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Table 2 Patient Out-of-pocket Expenditure and Cost-sharing by Health Insurance schemes during 2011–2015

From: Temporal trends and variation in out-of-pocket expenditures and patient cost sharing: evidence from a Chinese national survey 2011–2015

Insurance status Total None NCMS URBMI UEBMI Other P value
  2011
Outpatient
 Total cost 677 (571, 782) 567 (290, 844) 540 (442, 638) 771 (488, 1054) 1031 (663, 1399) 1731 (622, 2839) < 0.01
 OOPE for doctor visitsa 457 (388, 525) 478 (188, 768) 431 (348, 514) 545 (322, 767) 475 (309, 642) 719 (307, 1131) < 0.01
 Cost sharinga 0.82 (0.79, 0.85) 0.9 (0.83, 0.98) 0.87 (0.84, 0.89) 0.7 (0.53, 0.88) 0.68 (0.58, 0.77) 0.57 (0.44, 0.7) < 0.01
 Amount of OOPE for prescription drugb 298 (259, 338) 387 (120, 655) 251 (221, 281) 324 (177, 471) 423 (274, 572) 473 (23, 923) < 0.01
 Cost sharing for prescription drugsb 0.88 (0.85, 0.91) 0.97 (0.93, 1) 0.92 (0.9, 0.94) 0.74 (0.55, 0.93) 0.78 (0.69, 0.87) 0.68 (0.54, 0.82) < 0.01
 Seek outpatient care observation 3286       
Inpatient
 Total cost 7971 (7008, 8935) 5550 (4073, 7027) 6903 (5699, 8108) 7494 (4878, 10,110) 11,902 (9342, 14,462) 8756 (5769, 11,742) < 0.01
 OOPE for hospitalizationa 4861 (4245, 5477) 4150 (3107, 5193) 4732 (4081, 5382) 4816 (2845, 6786) 5706 (3659, 7754) 3658 (2123, 5193) < 0.01
 Cost sharinga 0.67 (0.64, 0.7) 0.91 (0.83, 1) 0.74 (0.71, 0.77) 0.67 (0.59, 0.75) 0.44 (0.39, 0.5) 0.54 (0.41, 0.67) < 0.01
 OOPE for prescription drugsb 3668 (3131, 4205) 2884 (1976, 3791) 3674 (3023, 4325) 4252 (2304, 6200) 3913 (2458, 5368) 2354 (1070, 3637) < 0.01
 Cost sharing for prescription drugsb 0.85 (0.82, 0.87) 0.9 (0.81, 0.99) 0.86 (0.84, 0.89) 0.89 (0.85, 0.94) 0.77 (0.72, 0.83) 0.8 (0.71, 0.89) 0.049
 Seek inpatient care observation 1560       
  2013
Outpatient
 Total cost 753 (647, 859) 653 (351, 955) 717 (608, 826) 888 (490, 1286) 818 (524, 1111) 825 (190, 1460) < 0.01
 OOPE for doctor visitsa 522 (441, 602) 578 (330, 826) 548 (466, 631) 546 (236, 855) 445 (244, 647) 245 (117, 372) < 0.01
 Cost sharinga 0.76 (0.69, 0.83) 0.96 (0.92, 1) 0.85 (0.84, 0.87) 0.61 (0.4, 0.82) 0.51 (0.35, 0.68) 0.49 (0.36, 0.62) < 0.01
 Amount of OOPE for prescription drug b 358 (305, 411) 294 (133, 455) 364 (299, 429) 418 (208, 628) 335 (237, 433) 204 (91, 317) < 0.01
 Cost sharing for prescription drugsb 0.86 (0.82, 0.91) 0.94 (0.85, 1.03) 0.93 (0.92, 0.94) 0.78 (0.51, 1.04) 0.67 (0.58, 0.76) 0.61 (0.48, 0.73) < 0.01
 Seek outpatient care observation 3958       
Inpatient
 Total cost 10,082 (7258, 12,906) 9077 (6507, 11,648) 7654 (6922, 8387) 25,659(− 1260, 52,578) 11,672 (8219, 15,124) 10,722 (7868, 13,575) < 0.01
 OOPE for hospitalization a 6508 (4087, 8929) 6372 (4666, 8079) 5047 (4484, 5611) 20,955(− 3563, 45,472) 5454 (3896, 7012) 6535 (1762, 11,308) < 0.01
 Cost sharinga 0.62 (0.59, 0.65) 0.99 (0.97, 1.01) 0.65 (0.62, 0.67) 0.66 (0.56, 0.76) 0.48 (0.4, 0.55) 0.4 (0.29, 0.5) < 0.01
 OOPE for prescription drugs b 5419 (2951, 7888) 4944 (3614, 6273) 3852 (3348, 4356) 20,367(− 4290, 45,023) 4594 (3044, 6145) 5198 (2122, 8274) 0.0037
 Cost sharing for prescription drugsb 0.83 (0.81, 0.85) 0.99 (0.97, 1.01) 0.84 (0.82, 0.86) 0.82 (0.76, 0.87) 0.8 (0.74, 0.85) 0.79 (0.68, 0.89) < 0.01
 Seek inpatient care observation 2385       
  2015
Outpatient
 Total cost 1279 (1076, 1482) 1744 (600, 2888) 1094 (898, 1290) 1169 (668, 1670) 1562 (1121, 2002) 2786(−9, 5580) < 0.01
 OOPE for doctor visitsa 860 (705, 1015) 937 (430, 1444) 801 (640, 961) 842 (482, 1201) 813 (530, 1096) 2381(−388, 5150) < 0.01
 Cost sharinga 0.8 (0.77, 0.82) 0.89 (0.84, 0.93) 0.84 (0.82, 0.86) 0.88 (0.83, 0.93) 0.61 (0.53, 0.69) 0.51 (0.39, 0.64) < 0.01
 Amount of OOPE for prescription drug (Yuan)b 375 (309, 441) 350 (167, 534) 316 (264, 368) 462 (318, 607) 478 (252, 704) 797 (135, 1459) < 0.01
 Cost sharing for prescription drugsb 0.85 (0.83, 0.88) 0.88 (0.83, 0.93) 0.9 (0.88, 0.92) 0.91 (0.87, 0.95) 0.69 (0.61, 0.76) 0.61 (0.49, 0.73) < 0.01
 Seek outpatient care observation 3754       
Inpatient
 Total cost 9757 (8846, 10,668) 7207 (5633, 8782) 8194 (7487, 8901) 10,073 (8117, 12,030) 14,826 (11,850, 17,802) 8731 (5716, 11,746) < 0.01
 OOPE for hospitalizationa 5747 (5228, 6266) 4578 (3458, 5698) 5605 (5038, 6172) 6046 (4708, 7385) 6562 (5021, 8103) 4285 (1885, 6685) < 0.01
 Cost sharinga 0.63 (0.61, 0.65) 0.9 (0.84, 0.96) 0.67 (0.65, 0.69) 0.59 (0.56, 0.63) 0.44 (0.4, 0.47) 0.43 (0.29, 0.56) < 0.01
 OOPE for prescription drugs b 4418 (3922, 4915) 3822 (2790, 4853) 4206 (3702, 4710) 4298 (3072, 5525) 5374 (3728, 7021) 3126 (895, 5356) < 0.01
 Cost sharing for prescription drugsb 0.84 (0.82, 0.86) 0.93 (0.88, 0.99) 0.86 (0.84, 0.87) 0.83 (0.78, 0.88) 0.77 (0.71, 0.83) 0.75 (0.59, 0.9) < 0.01
 Seek inpatient care observation 2590       
  1. Note:
  2. The currency unit of total cost and OOPE in this table is Chinese Yuan.
  3. OOPE and cost sharing were presented followed by 95% CI in the parenthsis.
  4. These tables were generated based on the full sample of year wave so as to track the national trend.
  5. OOPE = out-of-pocket expenditure
  6. P value< 0.01 indicates that the mean level of cost-sharing was statistically different between three social health insurance schemes at 1% significance level, based on Kruskal–Wallis test.
  7. Cross-sectional sampling weight was applied for each year.
  8. OOPE in 2011 and 2013 were converted to 2015 price based on the World Bank GDP deflator.
  9. aIndicates the total cost shared or paid by patients, including prescription drugs
  10. b Indicates only the total cost for prescription drugs shared or paid by patients