• Original article (Public health administration) • Previous Articles     Next Articles

Comparison of hospitalization medical costs of different payment between urban and rural children and analysis of its influencing factors

XIAO Yong-hong1, XIAO Qian1, JI A-dan1, ZHANG Long2, SUN Xing3, YAN Zi-hai2   

  1. 1.College of Public Health, Hebei Union University, 2.Basic Medical Insurance Center of Luan County, 3.Health Bureau of Luan County, Tangshan 063000, China
  • Online:2014-02-28 Published:2014-03-25
  • Supported by:

    Social Science Fund Project of Hebei Province, HB13SH027; Social Science Development Research Project of Hebei Province

Abstract:

Objective To compare hospitalization medical costs for children with urban resident medical insurance and new rural cooperative medical care, and to analyze the influence factors of different payments for medical costs so as to provide references for perfecting the medical security system of both urban and rural residents. Methods The hospitalization children of 0~14 years old with urban resident medical insurance (n=387) and new rural cooperative medical care (n=3 134) were chosen in 2011 in Luan County of Tangshan City. Their hospitalization medical costs and the influence factors of different payments for medical costs were analyzed by the univariate analysis and multivariate regression method. Results The average hospitalization medical cost for children with urban resident medical insurance was 1 632.12 Yuan, which was significantly higher than children with new rural cooperative medical care (932.84 Yuan). The difference was statistically significant (P<0.05). For children with urban resident medical insurance and new rural cooperative medical care, the drug costs accounted for 57.5% and 59.8% of the hospitalization medical costs, of which the fund payments were 61.6% and 59.5%, while individual payments were 38.4% and 40.5% respectively. Both personal factors (age, hospitalization days, and conditions of entering hospital) and social factors (hospital grade, income level, and medical insurance type) were influencing factors, which affected the hospitalization medical costs and different payments for children with urban resident medical insurances and new rural cooperative medical care. Conclusion Reducing medical costs should be achieved mainly by controlling the social factors and gradually improve the proportion of fund payments in different grade hospitals to establish the consolidated medical insurances in urban and rural areas.

Key words: children, urban residents medical insurance, new rural cooperative medical care, hospitalization medical costs, payment mode, influencing factors