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BMC Health Serv Res. 2019 Jun 7;19(1):360. doi: 10.1186/s12913-019-4190-2.

Medical expenditure for middle-aged and elderly in Beijing.

Ma C1,2,3, Jiang Y1,2, Li Y1,2, Zhang Y1,2, Wang X1,2, Ma S1,2,3, Wang Y4,5.

Author information

1
Center for Applied Statistics, Renmin University of China, 59 Zhongguancun Ave., Beijing, 100872, China.
2
School of Statistics, Renmin University of China, 59 Zhongguancun Ave., Beijing, 100872, China.
3
School of Public Health, Yale University, 60 College St., New Haven, CT, 06520, USA.
4
Center for Applied Statistics, Renmin University of China, 59 Zhongguancun Ave., Beijing, 100872, China. abyuer@sina.com.
5
School of Statistics, Renmin University of China, 59 Zhongguancun Ave., Beijing, 100872, China. abyuer@sina.com.

Abstract

BACKGROUND:

High medical expenditures serve as a major obstacle for many people trying to access healthcare. Our goals are to provide an updated and comprehensive description of each category of medical expenditure in inpatient and outpatient treatment, and to identify factors associated with medical expenditures.

METHODS:

A survey of the middle-aged and elderly was conducted in August 2016 in Beijing, China. Data were collected from 808 random samples. Each participant had reported at least one inpatient or outpatient treatment episode and was 45 years old or older, were collected. Chi-squared tests, t-tests, multivariate analysis, and a linear regression were conducted in the data analysis.

RESULTS:

A total of 452 and 734 subjects had at least one inpatient and outpatient treatment, respectively. Even though insurance covered a significant amount of the total cost, the remaining out-of-pocket cost was still high, possibly resulting in financial difficulties for a number of the subjects. Demographic and socioeconomic factors were found to be associated with various costs.

CONCLUSIONS:

Our findings suggest that the government may need to further adjust health care and health insurance systems to alleviate financial burdens caused by illness and improve the effective utilization of healthcare services.

KEYWORDS:

China; Financial burden; Medical expenditure; Middle-aged and elderly; Survey

PMID:
31174516
PMCID:
PMC6554908
DOI:
10.1186/s12913-019-4190-2
[Indexed for MEDLINE]
Free PMC Article

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