Factors associated with enrollment, satisfaction, and sustainability of the New Cooperative Medical Scheme program in six study areas in rural Beijing

Wang, Hongman; Gu, Danan; Dupre, Matthew E.

doi:10.1016/j.healthpol.2007.06.003

Cited by 42 publications

(30 citation statements)

References 6 publications

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“…This is consistent with previous findings [18,[23][24][25] . Previous studies have also found that malnutrition-inflammationatherosclerosis syndrome is common in chronic kidney disease patients [26,27] . In our study, malnutrition was more common in the PAD group.…”

Section: Discussionmentioning

confidence: 86%

Prevalence and Risk Factors for Peripheral Artery Disease among Patients on Maintenance Peritoneal Dialysis

Tian

Murphy²,

Han³

et al. 2010

Blood Purif

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Background: Cardiovascular disease is common in end-stage renal disease patients and accounts for more than half of the mortalities. Peripheral artery disease (PAD) is frequently found in this population and is an independent predictor of cardiovascular mortality. However, there have been limited studies reporting the prevalence and risk factors for PAD among patients on maintenance continuous ambulatory peritoneal dialysis (CAPD) therapy. Methods: 343 CAPD patients from our clinic were recruited, and PAD was diagnosed using a value of ankle-brachial index <0.9. Both traditional and dialysis-related factors were evaluated. Results: The prevalence of PAD was 27.4% in all patients, which increased to 45% in patients aged >70 years. In age- and gender-adjusted logistic regression, diabetes mellitus (OR 2.354, 95% CI 1.288–4.3), diastolic blood pressure (OR 0.964, 95% CI 0.939–0.989), extracellular/intracellular water ratio (OR 2.504, 95% CI 1.067–5.804), and lnCRP (OR 1.251, 95% CI 1.031–1.518) were independently associated with PAD. Conclusion: Our study suggested that PAD is a common problem in patients on maintenance peritoneal dialysis, especially in elderly dialysis subjects. Diabetes mellitus, elevated hsCRP level, and extracellular/intracellular water ratio are all independent risk factors for PAD. It also suggested that aggressive risk factor management for PAD should be undertaken in CAPD patients.

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Section: Discussionmentioning

confidence: 86%

Prevalence and Risk Factors for Peripheral Artery Disease among Patients on Maintenance Peritoneal Dialysis

Tian

Murphy²,

Han³

et al. 2010

Blood Purif

View full text Add to dashboard Cite

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“…Households living in richer counties, households with larger share of chronically sick members, and those with larger share of members reporting their health as bad or fair (as compared to good or excellent) are more likely to enroll in NCMS [41]. In addition, the participants who is elderly and that had been in the hospital are more likely to be satisfied with NCMS [42], furthermore, overall satisfaction increases the likelihood of continued enrollment by more than 4.6 times over those who are not satisfied with NCMS [43].…”

Section: Risk Poolingmentioning

confidence: 99%

The new cooperative medical scheme in China

2009

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“…As a result, the healthcare system in rural areas is entirely different from the healthcare system in urban areas [14, 16–23]. In rural areas, the current healthcare insurance system is the New Cooperative Medical Scheme (NCMS), which was launched in the early 2000s after the old cooperative medical scheme collapsed following economic reforms in the late 1970s [24, 25]. In urban China, the current health insurance system, or urban medical schemes (UMS), mainly consists of the Urban Employer-sponsored Medical Scheme (UEMS, for urban employees) and the Urban Resident Medical Scheme (URMS, for urban residents without UEMS).…”

Section: Introductionmentioning

confidence: 99%

Urban-rural differences in the association between access to healthcare and health outcomes among older adults in China

Zhang

Dupre

Qiu³

et al. 2017

BMC Geriatr

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208

159

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BackgroundStudies have shown that inadequate access to healthcare is associated with lower levels of health and well-being in older adults. Studies have also shown significant urban-rural differences in access to healthcare in developing countries such as China. However, there is limited evidence of whether the association between access to healthcare and health outcomes differs by urban-rural residence at older ages in China.MethodsFour waves of data (2005, 2008/2009, 2011/2012, and 2014) from the largest national longitudinal survey of adults aged 65 and older in mainland China (n = 26,604) were used for analysis. The association between inadequate access to healthcare (y/n) and multiple health outcomes were examined—including instrumental activities of daily living (IADL) disability, ADL disability, cognitive impairment, and all-cause mortality. A series of multivariate models were used to obtain robust estimates and to account for various covariates associated with access to healthcare and/or health outcomes. All models were stratified by urban-rural residence.ResultsInadequate access to healthcare was significantly higher among older adults in rural areas than in urban areas (9.1% vs. 5.4%; p < 0.01). Results from multivariate models showed that inadequate access to healthcare was associated with significantly higher odds of IADL disability in older adults living in urban areas (odds ratio [OR] = 1.58–1.79) and rural areas (OR = 1.95–2.30) relative to their counterparts with adequate access to healthcare. In terms of ADL disability, we found significant increases in the odds of disability among rural older adults (OR = 1.89–3.05) but not among urban older adults. Inadequate access to healthcare was also associated with substantially higher odds of cognitive impairment in older adults from rural areas (OR = 2.37–3.19) compared with those in rural areas with adequate access to healthcare; however, no significant differences in cognitive impairment were found among older adults in urban areas. Finally, we found that inadequate access to healthcare increased overall mortality risks in older adults by 33–37% in urban areas and 28–29% in rural areas. However, the increased risk of mortality in urban areas was not significant after taking into account health behaviors and baseline health status.ConclusionsInadequate access to healthcare was significantly associated with higher rates of disability, cognitive impairment, and all-cause mortality among older adults in China. The associations between access to healthcare and health outcomes were generally stronger among older adults in rural areas than in urban areas. Our findings underscore the importance of providing adequate access to healthcare for older adults—particularly for those living in rural areas in developing countries such as China.

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Factors associated with enrollment, satisfaction, and sustainability of the New Cooperative Medical Scheme program in six study areas in rural Beijing

Cited by 42 publications

References 6 publications

Prevalence and Risk Factors for Peripheral Artery Disease among Patients on Maintenance Peritoneal Dialysis

Prevalence and Risk Factors for Peripheral Artery Disease among Patients on Maintenance Peritoneal Dialysis

The new cooperative medical scheme in China

Urban-rural differences in the association between access to healthcare and health outcomes among older adults in China

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