Medical Insurance Reimbursement and the Effects of Tuberculosis Management in Guangxi Province, China: A Retrospective Cross-Sectional Study

• DOI: 10.2147/rmhp.s510088
• Publication Date: 2025-04-01T08:05:23Z
• Authors: Aimei Liu; Sang Liu; Peijiang Pan; Yanyan Liao; Junli Huang; Yucheng Tang; Li Ye; Hao Liang
• Keywords: Reimbursement; Cross-sectional study

Purpose: This study aims to compare the differences in medical insurance reimbursement for TB treatment Guangxi and analyze effects of such variations, thereby contributing enhancement care control. Patients Methods: A survey was conducted across 49 randomly selected TB-designated hospitals using structured questionnaires patient records. Missing data were addressed via median imputation. Non-parametric test used analyse outcomes among different levels types, with a P value less than 0.05 as criterion. Logistic regression analysis performed evaluate independent reimbursement, hospital level, type service ability on outcomes. Results: The Urban Employee Basic Medical Insurance provided significantly higher floors, ceilings, rates compared Resident (URBMI). Tertiary offered floors inpatient but lower secondary hospitals. Despite policy consistently exceeding 60%, actual often fell short these benchmarks, especially specialist facilities. URBMI ceiling pulmonary inpatients positively associated success. Additionally, floor linked disease mortality rates. Areas exhibited success case fatality shared common socioeconomic characteristics, including smaller populations, per capita output values, depressed production disposable incomes rural population. Conclusion: underscores importance equitable policies, targeted reforms, raising ceilings enforcing real-time monitoring reimbursements, are critical mitigate disparities care. Keywords: tuberculosis, insurance, cost, effect, rates, characteristics