ArticleBMC public health2021
Trends in equity of inpatient health service utilization for the middle-aged and elderly in China: based on longitudinal data from 2011 to 2018.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 15 citations in OpenAlex.
- Analysis on equity of health service utilization and influencing factors in patients with hypertension in China: a longitudinal study.BMC health services research · 2024Article
- Inequity in the utilization of the home and community integrated healthcare and daily care services in older adults with limited mobility in China.BMC geriatrics · 2024Article
- Decomposition analysis on the equity of health examination utilization for the middle-aged and elderly people in China: based on longitudinal CHARLS data from 2011 to 2018.BMC public health · 2024Article
- What influences the public's willingness to report health insurance fraud in familiar or unfamiliar healthcare settings? a cross-sectional study of the young and middle-aged people in China.BMC public health · 2024Article
- 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
- Income-related equity in inpatient care utilization and unmet needs between 2013 and 2018 in Tibet, China.International journal for equity in health · 2023Article
- Is Travel Time Associated with Health Service Utilization in Northwest China? Evidence from Shaanxi Province.International journal of general medicine · 2022Article
- Medical expenditure and its inequity for people with disabilities: Evidence from the CHARLS 2018 data.Frontiers in public health · 2022Article
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to assess the trends in equity of receiving inpatient health service utilization (IHSU) in China over the period 2011-2018.
methodsLongitudinal data obtained from China Health and Retirement Longitudinal Studies were used to determine trends in receiving IHSU. Concentration curves, concentration indices, and horizontal inequity indices were applied to evaluate the trends in equity of IHSU.
resultsThis study showed that the annual rate of IHSU gradually increased from 7.99% in 2011 to 18.63% in 2018. Logistic regression shows that the rates of annual IHSU in 2018 were nearly 3 times (OR = 2.86, 95%CL: 2.57, 3.19) higher for rural respondents and 2.5 times (OR = 2.49, 95%CL: 1.99, 3.11) higher for urban respondents than the rates in 2011 after adjusting for other variables. Concentration curves both in urban and rural respondents lay above the line of equality from 2011 to 2018. The concentration index remained negative and increased significantly from - 0.0147 (95% CL: - 0.0506, 0.0211) to - 0.0676 (95% CL: - 0.0894, - 0.458), the adjusted concentration index kept the same tendency. The horizontal inequity index was positive in 2011 but became negative from 2013 to 2018, evidencing a pro-low-economic inequity trend.
conclusionsWe find that the inequity of IHSU for the middle-aged and elderly increased over the past 10 years, becoming more focused on the lower-economic population. Economic status, lifestyle factors were the main contributors to the pro-low-economic inequity. Health policies to allocate resources and services are needed to satisfy the needs of the middle-aged and elderly.
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