longitudinal comparative analysis of middle-aged and elderly patients with the chronic non-communicable diseases in China.
Article in International journal for equity in health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Health Insurance Schemes and Their Influences on Healthcare Variation in Asian Countries: A Realist Review and Theory's Testing in Thailand.International journal of health policy and management · 2024Pooled it
- Changes in Hospital Malnutrition Coding Following Diagnosis-Related Group Payment Reform: Evidence From a Chinese Tertiary Hospital.Journal of evaluation in clinical practice · 2026Observational
- Article
- Status and factors associated with health service utilization among older adults in China: a recent national population-based survey.BMC geriatrics · 2025Article
- Analysis on equity of health service utilization and influencing factors in patients with hypertension in China: a longitudinal study.BMC health services research · 2024Article
- Exploring unmet healthcare needs and associated inequalities among middle-aged and older adults in Eastern China during the progression toward universal health coverage.Health economics review · 2024Article
- Article
- Inequalities changes in health services utilization among middle-aged and older adult disabled people in China: based on CHARLS 2011-2018.Frontiers in public health · 2024Article
- Article
- Horizontal inequity trends of health care utilization in rural China after the medicine and healthcare system reform: based on longitudinal data from 2010 to 2018.International journal for equity in health · 2023Article
- Can government subsidies and public mechanisms alleviate the physical and mental health vulnerability of China's urban and rural residents?International journal for equity in health · 2023Article
- Inequity in the healthcare utilization among latent classes of elderly people with chronic diseases and decomposition analysis in China.BMC geriatrics · 2022Article
- Association between Primary Care Utilization and Emergency Room or Hospital Inpatient Services Utilization among the Middle-Aged and Elderly in a Self-Referral System: Evidence from the China Health and Retirement Longitudinal Study 2011-2018.International journal of environmental research and public health · 2022Article
- Utilization of health services among the elderly in Iran during the COVID-19 outbreak: A cross-sectional study.Health science reports · 2022Article
- Multi-dimensional vulnerability analysis on catastrophic health expenditure among middle-aged and older adults with chronic diseases in China.BMC medical research methodology · 2022Article
- Disparities of obesity and non-communicable disease burden between the Tibetan Plateau and developed megacities in China.Frontiers in public health · 2022Review
- Effects of the Full Coverage Policy of Essential Medicines on Inequality in Medication Adherence: A Longitudinal Study in Taizhou, China.Frontiers in pharmacology · 2022Article
- Socioeconomic inequality in health care use among cancer patients in China: Evidence from the China health and retirement longitudinal study.Frontiers in public health · 2022Article
- Medical expenditure and its inequity for people with disabilities: Evidence from the CHARLS 2018 data.Frontiers in public health · 2022Article
- Financial protection effects of private health insurance: experimental evidence from Chinese households with resident basic medical insurance.International journal for equity in health · 2021Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAging and the chronic non-communicable diseases (NCDs) challenge the Chinese government in the process of providing hospitalization services fairly and reasonably. The Chinese government has developed the basic medical insurance system to solve the problem of "expensive medical cost and difficult medical services" for vulnerable groups and alleviate the unfair phenomenon. However, few studies have confirmed its effect through longitudinal comparison. This study aimed to explore the trend in the inequity of inpatient use among middle-aged and elderly individuals with NCDs in China.
methodsThis longitudinal comparative study was based on CHARLS data in 2011, 2013 and 2015. Concentration index (CI) was used to measure the variation trend of inequity of inpatient services utilization, while the decomposition method of the CI was applied to measure the factors contributing to inequity in inpatient services utilization. The effect of each factor on the change of inequity in inpatient services utilization was divided into the change of the elasticity and the change of inequality using the Oaxaca-type decomposition method.
resultsThe affluent middle-aged and elderly patients with NCDs used more inpatient services than poor groups. The per capita household consumption expenditure (PCE) and Urban Employee Basic Medical Insurance (UEBMI) contributed to the decline in pro-rich inequality of inpatient use, while the New Rural Cooperative Medical Scheme (NRCMS) contributed to the decline in pro-poor inequality of inpatient use.
conclusionsThere was a certain degree of pro-rich unfairness in the probability and frequency of inpatient services utilization for middle-aged and elderly individuals with NCDs in China. The decrease of pro-wealth contribution of PCE and UEBMI offset the decrease of pro-poor contribution of NRCMS, and improved the equity of inpatient services utilization, favoring poor people.
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