کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
7334864 | 1476055 | 2014 | 9 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Examining the association between social health insurance participation and patients' out-of-pocket payments in China: The role of institutional arrangement
ترجمه فارسی عنوان
بررسی رابطه مشارکت بیمه درمانی اجتماعی و پرداخت بیماران خارج از جیب در چین: نقش تسهیلات نهادی
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کلمات کلیدی
چین، بیمه درمانی اجتماعی، آرایش نهادی، اشکال در عملکرد، مدل سازی معادلات ساختاری،
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی
Previous work on the relationship between social health insurance (SHI) participation and patients' out-of-pocket payments (OOP) in China has overlooked the mediating mechanisms of the institutional arrangement. This study establishes a conceptual framework involving the reimbursement, behavior management and purchasing mechanisms to elaborate on the institutional arrangement of SHI in China. Using structural equation modeling, data on 1645 hospitalized patients obtained from a nationally representative survey in China are analyzed. The results show that the behavior management and purchasing mechanisms of SHI perform poorly, undermining the function of the reimbursement mechanism and mitigating the association between SHI participation and OOP. As a result, SHI participation has a weak negative or even no significant association with the OOP of hospitalized patients. This seems to contradict the principles of SHI, which aims to reduce people's OOP and enhance their wellbeing. These findings are expected to provide valuable insights to the ongoing healthcare reform process in China.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Social Science & Medicine - Volume 113, July 2014, Pages 95-103
Journal: Social Science & Medicine - Volume 113, July 2014, Pages 95-103
نویسندگان
Kai Liu, Qiaobing Wu, Junqiang Liu,