The Effect of an Innovative Financing and Payment Model for Tuberculosis Patients on Health Service Utilization in China: Evidence from Hubei Province of China

Jiang, Junnan; Lucas, Henry C.; Long, Qian; Xin, Yanjiao; Li, Xiang; Tang, Shenglan

doi:10.3390/ijerph16142494

Cited by 6 publications

(7 citation statements)

References 42 publications

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“…Remotely living TB patients are more likely to use outpatient services instead of inpatient services, thus requiring a tilt in policies towards the underprivileged community living in far-flung areas in order to ensure better utilization of services and to improve therapeutic outcomes [ 156 ].…”

Section: Public Health Concernsmentioning

confidence: 99%

A Saudi Arabian Public Health Perspective of Tuberculosis

Saati

Khurram

Faidah

et al. 2021

IJERPH

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Tuberculosis is a global health challenge due to its spreading potential. The Kingdom of Saudi Arabia (KSA) faces a challenge in the spread of tuberculosis from migrant workers, but the foremost threat is the huge number of pilgrims who travel to visit sacred sites of the Islamic world located in the holy cities of Makkah and Al Madina. Pilgrims visit throughout the year but especially in the months of Ramadan and Zul-Hijah. The rise of resistance in Mycobacterium tuberculosis is an established global phenomenon that makes such large congregations likely hotspots in the dissemination and spread of disease at a global level. Although very stringent and effective measures exist, the threat remains due to the ever-changing dynamics of this highly pathogenic disease. This overview primarily highlights the current public health challenges posed by this disease to the Saudi health system, which needs to be highlighted not only to the concerned authorities of KSA, but also to the concerned global quarters since the pilgrims and migrants come from all parts of the world with a majority coming from high tuberculosis-burdened countries.

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Section: Public Health Concernsmentioning

confidence: 99%

A Saudi Arabian Public Health Perspective of Tuberculosis

Saati

Khurram

Faidah

et al. 2021

IJERPH

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“…8 The diagnosis rate, the inclusion rate of treatment and the success rate of treatment for MDR-TB in China are far below the global average and affected the effective treatment globally. 9 , 10 One of the most critical barriers of MDR-TB treatment is that catastrophic cost has increasingly become the major obstacle for people in need of treatment, and patients frequently drop-off from medication due to the financial burden. Interrupted treatment and under-dose led to poor treatment outcomes and increased the risks of resistance and spread of infections.…”

Section: Introductionmentioning

confidence: 99%

<p>Barriers and Strategies: A Review of Access to Affordable Multi-Drug Resistant Tuberculosis Medication in China</p>

Zhang¹,

Li²,

Yang³

et al. 2020

IDR

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This study analyzed the barriers of patient access to affordable MDR-TB medication in China and the reasons behind, and proposed strategies towards removing the barriers based on literature review and key informant interviews. Reasons behind the high financial burden of MDR-TB patients in China are the lack of a coordinated and multi-sourced financing model to secure patients' access to the expensive novel medicines, and the absence of the safety-net for the patients with low ability to pay the costs. Appropriate health insurance benefit packages and provider payment mechanisms, supportive legal framework, coordinated policies as well as incentives for off-label use of evidence-based repurposed medicines are missing. The observations identified key intervention areas including continued efforts to make the novel effective medicines affordable and to strengthen the legislative protection for off-label use of evidence-based medicines; increase incentives for pharmaceutical companies to expand indications of established medicines based on the evidence; implement public initiatives to support the use of repurposed medicines for diseases with major public health significance, and scale up good practices from local pilots to create a coordinated multi-sourced financing model. A comprehensive approach to address the barriers in the full treatment course of MDR-TB and a safety-net for low-ability-to-pay patients are also critical to secure universal access to affordable MDR-TB medication.

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“…Third, China actively strengthened cooperation with international organizations while innovating control methods of TB. For example, the China-Gates TB Project in 2012 has improved the utilization rate of TB health services in poor areas (51).…”

Section: Discussionmentioning

confidence: 99%

Influence of Public Health Services on the Goal of Ending Tuberculosis: Evidence From Panel Data in China

Yang

Zhou

Yang

et al. 2022

Front. Public Health

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BackgroundThe World Health Organization has proposed an initiative to “end tuberculosis (TB).” Unfortunately, TB continues to endanger the health of people worldwide. We investigated the impact of public health services (PHS) in China on TB incidence. In this way, we provided policy ideas for preventing the TB epidemic.MethodsWe used the “New Public Management Theory” to develop two indicators to quantify policy documents: multisector participation (MP) and the Assessable Public Health Service Coverage Rate (ASCR). The panel data from 31 provinces in Chinese mainland were collected from 2005 to 2019 based on 1,129 policy documents and the China Statistical Yearbook. A fixed-effect model was used to determine the impact of MP and the ASCR on TB incidence.ResultsFrom 2005 to 2019, the average MP increased from 89.25 to 97.70%, and the average ASCR increased from 53.97 to 78.40% in Chinese mainland. However, the development of ASCR between regions was not balanced, and the average level in the western region was lower than that in the eastern coastal provinces. With an increase in MP and the ASCR, the TB incidence had been decreasing gradually in recent years. The panel analysis results showed that MP (β = −0.76, p < 0.05). and ASCR (β = −0.40, p < 0.01) had a negative effect on TB incidence, respectively. Even if the control variables were added, the negative effects of MP (β = −0.86, p < 0.05) and ASCR (β = −0.35, p < 0.01) were still statistically significant.ConclusionsPromoting the participation of multiple departments, as well as emphasizing the quality of PHS delivery, are important ways to alleviate the TB epidemic. The settings of evaluation indices for PHS provision should be strengthened in the future.

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The Effect of an Innovative Financing and Payment Model for Tuberculosis Patients on Health Service Utilization in China: Evidence from Hubei Province of China

Cited by 6 publications

References 42 publications

A Saudi Arabian Public Health Perspective of Tuberculosis

A Saudi Arabian Public Health Perspective of Tuberculosis

<p>Barriers and Strategies: A Review of Access to Affordable Multi-Drug Resistant Tuberculosis Medication in China</p>

Influence of Public Health Services on the Goal of Ending Tuberculosis: Evidence From Panel Data in China

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