Analysis on the economic burden of maternal health care of 9 193 women during early pregnancy in China
10.3969/j.issn.1006-2483.2020.01.007
- VernacularTitle:中国9193名妇女孕早期保健经济负担现状分析
- Author:
Yongle ZHAN
1
;
Shuya CAI
1
;
Yawen WANG
1
;
Sansan WU
1
;
Yahui FENG
1
;
Yunli CHEN
1
;
Yingjie SHI
1
;
Liangkun MA
2
;
Yu JIANG
1
Author Information
1. School of Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
2. Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100005, China
- Publication Type:Journal Article
- Keywords:
Economic burden;
Health care;
Pregnant women;
Medical expense
- From:
Journal of Public Health and Preventive Medicine
2020;31(1):29-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the status of economic burden of maternal health care of pregnant women in China, and to discuss the equity and accessibility of maternal health care during pregnancy among different regions and populations. Methods A total of 9 193 women during early pregnancy were recruited from the Chinese Pregnant Women Cohort Study between July 25, 2017 and November 26, 2018. Information on general condition and economic burden of maternal health care was surveyed. SPSS 25.0 software was used for statistical analysis. Results The median direct medical cost of maternity check-ups for pregnant women was 400 CNY per visit, and the median cost of lost work was 360 CNY per visit. The analysis of the results showed that the median medical expense was highest in pre-pregnant women with BMI <18.5kg/m2 (P=0.008). The median medical expense was higher in urban residents than rural residents (P<0.001). Families with fewer members had higher direct medical expenses (P<0.001, Ptrend=0.003). The higher the socioeconomic status was, the higher the direct medical expense was (P<0.001, Ptrend=0.003). The cost of lost work was lower in pregnant women with higher socioeconomic status (P=0.025, Ptrend=0.017). In addition, the medical expense was highest in women living in the eastern part of China (P<0.001). The direct medical expenses (P=0.002) and lost-time expenses of pregnant women in the North were higher than those in the South (P=0.013). Conclusion The problem of equity and accessibility of maternal health care still existed. It is recommended that relevant departments further improve maternal health care services and build a diversified healthcare service system to ensure maternal and child health and promote eugenics.
