The impact of increased reimbursement rates under the new cooperative medical scheme on the financial burden of tuberculosis patients

Infectious Diseases of Poverty
Yan-Jiao XinFei Huang

Abstract

Tuberculosis (TB) is still a major public health problem in China. To scale up TB control, an innovative programme entitled the 'China-Gates Foundation Collaboration on TB Control in China was initiated in 2009. During the second phase of the project, a policy of increased reimbursement rates under the New Cooperative Medical Scheme (NCMS) was implemented. In this paper, we aim to explore how this reform affects the financial burden on TB patients through comparison with baseline data. In two cross-sectional surveys, quantitative data were collected before (January 2010 to December 2012) and after (April 2014 to June 2015) the intervention in the existing NCMS routine data system. Information on all 313 TB inpatients, among which 117 inpatients in the project was collected. Qualitative data collection included 11 focus group discussions. Three main indicators, non-reimbursable expenses rate (NER), effective reimbursement rate (ERR), and out-of-pocket payment (OOP) as a percentage of per capita household income, were used to measure the impact of intervention by comprising post-intervention data with baseline data. The quantitative data were analysed by descriptive analysis and non-parametric tests (Mann-Whitney U test) using SP...Continue Reading

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Citations

Nov 25, 2020·International Journal of Environmental Research and Public Health·Chaofang YanJohn Fc Sung
Jun 17, 2021·Acta Neurologica Scandinavica·Xue-Ping MaRong Yang
Jun 18, 2021·PLoS Neglected Tropical Diseases·Qing-Long GongXiao-Xuan Zhang

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Software Mentioned

NVivo
SPSS

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