Journal article

Does inpatient health services utilization vary by remoteness in the medical financial assistance population? Evidence from Shaanxi province, China

Yangling Ren, Zhongliang Zhou, Guanping Liu, Chi Shen, Dan Cao, Tiange Xu, Jane M Fry, Rashed Nawaz, Dantong Zhao, Min Su, Tingshuai Ge, Yafei Si, Gang Chen

BMC HEALTH SERVICES RESEARCH | BMC | Published : 2020

Abstract

BACKGROUND: Medical Financial Assistance (MFA) provides health insurance and financial support for millions of low income and disabled Chinese people, yet there has been little systematic analysis focused on this vulnerable population. This study aims to advance our understanding of MFA recipients' access to health care and whether their inpatient care use varies by remoteness. METHODS: Data were collected from the Surveillance System of Civil Affairs of Shaanxi province in 2016. To better proxy remoteness (geographic access), drive time from the respondent's village to the nearest county-level or city-level hospital was obtained by a web crawler. Multilevel models were used to explore the i..

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Grants

Awarded by National Natural Science Foundation of China


Awarded by China Medical Board


Awarded by Xi'an Social Science Planning Fund Project


Awarded by Shaanxi Social Science Foundation


Funding Acknowledgements

This study was funded by National Natural Science Foundation of China (71874137), China Medical Board (15-277 and 16-262), Xi'an Social Science Planning Fund Project (19S78), Shaanxi Social Science Foundation (2017S024), Shaanxi Provincial Youth Star of Science and Technology in 2016.