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Absence of appropriate hospitalization cost control for patients with medical insurance: a comparative analysis study

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  • Xilong Pan
  • Hassan H. Dib
  • Minmin Zhu
  • Ying Zhang
  • Yang Fan

Abstract

Objective: Expose the weak loops in the Chinese medical insurance coverage and uncover hospitals' role of over‐pricing hospitalized insured patients compared with those non‐insured. Methods: A multi‐linear regression method was used to analyze hospitalization expense for insured and uninsured patients with uncomplicated acute appendicitis, cholecystitis, benign uterine tumors, and normal delivery. Results: Hospitalization cost is higher among insured than uninsured patients due to longer hospitalization lengths of stay, type of disease (highest among cholecystitis patients), type of gender – females, old‐aged people, and type of marital status – singles, as well as drugs expenses, surgical expenses, and other medical acts. Conclusion: Require a better government's supervision system over medical insurance expenses such as reforming methods of payments, building up new cost compensation mechanism, and unifying and stabilizing prices for each category of medicines. Copyright © 2008 John Wiley & Sons, Ltd.

Suggested Citation

  • Xilong Pan & Hassan H. Dib & Minmin Zhu & Ying Zhang & Yang Fan, 2009. "Absence of appropriate hospitalization cost control for patients with medical insurance: a comparative analysis study," Health Economics, John Wiley & Sons, Ltd., vol. 18(10), pages 1146-1162, October.
    • Handle: RePEc:wly:hlthec:v:18:y:2009:i:10:p:1146-1162
    DOI: 10.1002/hec.1421
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    References listed on IDEAS

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    1. Zhu, Minmin & Dib, Hassan H. & Zhang, Xinping & Tang, Shengchun & Liu, Liqun, 2008. "The influence of health insurance towards accessing essential medicines: The experience from Shenzhen labor health insurance," Health Policy, Elsevier, vol. 88(2-3), pages 371-380, December.
    2. Jiale Zhang, 2007. "A DID analysis of the impact of health insurance reform in the city of Hangzhou," Health Economics, John Wiley & Sons, Ltd., vol. 16(12), pages 1389-1402.
    3. Meng, Qingyue & Rehnberg, Clas & Zhuang, Ning & Bian, Ying & Tomson, Goran & Tang, Shenglan, 2004. "The impact of urban health insurance reform on hospital charges: a case study from two cities in China," Health Policy, Elsevier, vol. 68(2), pages 197-209, May.
    4. Evers, Silvia & Voss, Gemma & Nieman, Fred & Ament, Andre & Groot, Tom & Lodder, Jan & Boreas, Anita & Blaauw, Gerhard, 2002. "Predicting the cost of hospital stay for stroke patients: the use of diagnosis related groups," Health Policy, Elsevier, vol. 61(1), pages 21-42, July.
    5. Karen Eggleston & Li Ling & Meng Qingyue & Magnus Lindelow & Adam Wagstaff, 2008. "Health service delivery in China: a literature review," Health Economics, John Wiley & Sons, Ltd., vol. 17(2), pages 149-165, February.
    6. Teh‐Wei Hu & Michael Ong & Zi‐Hua Lin & Elizabeth Li, 1999. "The effects of economic reform on health insurance and the financial burden for urban workers in China," Health Economics, John Wiley & Sons, Ltd., vol. 8(4), pages 309-321, June.
    7. Hans Jürgen Rösner, 2004. "China's health insurance system in transformation: Preliminary assessment, and policy suggestions," International Social Security Review, John Wiley & Sons, vol. 57(3), pages 65-90, July.
    8. Sidel, V.W., 1993. "New lessons from China: Equity and economics in rural health care," American Journal of Public Health, American Public Health Association, vol. 83(12), pages 1665-1666.
    9. Leonard, Kevin J. & Rauner, Marion S. & Schaffhauser-Linzatti, Michaela-Maria & Yap, Richard, 2003. "The effect of funding policy on day of week admissions and discharges in hospitals: the cases of Austria and Canada," Health Policy, Elsevier, vol. 63(3), pages 239-257, March.
    10. Liu, Yuanli, 2002. "Reforming China's urban health insurance system," Health Policy, Elsevier, vol. 60(2), pages 133-150, May.
    11. Jiale Zhang, 2007. "A DID analysis of the impact of health insurance reform in the city of Hangzhou," Health Economics, John Wiley & Sons, Ltd., vol. 16(12), pages 1389-1402, December.
    12. Tu, Feng & Tokunaga, Shoji & Deng, ZhouLu & Nobutomo, Koichi, 2002. "Analysis of hospital charges for cerebral infarction stroke inpatients in Beijing, People's Republic of China," Health Policy, Elsevier, vol. 59(3), pages 243-256, March.
    13. Liu, Gordon G. & Zhao, Zhongyun & Cai, Renhua & Yamada, Tetsuji & Yamada, Tadashi, 2002. "Equity in health care access to: assessing the urban health insurance reform in China," Social Science & Medicine, Elsevier, vol. 55(10), pages 1779-1794, November.
    14. Carrin, Guy & Ron, Aviva & Hui, Yang & Hong, Wang & Tuohong, Zhang & Licheng, Zhang & Shuo, Zhang & Yide, Ye & Jiaying, Chen & Qicheng, Jiang & Zhaoyang, Zhang & Jun, Yu & Xuesheng, Li, 1999. "The reform of the rural cooperative medical system in the People's Republic of China: interim experience in 14 pilot counties," Social Science & Medicine, Elsevier, vol. 48(7), pages 961-972, April.
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