Income related inequality and influencing factors: a study for the incidence of catastrophic health expenditure in rural China

• DOI: 10.1186/s12889-017-4713-x
• Publication Date: 2017-09-20T11:36:09Z
• Authors: Hai Gu; Yun Kou; Zhiwen Yan; Yilei Ding; Jusheng Shieh; Jun Sun; Nan Cui; Qianjing Wang; Hua You
• Keywords: Biostatistics

Catastrophic health expenditure (CHE) puts a heavy disease burden on patients' families, aggravating income-related inequality. In an attempt to reduce the financial risks of rural families incurring CHE, China began New Rural Cooperative Medical System (NCMS) trial basis in 2003 and has raised reimbursement rates continuously since then. Based statistical data about sample area Jiangsu province, this study measures incidence analyzes socioeconomic inequality related explores influences NCMS CHE.Statistical were acquired from two surveys care, one conducted 2009 2010. 2009, 1424 analyzed; 2010, 1796 analyzed. An index CHE is created enable evaluation associated risks. The concentration curve are used measure involved CHE. Multiple logistic regression utilized explore factors that influence CHE.The decreased 13.62% 7.74% was changed -0.298 (2009) -0.323 (2010). Compared with which all members covered by NCMS, some not had lower CHE: odds ratio 0.65 95% confidence interval 0.43 1.00. For increase correlated decline if other influencing controlled: 0.48 0.36 0.64.Between rate sampled sharply, more concentrated among least wealthy increased during period. As poorest still high risk experiencing rise reduces probability