IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i15p2781-d254553.html
   My bibliography  Save this article

Costs of Hospitalization for Dementia in Urban China: Estimates from Two Urban Health Insurance Scheme Claims Data in Guangzhou City

Author

Listed:
  • Hui Zhang

    (School of Public Health, Sun Yat-sen University, No. 74, Zhongshan 2nd Road, Guangzhou 510080, China)

  • Donglan Zhang

    (Department of Health Policy and Management, College of Public Health, University of Georgia, 100 Foster Road, Wright Hall 205D, Athens, GA 30602, USA)

  • Yujie Yin

    (School of Public Health, Sun Yat-sen University, No. 74, Zhongshan 2nd Road, Guangzhou 510080, China)

  • Chao Zhang

    (Business School, Sun Yat-sen University, No. 135, Xinggang Xi Road, Guangzhou 510080, China)

  • Yixiang Huang

    (School of Public Health, Sun Yat-sen University, No. 74, Zhongshan 2nd Road, Guangzhou 510080, China)

Abstract

Background: Dementia is one of the public health priorities in China. This study aimed to examine the hospitalization costs of patients with dementia and analyzed the factors associated with their inpatient costs. Methods: This was a prevalence-based, observational study using claims data derived from two urban insurance schemes during the period from 2008 through 2013 in Guangzhou. The extended estimating equations model was performed to identify the main drivers of total inpatient costs. Results: We identified 5747 dementia patients with an average age of 77.4. The average length of stay (LOS) was 24.2 days. The average hospitalization costs per inpatient was Chinese Yuan (CNY) 9169.0 (CNY 9169.0 = US$1479.8 in 2013). The mean inpatient costs for dementia patients with the Urban Employee-based Basic Medical Insurance (UEBMI) scheme (CNY 9425.0 = US$1521.1) were higher than those for patients with the Urban Resident-based Basic Medical Insurance scheme (CNY 7420.5 = US$1197.6) ( p < 0.001). Having UEBMI coverage, dementia subtypes, having hypertension, being admitted in larger hospitals, and longer LOS were significantly associated with hospitalization costs of dementia. Conclusions: The costs of hospitalization for dementia were high and differed by types of insurance schemes. Dementia was associated with substantial hospitalization costs, mainly driven by insurance type and long LOS. These findings provided economic evidence for evaluating the burden of dementia in China.

Suggested Citation

  • Hui Zhang & Donglan Zhang & Yujie Yin & Chao Zhang & Yixiang Huang, 2019. "Costs of Hospitalization for Dementia in Urban China: Estimates from Two Urban Health Insurance Scheme Claims Data in Guangzhou City," IJERPH, MDPI, vol. 16(15), pages 1-18, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:15:p:2781-:d:254553
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/15/2781/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/15/2781/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Fengyue Li & Junko Otani, 2018. "Financing elderly people's long‐term care needs: Evidence from China," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(2), pages 479-488, April.
    2. Jade W Wei & Emma L Heeley & Stephen Jan & Yining Huang & Qifang Huang & Ji-Guang Wang & Yan Cheng & En Xu & Qidong Yang & Craig S Anderson & for the ChinaQUEST Investigators, 2010. "Variations and Determinants of Hospital Costs for Acute Stroke in China," PLOS ONE, Public Library of Science, vol. 5(9), pages 1-9, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Hui Zhang & Wenjing Zhou & Donglan Zhang, 2022. "Direct Medical Costs of Parkinson’s Disease in Southern China: A Cross-Sectional Study Based on Health Insurance Claims Data in Guangzhou City," IJERPH, MDPI, vol. 19(6), pages 1-19, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Miaoxi Zhao & Yanliu Lin & Huiqin Wang, 2022. "Locational Differences of Collective Land and Their Socioeconomic Effects on the Rural Elderly in China’s Pearl River Delta," Land, MDPI, vol. 11(5), pages 1-16, April.
    2. Liangwen Zhang & Sijia Fu & Ya Fang, 2020. "Prediction the Contribution Rate of Long-Term Care Insurance for the Aged in China Based on the Balance of Supply and Demand," Sustainability, MDPI, vol. 12(8), pages 1-12, April.
    3. Wenna Wang & Yulin Zhang & Beilei Lin & Yongxia Mei & Zhiguang Ping & Zhenxiang Zhang, 2020. "The Urban-Rural Disparity in the Status and Risk Factors of Health Literacy: A Cross-Sectional Survey in Central China," IJERPH, MDPI, vol. 17(11), pages 1-12, May.
    4. Li, Yan, 2022. "Social care for disabled elderly women in urban China: The roles of the community," Social Science & Medicine, Elsevier, vol. 314(C).
    5. Zhen Yu & Keming Yu & Wolfgang K. Härdle & Xueliang Zhang & Kai Wang & Maozai Tian, 2022. "Bayesian spatio‐temporal modeling for the inpatient hospital costs of alcohol‐related disorders," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 185(S2), pages 644-667, December.
    6. Hui Zhang & Wenjing Zhou & Donglan Zhang, 2022. "Direct Medical Costs of Parkinson’s Disease in Southern China: A Cross-Sectional Study Based on Health Insurance Claims Data in Guangzhou City," IJERPH, MDPI, vol. 19(6), pages 1-19, March.
    7. Chang Liu & Jing Hu & Xue Bai, 2023. "A Systematic Review of Literature on Caregiving Preparation of Adult Children," IJERPH, MDPI, vol. 20(13), pages 1-14, July.
    8. Yi Wang & Jiajia Li & Nan Zhang & Lulu Ding & Yuejing Feng & Xue Tang & Long Sun & Chengchao Zhou, 2022. "Urban–Rural Disparities in Informal Care Intensity of Adult Daughters and Daughters-in-Law for Elderly Parents from 1993–2015: Evidence from a National Study in China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 160(2), pages 487-503, April.
    9. Małgorzata Cygańska & Magdalena Kludacz-Alessandri & Chris Pyke, 2023. "Healthcare Costs and Health Status: Insights from the SHARE Survey," IJERPH, MDPI, vol. 20(2), pages 1-14, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:15:p:2781-:d:254553. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.