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Facing the urban–rural gap in patients with chronic kidney disease: Evidence from inpatients with urban or rural medical insurance in central China

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  • Rui Min
  • He Wang
  • Xiaoyan Zhang
  • Xia Li
  • Pengqian Fang
  • Xue Bai

Abstract

Background: In view of the irreversible pathology of progressive exacerbation, the societal burden of chronic kidney disease (CKD) is increasing along with the rise in total health expenditure. Meanwhile, disparities remain among urban and rural citizens with different types of health insurance. This study aimed to assess the socioeconomic disparities between hospitalized CKD patients in urban and rural areas. Method: A total of 501 CKD inpatients with urban or rural medical insurance (UMI or RMI, respectively) were selected from the top six tertiary hospitals in Wuhan. Demographic and socioeconomic data were collected as influencing factors. Data evaluation was performed using univariate and multivariate analyses. Result: Socioeconomic characteristics showed differences among hospitalized CKD patients with different health insurances. Patients with RMI were younger, and reported lower education levels, poor domestic economic conditions, shorter duration, and less frequent hospital stays than those with UMI (P

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  • Rui Min & He Wang & Xiaoyan Zhang & Xia Li & Pengqian Fang & Xue Bai, 2018. "Facing the urban–rural gap in patients with chronic kidney disease: Evidence from inpatients with urban or rural medical insurance in central China," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-14, December.
    • Handle: RePEc:plo:pone00:0209259
    DOI: 10.1371/journal.pone.0209259
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    1. Wagstaff, Adam & Lindelow, Magnus, 2008. "Can insurance increase financial risk?: The curious case of health insurance in China," Journal of Health Economics, Elsevier, vol. 27(4), pages 990-1005, July.
    2. Barry P. Bosworth & Gary Burtless, 2012. "Growth in Health Consumption and Its Implications for Financing OASDI: An International Perspective," Working Papers, Center for Retirement Research at Boston College wp2012-21, Center for Retirement Research, revised Sep 2012.
    3. Shanshan Jing & Aitian Yin & Lizheng Shi & Jinan Liu, 2013. "Whether New Cooperative Medical Schemes Reduce the Economic Burden of Chronic Disease in Rural China," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-6, January.
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