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Effects of the health insurance coverage extension on the use of outpatient services among small children in rural China
https://doi.org/10.18999/nagjms.77.3.465
https://doi.org/10.18999/nagjms.77.3.465f938fe1c-47d0-4525-a51e-22f3638d2fb3
名前 / ファイル | ライセンス | アクション |
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26_Kawazoe.pdf (190.4 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2015-09-07 | |||||
タイトル | ||||||
タイトル | Effects of the health insurance coverage extension on the use of outpatient services among small children in rural China | |||||
言語 | en | |||||
著者 |
Kawazoe, Nobuo
× Kawazoe, Nobuo× Liu, Guoxiang× Chiang, Chifa× Zhang, Yan× Aoyama, Atsuko |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | health insurance | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | health seeking behavior | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | outpatient benefit package | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | child health service | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | China | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | A new public health insurance scheme has been gradually introduced in rural provinces in China since 2003. This would likely cause an increment in the use of health services. It is known that the association between health insurance coverage and health service utilization varies among different age groups. This study aims to examine the association between extending health insurance coverage and increment in outpatient service utilization of small children in rural China, and to identify other factors associated with the outpatient service utilization. A household survey was conducted in 2 counties in north China in August 2010, targeting 107 selected households with a child aged 12–59 months. The questionnaire included modules on demographic information such as ages of children and parents, enrollment status of health insurance, the number of episodes of illness as perceived by parents, month of incidence of episode and outpatient service utilization at each episode. Based on the utilization at each episode of illness, a random effects logistic regression model was employed to analyze the association. It was found that eligibility for the reimbursement of outpatient medical expenses was not significantly associated with decision to seek care or choice of health facility. This might be in part due to the low level of reimbursement which could discourage the use of insured, and to the close relationship with village clinic workers which would encourage the use of uninsured. Three other factors were significantly associated with increment in the outpatient service utilization; age of children, mother’s education, and number of children in a household. | |||||
言語 | en | |||||
出版者 | ||||||
出版者 | Nagoya University Graduate School of Medicine, School of Medicine | |||||
言語 | en | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
ID登録 | ||||||
ID登録 | 10.18999/nagjms.77.3.465 | |||||
ID登録タイプ | JaLC | |||||
関連情報 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | URI | |||||
関連識別子 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/773.html | |||||
ISSN(print) | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0027-7622 | |||||
ISSN(Online) | ||||||
収録物識別子タイプ | EISSN | |||||
収録物識別子 | 2186-3326 | |||||
書誌情報 |
en : Nagoya Journal of Medical Science 巻 77, 号 3, p. 465-474, 発行日 2015-08 |
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著者版フラグ | ||||||
値 | publisher | |||||
URI | ||||||
識別子 | http://hdl.handle.net/2237/22990 | |||||
識別子タイプ | HDL |