Background
Methods
Data and variable
Methodology
Results
Descriptive statistics
Variables | Category | All (n = 7836) |
---|---|---|
Dependent variables | At least one outpatient service in the last month, n(%) | 1641(20.94) |
Frequency of outpatient services in the last month, mean (SD) | 0.47(1.43) | |
At least one inpatient service in the last year, n(%) | 1343(17.14) | |
Frequency of inpatient services in the last year, mean (SD) | 0.27(0.74) | |
Predisposing variables | ||
Gender | Femalea, n(%) | 3850(49.13) |
Male, n(%) | 3986(50.87) | |
Age | 60~ 69a, n(%) | 5279(67.37) |
70~ 79, n(%) | 2154(27.49) | |
80+, n(%) | 403(5.14) | |
Education level | Illiteratea, n(%) | 4241(54.12) |
Primary school, n(%) | 1851(23.62) | |
Middle school, n(%) | 1147(14.64) | |
High school and above, n(%) | 597(7.62) | |
Marital status | Married, n(%) | 6442(82.21) |
Unmarrieda, n(%) | 1394(17.79) | |
Employment status | Working, n(%) | 4407(56.24) |
Noa, n(%) | 3429(43.76) | |
Enabling variables | ||
Health insurance schemes | No health insurancea, n(%) | 881(11.24) |
UEBMI, n(%) | 855(10.91) | |
URBMI, n(%) | 316(4.03) | |
NRCMS, n(%) | 5075(64.77) | |
Other health insurance, n(%) | 325(4.15) | |
Two kinds of health insurance, n(%) | 384(4.90) | |
Pension | No pensiona, n(%) | 1669(21.30) |
PPGI or BPIM, n(%) | 851(10.86) | |
NRPS, n(%) | 3901(49.78) | |
Old age pension allowance, n(%) | 471(6.01) | |
Other pension, n(%) | 384(4.90) | |
Two kinds of pension, n(%) | 560(7.15) | |
Geographic location | Easta, n(%) | 2628(33.54) |
Central, n(%) | 2577(32.89) | |
West, n(%) | 2631(33.58) | |
Residency location | Urban, n(%) | 3060(39.05) |
Rurala, n(%) | 4776(60.95) | |
Per capita household consumption expenditure | Quintile I(poorest)a, n(%) | 1719(21.94) |
Quintile II, n(%) | 1428(18.22) | |
Quintile III, n(%) | 1555(19.84) | |
Quintile IV, n(%) | 1567(20.00) | |
Quintile V(richest), n(%) | 1567(20.00) | |
Need variables | ||
Self-assessed health status | Health very gooda, n(%) | 788(10.06) |
Health good, n(%) | 893(11.40) | |
Health fair, n(%) | 4120(52.58) | |
Health poor, n(%) | 1600(20.42) | |
Health very poor, n(%) | 435(5.55) | |
Chronic disease | Yes, n(%) | 6236(79.58) |
Noa, n(%) | 1600(20.42) | |
Disability | Yes, n(%) | 3085(39.37) |
Noa, n(%) | 4751(60.63) | |
PADL | Yes, n(%) | 1992(25.42) |
Noa, n(%) | 5844(74.58) | |
IADL | Yes, n(%) | 2899(37.00) |
Noa, n(%) | 4937(63.00) |
Inequality and horizontal inequity for health services utilization
Probability of Outpatient Visits | Frequency of Outpatient Visits | Probability of Inpatient Visits | Frequency of Inpatient Visits | |
---|---|---|---|---|
Concentration index (CI) | 0.1102 | 0.1015 | 0.2777 | 0.2980 |
Horizontal equity index (HI) | 0.0899 | 0.0373 | 0.2544 | 0.1938 |
Decomposition of inequality in outpatient utilization
Variable | Probability | Frequency | |||||
---|---|---|---|---|---|---|---|
Elasta | Contb | Percent | Elasta | Contb | Percent | ||
Predisposing variables | |||||||
Male | − 0.0448 | 0.00009 | 0.0826 | − 0.0948 | 0.0002 | 0.1899 | |
70~ 79 | − 0.0147 | 0.0004 | 0.3520 | − 0.0225 | 0.0006 | 0.5859 | |
80+ | 0.0006 | −0.00004 | − 0.0358 | − 0.0029 | 0.0002 | 0.1764 | |
Primary school | 0.0083 | −0.00002 | −0.0169 | −0.0497 | 0.0001 | 0.1093 | |
Middle school | 0.0061 | 0.0005 | 0.4565 | −0.0537 | − 0.0044 | −4.3365 | |
High school and above | 0.0125 | 0.0035 | 3.1981 | −0.0022 | −0.0006 | − 0.6172 | |
Married | −0.0101 | − 0.00007 | − 0.0620 | − 0.0056 | 0.0000 | −0.0374 | |
Working | −0.0011 | 0.00008 | 0.0718 | −0.0855 | 0.0064 | 6.3306 | |
Enabling variables | |||||||
UEBMI | 0.0317 | 0.0103 | 9.3594 | 0.0548 | 0.0178 | 17.5756 | |
URBMI | 0.0029 | 0.0003 | 0.2968 | −0.0012 | −0.0001 | − 0.1299 | |
NRCMS | 0.1248 | −0.0108 | −9.8234 | 0.4192 | −0.0363 | −35.7979 | |
Other health insurance | 0.0179 | 0.0031 | 2.8319 | 0.0496 | 0.0087 | 8.5316 | |
Two kinds of health insurance | 0.0156 | 0.0032 | 2.9145 | 0.0518 | 0.0106 | 10.4741 | |
PPGI or BPIM | 0.0054 | 0.0016 | 1.4555 | 0.0323 | 0.0097 | 9.5238 | |
NRPS | 0.0299 | −0.0027 | −2.4484 | 0.0352 | −0.0032 | −3.1326 | |
Old age pension allowance | 0.0002 | −0.00001 | − 0.0077 | − 0.0039 | 0.0002 | 0.1961 | |
Other pension | −0.0025 | −0.0002 | − 0.2231 | 0.0214 | 0.0021 | 2.0863 | |
Two kinds of pension | 0.0054 | 0.0007 | 0.5905 | 0.0089 | 0.0011 | 1.0529 | |
Central | −0.0303 | 0.0003 | 0.2312 | −0.1236 | 0.0010 | 1.0244 | |
West | 0.0382 | −0.0006 | −0.5201 | 0.0691 | −0.0010 | −1.0193 | |
Urban | −0.0493 | −0.0065 | −5.9027 | −0.0661 | − 0.0087 | −8.5743 | |
Quintile II | 0.0440 | −0.0167 | −15.1406 | 0.1358 | −0.0515 | − 50.6898 | |
Quintile III | 0.0662 | 0.0001 | 0.0997 | 0.2086 | 0.0003 | 0.3409 | |
Quintile IV | 0.0720 | 0.0288 | 26.1225 | 0.1592 | 0.0637 | 62.7361 | |
Quintile V (richest) | 0.1032 | 0.0826 | 74.9192 | 0.2180 | 0.1744 | 171.7998 | |
Need variables | |||||||
Health good | 0.0068 | −0.0002 | −0.2252 | 0.0667 | −0.0024 | −2.4002 | |
Health fair | 0.2457 | −0.0039 | −3.5423 | 0.7741 | −0.0123 | −12.1159 | |
Health poor | 0.1913 | 0.0107 | 9.7519 | 0.5173 | 0.0291 | 28.6276 | |
Health very poor | 0.0612 | 0.0054 | 4.8685 | 0.1494 | 0.0131 | 12.8951 | |
Chronic disease | 0.3136 | 0.0092 | 8.3190 | 1.2659 | 0.0370 | 36.4488 | |
Disability | 0.0075 | −0.0001 | −0.1203 | 0.0252 | − 0.0004 | − 0.4407 | |
PADL | 0.0211 | 0.0006 | 0.5278 | 0.0967 | 0.0027 | 2.6204 | |
IADL | 0.0350 | −0.0014 | −1.2299 | 0.0676 | −0.0026 | −2.5829 |
Decomposition of inequality in inpatient utilization
Variable | Probability | Frequency | |||||
---|---|---|---|---|---|---|---|
Elasta | Contb | Percent | Elasta | Contb | Percent | ||
Predisposing variables | |||||||
Male | 0.0628 | −0.0001 | − 0.0464 | 0.2878 | −0.0006 | − 0.1964 | |
70~ 79 | 0.0607 | −0.0016 | − 0.5821 | 0.2696 | −0.0071 | −2.3896 | |
80+ | 0.0186 | −0.0011 | − 0.4133 | 0.0829 | −0.0051 | −1.7017 | |
Primary school | 0.0070 | −0.00002 | −0.0057 | 0.0025 | 0.0000 | −0.0019 | |
Middle school | 0.0199 | 0.0018 | 0.5933 | 0.0552 | 0.0045 | 1.5183 | |
High school and above | −0.0032 | − 0.0009 | − 0.3319 | − 0.0327 | − 0.0092 | −3.1005 | |
Married | − 0.0133 | − 0.0001 | − 0.0325 | 0.1729 | 0.0012 | 0.3910 | |
Working | −0.1456 | 0.0110 | 3.9774 | −0.6361 | 0.0478 | 16.0532 | |
Enabling variables | |||||||
UEBMI | 0.0316 | 0.0103 | 3.7325 | 0.1227 | 0.0399 | 13.4021 | |
URBMI | 0.0041 | 0.0005 | 0.1709 | 0.0145 | 0.0016 | 0.5510 | |
NRCMS | 0.0707 | −0.0061 | −2.2261 | 0.2026 | −0.0176 | −5.8940 | |
Other health insurance | 0.0043 | 0.0007 | 0.2698 | 0.0408 | 0.0071 | 2.3939 | |
Two kinds of health insurance | 0.0105 | 0.0022 | 0.7863 | 0.0409 | 0.0084 | 2.8188 | |
PPGI or BPIM | −0.0215 | − 0.0064 | −2.3374 | − 0.1322 | − 0.0396 | −13.2889 | |
NRPS | 0.0046 | −0.0004 | − 0.1519 | −0.1449 | 0.0131 | 4.3951 | |
Old age pension allowance | −0.0026 | 0.0001 | 0.0495 | −0.0382 | 0.0020 | 0.6588 | |
Other pension | 0.0032 | 0.0003 | 0.1149 | −0.0058 | −0.0006 | − 0.1940 | |
Two kinds of pension | 0.0068 | 0.0008 | 0.2987 | −0.0352 | −0.0042 | −1.4142 | |
Central | 0.0407 | − 0.0003 | − 0.1244 | 0.1683 | −0.0014 | − 0.4751 | |
West | 0.0731 | −0.0011 | −0.3979 | 0.3131 | −0.0047 | −1.5744 | |
Urban | 0.0060 | 0.0008 | 0.2871 | −0.0129 | − 0.0017 | − 0.5704 | |
Quintile II | 0.0437 | −0.0166 | −6.0173 | 0.2471 | −0.0937 | −31.4302 | |
Quintile III | 0.1137 | 0.0002 | 0.0685 | 0.4410 | 0.0007 | 0.2455 | |
Quintile IV | 0.1982 | 0.0793 | 28.8000 | 0.7599 | 0.3041 | 102.0304 | |
Quintile V(richest) | 0.2802 | 0.2242 | 81.4012 | 0.9770 | 0.7818 | 262.3329 | |
Need variables | |||||||
Health good | 0.0099 | −0.0004 | −0.1313 | −0.0413 | 0.0015 | 0.5055 | |
Health fair | 0.1989 | −0.0032 | −1.1475 | 0.7266 | −0.0115 | −3.8746 | |
Health poor | 0.2127 | 0.0120 | 4.3396 | 0.7627 | 0.0428 | 14.3788 | |
Health very poor | 0.0778 | 0.0068 | 2.4754 | 0.2436 | 0.0213 | 7.1638 | |
Chronic disease | 0.2892 | 0.0085 | 3.0699 | 1.8373 | 0.0537 | 18.0216 | |
Disability | 0.0170 | −0.0003 | −0.1096 | 0.0685 | −0.0012 | −0.4077 | |
PADL | 0.0662 | 0.0018 | 0.6610 | 0.2797 | 0.0077 | 2.5827 | |
IADL | 0.0487 | −0.0019 | −0.6861 | 0.2600 | −0.0101 | −3.3826 |