Utilization and cost of outpatient care and their influencing factors among middle and aged peasant-workers in China
10.3969/j.issn.1671-167X.2015.03.018
- VernacularTitle:中国中老年农民工门诊服务利用及费用影响因素
- Author:
Xin ZHAO
;
Diyao MING
;
Wenjun MA
- Publication Type:Journal Article
- Keywords:
Ambulatory care;
Fees,medical;
Health service utilization;
Peasant-workers;
China
- From:
Journal of Peking University(Health Sciences)
2015;(3):464-468
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the utilization and cost of outpatient care and their influencing fac-tors among middle and aged peasant-workers in China. Methods:The data of China Health and Retire-ment Longitudinal Study ( CHARLS) collected in 2011-2012 were used and the data on peasant-workers aged 45 years and older were analyzed with Two-part Model. Results: The four-week outpatient rate of middle and aged peasant-workers was 13. 7% (407/2 974). The determinants of the rate included gen-der, marital status, economic level, household size, the place of insurance enrollment, self-assessed health and having or having no chronic diseases. The average outpatient cost was (400. 3 ± 56. 7) yuan (RMB) and the median was 138. 0 yuan. Multivariate analyses showed that outpatient costs were higher for those males who lived in Eastern China and worked at the same place with insurance enrollment, with fair to bad self-assessed health and chronic diseases. Conclusion:Allowing higher flexibility for migrants to transfer the new rural cooperative medical system ( NCMS ) between rural and urban areas and thus making reimbursement for medical services provided by undesignated providers received immediately could increase the use of outpatient services.
