Disparity in reimbursement for tuberculosis care among different health insurance schemes: evidence from three counties in central China

Infectious Diseases of Poverty
Yao PanHenry Lucas

Abstract

Health inequity is an important issue all around the world. The Chinese basic medical security system comprises three major insurance schemes, namely the Urban Employee Basic Medical Insurance (UEBMI), the Urban Resident Basic Medical Insurance (URBMI), and the New Cooperative Medical Scheme (NCMS). Little research has been conducted to look into the disparity in payments among the health insurance schemes in China. In this study, we aimed to evaluate the disparity in reimbursements for tuberculosis (TB) care among the abovementioned health insurance schemes. This study uses a World Health Organization (WHO) framework to analyze the disparities and equity relating to the three dimensions of health insurance: population coverage, the range of services covered, and the extent to which costs are covered. Each of the health insurance scheme's policies were categorized and analyzed. An analysis of the claims database of all hospitalizations reimbursed from 2010 to 2012 in three counties of Yichang city (YC), which included 1506 discharges, was conducted to identify the differences in reimbursement rates and out-of-pocket (OOP) expenses among the health insurance schemes. Tuberculosis patients had various inpatient expenses depending...Continue Reading

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Citations

Jan 30, 2016·Infectious Diseases of Poverty·Shenglan TangDaniel P Chin
Apr 19, 2019·PLoS Neglected Tropical Diseases·Jin ChenMen-Bao Qian
Jul 13, 2019·Tropical Medicine & International Health : TM & IH·Wenhui MaoShenglan Tang
Nov 28, 2019·The International Journal of Health Planning and Management·Yingying MengJunqiang Han
Jul 6, 2020·International Journal of Cancer. Journal International Du Cancer·Yuxin XieDonghao Lu
Feb 8, 2019·Journal of Pediatric Endocrinology & Metabolism : JPEM·Chen WangDanhua Wang
Aug 7, 2019·International Journal of Environmental Research and Public Health·Hui ZhangYixiang Huang
Dec 11, 2019·International Journal of Environmental Research and Public Health·Jiajing LiJian Wang

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