Journal article

Temporal trends and variation in out-of-pocket expenditures and patient cost sharing: evidence from a Chinese national survey 2011-2015

Vicky Mengqi Qin, Yuting Zhang, Kee Seng Chia, Barbara McPake, Yang Zhao, Emily SG Hulse, Helena Legido-Quigley, John Tayu Lee

INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH | BMC | Published : 2021

Abstract

OBJECTIVES: This study aims to examine: (1) temporal trends in the percentage of cost-sharing and amount of out-of-pocket expenditure (OOPE) from 2011 to 2015; (2) factors associated with cost-sharing and OOPE; and (3) the relationships between province-level economic development and cost-sharing and OOPE in China. SETTING: A total of 10,316 adults aged ≥45 years from China followed-up from 2011 to 2015 were included in the analysis. We measured two main outcome variables: (1) patient cost sharing, measured by the percentage of OOPE as total healthcare expenditure, and (2) absolute amount of OOPE. RESULTS: Based on self-reported data, we did not find substantial differences in the percentage..

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