Evidence map›Paper›PMID 40281544›Full record

ArticleBMC health services research2025

Medical expenses of lung cancer patients under the New Rural Cooperative Medical Scheme in coastal and inland areas of Fujian Province from 2007 to 2016: differential trend analysis.

Qiongting Liu, Rong Fu, Yixian Jiang, Zhenquan Zheng, Zhijian Hu, Fei He

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Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Qiongting Liu *Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian Province, 350122, China.
Rong Fu *Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian Province, 350122, China.
Yixian JiangDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian Province, 350122, China.
Zhenquan ZhengSchool of Health Administration, Fujian Medical University, Fuzhou, Fujian Province, 350122, China.
Zhijian HuDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian Province, 350122, China. huzhijian@fjmu.edu.cn.
Fei HeDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian Province, 350122, China. i.fei.he@fjmu.edu.cn.

Funding

the Joint Funds for the Innovation of Science and Technology, Fujian Province 2019Y9022
6 · The paper itself

Abstract

objectiveBy analyzing the medical cost index and difference trend among inpatients with lung cancer who participated in the New Rural Cooperative Medical Scheme (NRCMS) in coastal areas and inland areas of Fujian Province from 2007 to 2016, we evaluated the medical cost burden and health security level of rural lung cancer patients in Fujian Province under the background of the NRCMS.

methodsMedical record cost data of 88,191 inpatients with lung cancer under the NRCMS were collected from medical institutions at all levels in Fujian Province from 2007 to 2016. The mean and standard deviation of total hospitalization expenses, average daily hospitalization expenses, reimbursement ratio, and OOP ratio (the ratio of out-of-pocket expenditure and disposable income) for lung cancer patients in coastal areas and inland areas during 2007-2016 were calculated. After adjusting for sex, age, length of stay, and hospital level, the relative differences with 95% confidence intervals (CI) between coastal and inland areas in various cost indicators were calculated using generalized linear models to assess the trends in the differences over time.

resultsWe found differences in the total hospitalization cost, average daily hospitalization cost, reimbursement ratio, and OOP ratio of lung cancer patients in coastal areas and inland areas of Fujian Province. The burden of medical expenses for lung cancer patients in coastal areas is relatively greater than that in inland areas. From 2007 to 2011, the difference in medical expenses for inpatients with lung cancer in coastal areas and inland areas gradually narrowed. However, from 2012 to 2014, the difference in medical expenses between the two regions gradually widened. From 2014 to 2016, the difference between the two regions gradually narrowed again, and in 2016, it returned to the difference level between the two regions in 2010.

conclusionsUnder the influence of the NRCMS, the hospitalization cost, average daily hospitalization cost, and OOP ratio of lung cancer patients in coastal areas were higher than those in inland areas from 2007 to 2016, but the reimbursement ratio was lower. In general, the medical expenses of lung cancer patients in coastal areas of Fujian Province are greater than those in inland areas, which may be affected by differences in the level of hospitals, treatment methods, drug scope, expected survival level, and medical assistance policies of lung cancer patients in the two regions.

Indexed as

Health ExpendituresHospitalizationLung NeoplasmsRural Health ServicesAdultAgedChinaFemaleHumansMaleMiddle AgedPattern Analysis, MachineRural PopulationAnalysis of differenceBurden of medical expensesLung cancerNew Rural Cooperative Medical Scheme

Identifiers

PMID40281544
PMCPMC12023508

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