Trends of Out-of-Pocket Expenditure for Influenza in China Health and Nutrition Survey During 1989-2006

Citation

Liu, Jinan; Shi, Lizheng; Khan, Mahmud; Xu, Lingzhong; & Wang, Liya (2012). Trends of Out-of-Pocket Expenditure for Influenza in China Health and Nutrition Survey During 1989-2006. International Journal of Public Health, 57, 193-8.

Abstract

OBJECTIVES: To examine the trends of out-of-pocket expenditure for influenza during 1989-2006 in China. METHODS: Data were extracted from the China Health and Nutrition Survey (CHNS) during 1989-2006 (in seven waves). A fixed effect model with robust standard errors was employed to examine trends of out-of-pocket expenditure (adjusted to 2006 Chinese RMB). RESULTS: The out-of-pocket expenditure increased from 11.92 RMB in 1989 to 50.75 RMB in 2006. The final sample for fixed effect model was 23,050 households. Income elasticity of out-of-pocket expenditure was 1.6%. Using 1989 as reference, the predicted increase was 242.23% [95% confidence interval (CI): 225.79-259.50%] in 2006; it was 143.54% in city hospitals [95% CI: 130.43-157.40%] compared to village clinics. CONCLUSIONS: Adjusted for inflation and income elasticity, Chinese households experienced an increase of more than double the out-of-pocket expenditure during 1989-2006. The expenditure was higher in higher-level facilities. Policy implications include the government fixed-budget financing to health providers could contribute to the rapidly increased financial burden; a referral system should be rebuilt; private health providers may play an important role in containing healthcare price in China.

URL

http://dx.doi.org/10.1007/s00038-011-0251-y

Reference Type

Journal Article

Year Published

2012

Journal Title

International Journal of Public Health

Author(s)

Liu, Jinan
Shi, Lizheng
Khan, Mahmud
Xu, Lingzhong
Wang, Liya