Background
Methods
Data source
Definition of a chronic patient
Measuring financial catastrophe
Comparing the different types of insurance coverage
Insurance coverage | Features | Frequency | Percentage |
---|---|---|---|
Uncovered | Not covered by any kinds of NCMSs | 2,696 | 6.90% |
CATA | Catastrophic medical insurance | 3,439 | 8.81% |
CATAplusA | Catastrophic medical insurance for inpatient care plus compensation for outpatient care | 10,720 | 27.45% |
CATAplusB | Catastrophic medical insurance for inpatient care plus reimbursement for outpatient care; limited chronic care compensation for certain chronic diseases | 22,199 | 56.84% |
Results
Total families sampled | Pre-payment poverty measure (%) | Post-payment poverty measure (%) | Percentage point change (%) | |
---|---|---|---|---|
Families with chronic patients | 13,990 | 14.25 | 24.78 | 10.53 |
Families without chronic patients | 25,025 | 15.63 | 20.79 | 5.16 |
Total families sampled | Pre-payment poverty measure (%) | Post-payment poverty measure (%) | Percentage point change (%) | |
---|---|---|---|---|
Uncovered | 842 | 13.78 | 21.26 | 7.48 |
CATA | 1,135 | 22.47 | 31.81 | 9.34 |
CATAplusA | 3,661 | 17.62 | 29.17 | 11.55 |
CATAplusB | 8,352 | 11.70 | 22.25 | 10.55 |
Total | 13,990 | 14.25 | 24.78 | 10.53 |
Family income (yuan) | uncovered | CATA | CATAplusA | CATAplusB | |
---|---|---|---|---|---|
lowest | <6500 | 37.21 | 41.01 | 41.49 | 43.99 |
2nd | >=6500 | 17.57 | 24.29 | 26.49 | 19.92 |
3rd | >=10000 | 7.73 | 9.33 | 9.46 | 9.13 |
4th | >=15000 | 1.79 | 4.39 | 4.52 | 4.59 |
5th | >=23000 | 0.46 | 1.14 | 1.07 | 0.93 |
Total | - | 8.68 | 13.01 | 14.18 | 11.79 |
OR | Std. Err. | Z | P | [95% Conf. Interval] | ||
---|---|---|---|---|---|---|
Household size | 0.831 | 0.015 | −10.480 | 0.000 | 0.803 | 0.860 |
Household income | 0.999 | 0.000 | −8.660 | 0.000 | 0.999 | 0.99 |
Insurance coverage | Reference group: uncovered | |||||
CATA | 0.748 | 0.100 | −2.170 | 0.030 | 0.575 | 0.972 |
CATAplusA | 1.174 | 0.122 | 1.540 | 0.123 | 0.957 | 1.440 |
CATAplusB | 1.342 | 0.133 | 2.960 | 0.003 | 1.105 | 1.631 |
household head Gender | 0.973 | 0.064 | −0.410 | 0.680 | 0.856 | 1.106 |
Education level of Household head | reference group :never went to school | |||||
Primary school | 0.849 | 0.050 | −2.770 | 0.006 | 0.756 | 0.953 |
middle school | 0.677 | 0.046 | −5.750 | 0.000 | 0.593 | 0.774 |
College or above | 0.575 | 0.060 | −5.280 | 0.000 | 0.469 | 0.706 |
member's self perceived illness in 14 days | 1.002 | 0.058 | 0.030 | 0.976 | 0.895 | 1.121 |
Hospitalization Episode | 4.155 | 0.202 | 29.340 | 0.000 | 3.777 | 4.569 |
Located areas | reference group : western China | |||||
central China | 0.904 | 0.054 | −1.680 | 0.094 | 0.804 | 1.017 |
eastern China | 1.031 | 0.064 | 0.500 | 0.617 | 0.914 | 1.164 |
member's clinic visit in 14 days | 1.521 | 0.077 | 8.300 | 0.000 | 1.378 | 1.679 |