Trend analysis of medical expenses in Shenzhen after China's new health‐care reforms

Liu, Xueyan; Zhang, Qilin; Xu, Yiqing; Wu, Xuesong; Wang, Xiaofeng

doi:10.1002/hpm.2951

Cited by 11 publications

(12 citation statements)

References 24 publications

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“…As the cure emergy was mainly reflected from the treatment cost, when the emergy monetary ratio was gradually reduced, the emergy had a small change, which indicated the superiority of China's medical security system. As for the basic medical insurance system in urban and rural areas (Liu et al, 2020), it focuses on making overall plans for major diseases and settling indisposition claims, which has been gradually well-developed since was basically achieved in 2010.…”

Section: Resultsmentioning

confidence: 99%

Emergy evaluation of human health losses for water environmental pollution

Xiao-ling

et al. 2021

Water Policy

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Water pollution in China has not only become one of the most vital factors impeding the social-economic development but also threatening people's health. In this study, Kaifeng was considered as an example, and the human health risk of drinking water pathway from 2010 to 2017 was evaluated on the basis of drinking water hygiene standards and the human health risk assessment model (HHRA). Besides, the human health loss caused by water pollution was quantitatively evaluated through an emergy theory and analysis method. The results showed that the carcinogenic annual risk of carcinogenic pollutants ranged from 2.0 × 10−5 to 6.5 × 10−5, and the average health risk of non-carcinogenic pollutants was about 1.5 × 10−8, but the difference between different pollutants was obvious. Affected by water quality, social-economic development, Medicare, etc., the value of human health loss ranked at the top in 2016 with 8.73 × 1018 sej, equivalent to 9.33 million RMB, while in other years, it was around 6 × 1018 sej. It is indicated that among the factors, water quality is the direct inducement of healthy loss, the socio-economic development is the leading force effecting the value, and the Medicare is the final determinant of the public burden.

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Section: Resultsmentioning

confidence: 99%

Emergy evaluation of human health losses for water environmental pollution

Xiao-ling

et al. 2021

Water Policy

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“…Especially for the poor, their ability to pay for medical expenses in peaceful period without health crises is inherently low. The occurrence of a health crisis makes it difficult for them to afford the cost of maintaining health, and they are ultimately forced to give up treatment (20,21). This phenomenon is particularly common in developing countries and underdeveloped countries.…”

Section: Methodsmentioning

confidence: 99%

Study on the Experience of Public Health System Construction in China's COVID-19 Prevention

Zhang

2021

Front. Public Health

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Background: China's experience in the process of COVID-19 prevention provides a reference for other countries in the world. This article studied the experience of public health system construction in China's COVID-19 prevention.Methods: Based on literature review and theoretical analysis, this paper constructs a theoretical framework of national public health system construction in health crisis. Based on this theoretical framework, combined with the policies and measures formulated by the Chinese government in the process of COVID-19 prevention, this article evaluate the advantages and deficiencies of China's public health system construction in response to COVID-19.Results: The Chinese government ensured the adequate supply of health resources, improved people's ability to pay medical expenses, and adopted advanced public health propaganda methods based on the Internet to help people grasp the basic information and development trend of COVID-19 in the process of COVID-19 prevention. At the same time, the utilization efficiency of health resources was low in China, people's ability to pay for medical expenses was unequal, and the disclosure of virus information in the early stage of the outbreak of COVID-19 is not timely.Conclusions: Other countries can learn from the advantages of China's public health system construction and avoid China's deficiencies in the process of public health system construction, which will help them improve the efficiency of COVID-19 prevention.

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“…In addition, 5-10% markup was still allowed for selling medical consumables after 2009, which drove the inappropriate use of consumables by similar nancial incentives in drug markup policy. It means that medical consumables account for a large proportion of the hospitals' revenue, and it may become a new driver of healthcare costs escalation [19,20].…”

Section: Introductionmentioning

confidence: 99%

“…Although the existing literature yielded major advances on the preliminary impacts of ZMD policy, most of the researches on ZMD policy used the short-term data pre and post-reform [19][20][21][22][23][24][25][26]. It's di cult to conclude the trend change in the future, and it's uncertain whether the policy impacts return to the previous trend after a short period.…”

Section: Introductionmentioning

confidence: 99%

Effects of Chinese Medical Pricing Reform on the Structure of Hospital Revenue and Healthcare Expenditure in County Hospital: An Interrupted Time Series Analysis

Liu

Jia

Lin

et al. 2021

Preprint

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Background China has initiated a medical pricing reform to combat the overuse of drugs and relieve the financial burden of patients. This paper aims to analyze the effect of medical pricing reform on revenue structure and healthcare expenditure of county public hospitals in Guangdong province. Methods Based on the monthly data from January 2013 to August 2019, we use interrupted time series design to evaluate the effects of medical pricing reform on healthcare expenditure in both outpatients and inpatients. A counterfactual is also established to examine the net effect of the policy. Results The proportion of drug revenue decreased from 35% in 2015 to 29.7% in 2019, and the revenue from medical services and inspection increased 3.2% and 3% respectively. Meanwhile, the increasing trend of total expenditure and its main components is slowed down, especially the drug expense and medical consumable expense for inpatients after the Zero Mark-up Drug policy. However, the growth of inspection expense for outpatients continues to increase, while the healthcare expenditure for inpatients experiences an instant increase after the Zero Mark-up Medical Consumables policy. Conclusion The medical pricing reform is a valuable attempt in controlling the unreasonable increase of medical expenses. In the meantime, the unexpected increase in inspection expenditure and insufficient compensation from medical service adjustment should draw the attention of the policymakers.

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Trend analysis of medical expenses in Shenzhen after China's new health‐care reforms

Cited by 11 publications

References 24 publications

Emergy evaluation of human health losses for water environmental pollution

Emergy evaluation of human health losses for water environmental pollution

Study on the Experience of Public Health System Construction in China's COVID-19 Prevention

Effects of Chinese Medical Pricing Reform on the Structure of Hospital Revenue and Healthcare Expenditure in County Hospital: An Interrupted Time Series Analysis

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