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Association between health insurance cost-sharing and choice of hospital tier for cardiovascular diseases in China: a prospective cohort study

Authors :
Levy, Muriel
Buckell, John
Clarke, Robert
Wu, Nina
Pei, Pei
Sun, Dianjianyi
Avery, Daniel
Zhang, Hua
Lv, Jun
Yu, Canqing
Li, Liming
Chen, Zhengming
Yip, Winnie
Chen, Yiping
Mihaylova, Borislava
Chen, Junshi
Chen, Zhengming
Clarke, Robert
Collins, Rory
Li, Liming
Wang, Chen
Lv, Jun
Peto, Richard
Walters, Robin
Avery, Daniel
Barnard, Maxim
Bennett, Derrick
Boxall, Ruth
Chan, Kahung
Chen, Yiping
Chen, Zhengming
Clarke, Johnathan
Clarke, Robert
Du, Huaidong
Mohamed, Ahmed Edris
Fry, Hannah
Gilbert, Simon
Im, Pek Kei
Iona, Andri
Kakkoura, Maria
Kartsonaki, Christiana
Lam, Hubert
Lin, Kuang
Liu, James
Mazidi, Mohsen
Millwood, Iona
Morris, Sam
Nie, Qunhua
Pozaricki, Alfred
Ryder, Paul
Said, Saredo
Schmidt, Dan
Stevens, Becky
Turnbull, Iain
Walters, Robin
Wang, Baihan
Wang, Lin
Wright, Neil
Yang, Ling
Yang, Xiaoming
Yao, Pang
Han, Xiao
Hou, Can
Xia, Qingmei
Liu, Chao
Lv, Jun
Pei, Pei
Sun, Dianjianyi
Yu, Canqing
Chen, Naying
Liu, Duo
Tang, Zhenzhu
Chen, Ningyu
Jiang, Qilian
Lan, Jian
Li, Mingqiang
Liu, Yun
Meng, Fanwen
Meng, Jinhuai
Pan, Rong
Qin, Yulu
Wang, Ping
Wang, Sisi
Wei, Liuping
Zhou, Liyuan
Dong, Caixia
Ge, Pengfei
Ren, Xiaolan
Li, Zhongxiao
Mao, Enke
Wang, Tao
Zhang, Hui
Zhang, Xi
Chen, Jinyan
Hu, Ximin
Wang, Xiaohuan
Guo, Zhendong
Li, Huimei
Li, Yilei
Weng, Min
Wu, Shukuan
Yan, Shichun
Zou, Mingyuan
Zhou, Xue
Guo, Ziyan
Kang, Quan
Li, Yanjie
Yu, Bo
Xu, Qinai
Chang, Liang
Fan, Lei
Feng, Shixian
Zhang, Ding
Zhou, Gang
Gao, Yulian
He, Tianyou
He, Pan
Hu, Chen
Sun, Huarong
Zhang, Xukui
Chen, Biyun
Fu, Zhongxi
Huang, Yuelong
Liu, Huilin
Xu, Qiaohua
Yin, Li
Long, Huajun
Xu, Xin
Zhang, Hao
Zhang, Libo
Su, Jian
Tao, Ran
Wu, Ming
Yang, Jie
Zhou, Jinyi
Zhou, Yonglin
Hu, Yihe
Hua, Yujie
Jin, Jianrong
Liu, Fang
Liu, Jingchao
Lu, Yan
Ma, Liangcai
Tang, Aiyu
Zhang, Jun
Cheng, Liang
Du, Ranran
Gao, Ruqin
Li, Feifei
Li, Shanpeng
Liu, Yongmei
Ning, Feng
Pang, Zengchang
Sun, Xiaohui
Tian, Xiaocao
Wang, Shaojie
Zhai, Yaoming
Zhang, Hua
Hou, Wei
Lv, Silu
Wang, Junzheng
Chen, Xiaofang
Wu, Xianping
Zhang, Ningmei
Chang, Xiaoyu
Chen, Xiaofang
Li, Jianguo
Liu, Jiaqiu
Luo, Guojin
Sun, Qiang
Zhong, Xunfu
Gong, Weiwei
Hu, Ruying
Wang, Hao
Wang, Meng
Yu, Min
Chen, Lingli
Gu, Qijun
Pan, Dongxia
Wang, Chunmei
Xie, Kaixu
Zhang, Xiaoyi
Chen, Hongyuan
Liu, Liyang
Gou, Haiyan
Wang, Xun
Ding, Jing
Zhang, Ning
Mao, Yueshi
Zhou, Shanshan
Jin, Lirong
Cheng, Xin
Lu, Yun
Chen, Li
Hao, Zilong
Xing, Xiaona
Wang, Lei
Ju, Naixin
Mao, Yiting
Li, Shuya
Du, Peng
Wang, Deren
Sun, Xiaojia
You, Shihao
Wang, Weizhi
Zhu, Yanmei
Li, Xiaojiu
Dong, Yi
Source :
The Lancet Regional Health - Western Pacific; April 2024, Vol. 45 Issue: 1
Publication Year :
2024

Abstract

Hospitals in China are classified into tiers (1, 2 or 3), with the largest (tier 3) having more equipment and specialist staff. Differential health insurance cost-sharing by hospital tier (lower deductibles and higher reimbursement rates in lower tiers) was introduced to reduce overcrowding in higher tier hospitals, promote use of lower tier hospitals, and limit escalating healthcare costs. However, little is known about the effects of differential cost-sharing in health insurance schemes on choice of hospital tiers.

Details

Language :
English
ISSN :
26666065
Volume :
45
Issue :
1
Database :
Supplemental Index
Journal :
The Lancet Regional Health - Western Pacific
Publication Type :
Periodical
Accession number :
ejs65292526
Full Text :
https://doi.org/10.1016/j.lanwpc.2024.101020