中国贵州省医疗保险对减轻结核病经济负担的贡献。

IF 2.5 4区 医学 Q3 INFECTIOUS DISEASES Epidemiology and Infection Pub Date : 2024-12-11 DOI:10.1017/S0950268824001316
Rong Du, Xiaoxue Ma, Aiju Huang, Huijuan Chen, Xueli Guo, Jian Zhou, Jinlan Li, Weibing Wang, Qi Zhao
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引用次数: 0

摘要

尽管全球努力消除结核病,但预防结核病造成的灾难性卫生支出的目标仍未实现。本横断面研究在中国西南部贵州省进行。数据来自医院信息系统和对2021年1月至3月期间完成标准化抗结核治疗的结核病患者的调查。在2 283名参与者中,平均总开支及自付开支分别为1 506.6元(中位数= 760.5元)及683.6元(中位数= 437.8元)。医保报销使CHE降低了16.8%,缴费率为24.9%,集中指数从报销前的-0.070变为报销后的-0.099。然而,不同经济阶层对健康保险的贡献率差异很大,最低经济群体的贡献率为6.4%,最高经济群体的贡献率为53.1%。对于社会经济阶层较低的患者,医疗保险在诊断前阶段贡献了10.7%的CHE,在治疗期间贡献了23.5%。虽然社会健康保险减轻了结核病患者的经济负担,但它没有为经济水平较低或处于诊断前阶段的患者提供足够的保护。这项研究强调需要为结核病患者制定更有效和公平的补贴政策。
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Health insurance's contribution to reducing the financial burden of tuberculosis in Guizhou Province, China.

Despite global efforts to end tuberculosis (TB), the goal of preventing catastrophic health expenditure (CHE) due to TB remains unmet. This cross-sectional study was conducted in Guizhou Province, Southwest China. Data were collected from the Hospital Information System and a survey of TB patients who had completed standardized antituberculosis treatment between January and March 2021. Among the 2 283 participants, the average total expenditure and out-of-pocket expenditure were $1 506.6 (median = $760.5) and $683.6 (median = $437.8), respectively. Health insurance reimbursement reduced CHE by 16.8%, with a contribution rate of 24.9%, and the concentration index changed from -0.070 prereimbursement to -0.099 postreimbursement. However, the contribution of health insurance varied significantly across different economic strata, with contribution rates of 6.4% for the lowest economic group and 53.1% for the highest group. For patients from lower socioeconomic strata, health insurance contributed 10.7% to CHE in the prediagnostic phase and 23.5% during treatment. While social health insurance alleviated the financial burden for TB patients, it did not provide sufficient protection for those in lower economic strata or during the prediagnostic stage. This study underscores the need for more effective and equitable subsidy policies for TB patients .

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来源期刊
Epidemiology and Infection
Epidemiology and Infection 医学-传染病学
CiteScore
4.10
自引率
2.40%
发文量
366
审稿时长
3-6 weeks
期刊介绍: Epidemiology & Infection publishes original reports and reviews on all aspects of infection in humans and animals. Particular emphasis is given to the epidemiology, prevention and control of infectious diseases. The scope covers the zoonoses, outbreaks, food hygiene, vaccine studies, statistics and the clinical, social and public-health aspects of infectious disease, as well as some tropical infections. It has become the key international periodical in which to find the latest reports on recently discovered infections and new technology. For those concerned with policy and planning for the control of infections, the papers on mathematical modelling of epidemics caused by historical, current and emergent infections are of particular value.
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