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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
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International Journal for Equity in Health

ISSN: 1475-9276

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